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State of Washington D€partment of Ecology <br />Agreement No; SWMLSWFA-2021-KiCPHD-00003 <br />Project Title: SWE Kittitas Co. PH <br />Recipient Name: KITTITAS COUNTY PUBLIC HEALTH <br />Page l0 o{20 <br />contained in the certification, they must provide an explanation as to why they cannot. <br />2. The RECIPIENT/CONTRACTOR shall provide immediate wdtten notice to ECOLOGY if at any time the <br />RECIPIENTICONTRACTOR leams that its certification was erroneous when submitted or had become erroneous by <br />reason of changed circumstances. <br />3. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, <br />primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meaning sst <br />out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact <br />ECOLOGY for assistance in obtaining a copy of those regulations. <br />4. The RECIPIENTICONTRACTOR agrees it shall not knowingly enter into any lower tier covered transaction with a <br />person who is proposed for debarment under the applicable Code ofFederal Regulations, debarred, suspended, <br />declared incligiblc, or voluntarily excludcd from participation in this covered transaction. <br />5. The RECIPIENT/CONTRACTOR further agrees by signing this agreement, that it will include this clause titled <br />..CERTIFICAIION REGARDiNG SUSPENSION, DEBARMENT, INELIGIBILITY OR VOLUNTARY <br />EXCLUSION" without modification in all lower tier covered transactions and in all solicitations for lower tier covered <br />transactions. <br />6. Pursuant to 2CFR180.330, the RECIPIENT/CONTRACTOR is responsible for ensuring that any lower tier covered <br />transaction complies with certification of suspension and debarment requirements. <br />7. RECIPIENT/CONTRACTOR acknowledges that failing to disclose the information required in the Code of Federal <br />Regulations may result in the delay or negation of this funding agreement, or pursuance of legal remedies, including <br />suspension and debarment. <br />8. RECIPIENT/CONTRACTOR agrcss to kccp proof in its agrcement file, that it, and all lower tier recipients or <br />contractors, are not suspended or debarred, and will make this proof available to ECOLOGY before requests for <br />reimbursements will be approved for payment. RECIPIENT/CONTRACTOR must run a search in <br /><http://www.sam.gov> and print a copy of completed searches to document proof of compliance. <br />B. FEDERAL FUNDT.NG ACCOUNTAFILITY AND.TRANSPARE]{CY ACT FFATA) REPORTINQ <br />REOUIREMENTS: <br />CONTRACTOR/RECIPIENT must complete the FFATA Data Collection Form (ECY 070-395) and return it with the <br />signed agreement to ECOLOGY. <br />Any CONTRACTOR/RECIPIENT that meets each of the criteria below must report compensation for its five <br />top executives using the FFATA Data Collection Form. <br />Receives more than $25,000 in federal funds under this award. <br />Receives more than 80 percent ofits annual gross revenues from fcdcral funds. <br />Rcceives more than $25,000,000 in annual federal funds. <br />Ecology will not pay any invoices until it has received a completed and signed FFATA Data Collection Form. Ecology is <br />requircd to report the FFATA information for federally funded agreements, including the required DUNS number, at <br />wlvlv.flsrs.gov <htl.p://r,vwrv.f'srs.gpv/> within 30 days of agrcement signature. The FFATA information will be available to <br />the public at www.usqspgnding.sov <httpj//wwrv.usSsne[dinH.gov/>. <br />For more details on FFATA requirements, see rvrvw.fsrs.gov <http://wu,W.flrrs.goy/> <br />C. FEDERALFTJNDING PROHIBITION ON CERTAIN TELECOMMLINICATIONS ORVIDEO SURVEILLANCE <br />Tcmplate Vcrsion I 2110/2020