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Docusign Envelope ID: 934CC55C-54E1-4502-8812-D6179D201CD8 State of Washington Department of Ecology Agreement No: WRYBIP-2325-KiCPWD-00072 Project Title: Springwood Ranch Stewardship and Planning Recipient Name: Kittitas County Public Works Department Page 13 of 23 transaction complies with certification of suspension and debarment requirements. 7. RECIPIENT/CONTRACTOR acknowledges that failing to disclose the information required in the Code of Federal Regulations may result in the delay or negation of this funding agreement, or pursuance of legal remedies, including suspension and debarment. 8. RECIPIENT/CONTRACTOR agrees to keep proof in its agreement file, that it, and all lower tier recipients or contractors, are not suspended or debarred, and will make this proof available to ECOLOGY before requests for reimbursements will be approved for payment. RECIPIENT/CONTRACTOR must run a search in <http://www.sam.gov> and print a copy of completed searches to document proof of compliance. B. FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT F L_TAJi REPORTING REQUIREMENTS: CONTRACTOR/RECIPIENT must complete the FFATA Data Collection Form (ECY 070-395) and return it with the signed agreement to ECOLOGY. Any CONTRACTOR/RECIPIENT that meets each of the criteria below must report compensation for its five top executives using the FFATA Data Collection Form. Receives more than $30,000 in federal funds under this award. Receives more than 80 percent of its annual gross revenues from federal funds. Receives more than $25,000,000 in annual federal funds. Ecology will not pay any invoices until it has received a completed and signed FFATA Data Collection Form. Ecology is rmfi ation for federally funded agreements, including the required Unique Entity Identier in required to report the FFATA info www.sam. ov <htt �.flww�w.sam.gov/> within 30 days of agreement signature. The FFATA information will be available to the public at www.usas ndin . ov -ht ://www.0 ndin _ ovh. For more details on FFATA requirements, see www-fsrs. ov <htt ://www.fsrs. ov/>. C. FEDERAL FUNDING PROHIBITION ON CERTAIN TELECOMMUNICATIONS OR VIDEO SURVEILLANCE SERVICES ORE UIPMENT: As required by 2 CFR 200.216, federal grant or loan recipients and subrecipients are prohibited from obligating or expending loan or grant funds to: 1. Procure or obtain; 2. Extend or renew a contract to procure or obtain; or 3. Enter into a contract (or extend or renew a contract) to procure or obtain equipment, services, or systems that use covered telecommunications equipment, video surveillance services or services as a substantial or essential component of any system, or as critical technology as part of any system. As described in Public Law 115-232 lrtt s:;/www. avinfo. ov/cantcnt,' k /PLAW-i 15 ub1232i df!PL.AW-115 ub1232. df>, section 889, covered ions equipment produced by Huawei Technologies Company or ZTE telecommunications equipment is telecommunicat Corporation (or any subsidiary or affiliate of such entities). Recipients, subrecipients, and borrowers also may not use federal funds to purchase certain prohibited equipment, systems, or services, including equipment, systems, or services produced or provided by entities identified in section 889, are recorded in Template Version 12/10/2020