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-1 1 <br />Docusign Envelope lD: 934CC55C -54E1 -4502-881'2-D617 9D201 CD8 <br />State of Washington Department of Ecology <br />AgreementNo: WRYBIP-2325-KiCPWD-000?2 <br />Project Title: Springwood Ranch Stewardship and Planning <br />Recipient Name: Kittitas County Public Works Department <br />Page13 of23 <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 />g. RECIPIENT/CONTRACTOR agrees to keep proof in its agreement file, that it, and all lower tier recipients or <br />contfactors, 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 />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 GONTRACTOR/RECIPIENT that meets each of the criteria below must report compensation for its five <br />top executives using the FFAIA Data Collection Form' <br />' Receives more than $30,000 in federal funds under this award' <br />.Receivesmorethan80percentofitsannualgrossrevenuesfromfederalfunds. <br />' Receives more than $25,000,000 in annual federal funds' <br />Ecorogy w'l not pay anyinvoices until it has received a compreted and signed FFATA Data collection Form. Ecology is <br />required to report the FFATA information for federally funded agreements, including the required Unique Entity Identifier in <br />www.sam.eov <http:l/www.sam.sov/> within 30 days of agreement signature' The FFATA information will be available to <br />thepublicatwww-usaspendine'sov<http:l/www'usaspendinq'sov/>' <br />For more details on FFAIA requirements, see www.fsrs-sov <httD://www'fsrs'eov/>' <br />SERVICES OR EOUIPMENT: <br />As required by 2 cFR 200.2l6,federal grant or loan recipients and subrecipients are prohibited from obligating or expending <br />loan or grant funds to <br />t <br />2 <br />J <br />Procure or obtain; <br />Extend or renew a contract to Procure or obtain; or <br />Enter into a contract (or extend or renew a contract) to procure or obtain equipment, services, or systems that use <br />covered telecommunications equipment, video surveillance services or seryices as a substantial or essential component <br />of any system,or as critical technology as part of any system' As described in Public Law 115-232 <br />section 889, covered <br />telecommunications equipment is telecommunications equipment produced by Huawei Technologies Company or ZTE <br />Corporation (or any subsidiary or affiliate of such entities)' <br />Recipients, subrecipients, and borrowers also may not use federal funds to purchase certainprohibited equipment, systems' or <br />services, including equipment, systems, or services produced or provided by entities identified in section 889, are recorded in <br />Template Yer sion 12 I | 0 12020