0-CivTech_Attachment 9- FTA Fiscal Year 2025 Cert.pdf
PDF 172 KB Posted
- Attached to
- On Call Transit Consultant Services
- Solicitation number
- BPM007068
- Issued by
- Arizona
About this file
This is an FTA Certifications and Assurances document issued by the Arizona Department of Transportation (ADOT) for Solicitation No. BPM007068, pertaining to On Call Transit Consultant Services. The document establishes the requirement that all awarded contractors, consultants, subcontractors, and subconsultants must comply with Federal Transit Administration (FTA) certifications and assurances for Fiscal Year 2025 in accordance with 49 U.S.C. 5323(n). The certification mandates that contractors ensure their performance under the agreement does not hinder or invalidate ADOT's certifications and assurances made to FTA. This compliance is mandatory and a prerequisite for performing any work under the contract, with failure to comply resulting in contract cancellation. The document requires signature from authorized representatives, and by signing, contractors agree to indemnify and hold the State harmless from any claims arising from reliance on the representations made in the certification.
The executed certification document shows that CivTech Inc., located at 10605 N. Hayden Road, Suite 140, Scottsdale, AZ 85260, has executed the FTA certifications and assurances on behalf of the contractor. The signatory is Dawn Cartier, PE PTOE, identified as Founder and President of CivTech Inc. By executing this certification, CivTech Inc. acknowledges its obligations under federal law, specifically 18 U.S.C. 1001 and the Program Fraud Civil Remedies Act of 1986 (31 U.S.C. 3801 et seq.), and commits to full compliance with all applicable FTA requirements related to the contract funded through federal transit programs including FTA Sections 5311, 5310, and 5305.
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Text version
ATTACHMENT #9
FTA CERTIFICATIONS AND ASSURANCES
SOLICITATION NO: BPM007068 Available online at https://appstate.az.gov/
Rev. 09/2022
Federal Transit Administration (FTA) Certifications and Assurances Fiscal Year 2025
Pursuant to 49 U.S.C. 5323(n), the Federal Transit Administration (FTA) consolidated certifications and assurances required by Federal law or regulations for its programs. On an annual basis, any agency with an active FTA capital or formula project must agree to comply with all categories applicable to its funding. It is the Department’s responsibility, as the applicant of FTA funds, to certify on behalf of its subrecipients, consultants, contractors, or other third parties, and to assure compliance with those certifications.
The Department herein notifies, and requires assurance from the awarded Contractor/Consultant and each SubContractor/SubConsultant that it shall individually assure and take all measures to ensure that performance under this Agreement/Contract shall not, in any way, hinder or invalidate the Department’s certifications and assurances made to FTA. Such notification and agreement shall occur each time FTA issues new certifications and assurances, subsequent to each occurrence of the Department’s assurance to FTA. Assurance and compliance with this is mandatory and a prerequisite for performing any work under this Agreement/Contract. Failure to make such agreement and assurance shall result in cancellation of the Agreement/Contract. The relevant certifications and assurances made by the Department are indicated on the attached Affirmation page.
BY SIGNING BELOW, on behalf of the awarded Contractor/Consultant/SubContractor/SubConsultant, and under the criminal provisions of 18 U.S.C. 1001 and Program Fraud Civil Remedies Act of 1986, 31 U.S.C. 3801 et seq., I declare that it has duly authorized me to make this Certification and Assurance and bind its compliance.
Thus, it agrees to assure and take all measures to ensure that performance under this Agreement/Contract shall not in any way hinder or invalidate the Arizona Department of Transportation’s Certifications and Assurances made to the Federal Transit Administration. By Signing Below, the Contractor/Consultant/SubContractor/SubConsultant agrees to indemnify and hold the State, its agents and employees, harmless from any claims or causes of action relating to the State’s action based upon reliance on the above representations, including the payment of all costs and attorney fees incurred by the State in defending such an action.
CivTech Inc.
Company Name Signature of Person Authorized to Sign
10605 N. Hayden Road., Suite 140
Dawn Cartier, PE PTOE Address Printed Name
Scottsdale, AZ 85260
Founder, President City State Zip Title https://appstate.az.gov/
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