10-FTA Funding Supplement Acknowledgement.pdf

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Attached to
Vinyl Bus Seat Insert Repairs (FTA)
Solicitation number
TRN2132247B1
Issued by
Broward County, Florida

About this file

This is a Federal Transit Administration (FTA) Funding Supplement Acknowledgement form from Broward County, Florida, certifying contractor compliance with FTA requirements for the Vinyl Bus Seat Insert Repairs contract. The document serves as a formal acknowledgement that the contractor has received and reviewed the complete FTA Funding Supplement, including all required FTA clauses, disclosures, certifications, forms, and information mandated by the U.S. Department of Transportation. By executing this form, the contractor commits to complying with both the FTA Funding Supplement and the Standard Terms and Conditions incorporated into the contract, and certifies that it will not perform any act or fail to perform any obligation that would cause Broward County to violate any FTA regulation or requirement.

The document establishes that in the event of a conflict between contract provisions and the FTA's Standard Terms and Conditions, the Standard Terms and Conditions shall prevail. The contractor is required to obtain additional information regarding FTA obligations through the FTA's website at https://www.transit.gov and references to applicable Code of Federal Regulations (CFR) regulations at http://www.ecfr.gov. The form requires the contractor's authorized representative to provide a signature, printed name, title, company name, and date, making it a binding acknowledgement that the contract is funded in whole or in part by FTA funds received by Broward County.

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Text version

Source: Broward CAO/drp Current as of 9/19/24

FEDERAL TRANSIT ADMINISTRATION (FTA)

FUNDING SUPPLEMENT ACKNOWLEDGEMENT

The undersigned Contractor hereby certifies that (i) it has received a full and complete copy of County’s FTA Funding Supplement that includes all required FTA clauses, disclosures, certifications, forms, and all other information required by the U.S. Department of Transportation; (ii) it shall comply with the FTA Funding Supplement and the Standard Terms and Conditions (as defined in the FTA Funding Supplement) which are incorporated into and are a part of the Contract (as defined in the FTA Funding Supplement); (iii) Contractor shall not perform any act, fail to perform any act, or refuse to comply with any County requirements or requests which would cause the County to be in violation of any FTA regulation or requirement; and (iv) in the event of a conflict between any provision in the Contract (as amended by the FTA Funding Supplement) and the Standard Terms and Conditions, the applicable provision(s) in the Standard Terms and Conditions shall prevail.

(Date) Authorized Signature

Print Name: ______________________________________________

Print Title: _______________________________________________

Name of Company: ________________________________________

Instructions: The Contract is funded in whole or in part by funds received by County from the FTA. Additional information regarding Contractor’s and its Subcontractors FTA obligations under the Contract and The Standard Terms and Conditions imposed by the FTA are available on the FTA’s website at https://www.transit.gov. References to the Code of Federal Regulations (CFR) are available at: http://www.ecfr.gov.

https://www.transit.gov/ http://www.ecfr.gov/

Print Name:
Name of Company:
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Date1_af_date:

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