2-CERTIFICATES 1 thru 17 (Required).pdf

CERTIFICATES

The Certificates referenced in Attachment A and to be included in the procurement packages follow. The Certificate numbers are for the purpose of organizing Attachment A and may be adjusted as needed for the procurement package being prepared.

CERTIFICATE 1

BUY AMERICA CERTIFICATION

(For Procurement of Steel, Iron or Manufactured Products)

This procurement is subject to the Federal Transit Administration Buy America Requirements in 49 CFR

661 and 49 U.S.C. 5323(j).

This Buy America Certificate must be completed and submitted with the bid for any purchase or contract in excess of $150,000. A bid for any purchase or contract in excess of $150,000 which does not include the certificate will be rejected as non-responsive.

A waiver from the Buy America Provision may be sought by SCTA, if grounds for the waiver exist.

49 U.S.C. 5323(j) permits FTA participation on this contract only if steel, iron, and manufactured products used in this contract are produced in the United States.

Certificate of Compliance With Buy America Requirements

The bidder hereby certifies that it will comply with the requirements of 49 U.S.C. 5323(j)(1) and the applicable regulations in 49 CFR 661.

Date: ___________________________________________________________________

Signature: ___________________________________________________________________

Company: ___________________________________________________________________

Name: ___________________________________________________________________

Title: ___________________________________________________________________

OR

Certificate of Non-Compliance With Buy America Requirements

The bidder hereby certifies that it cannot comply with the requirements of 49 U.S.C. 5323(j)(1) but it may qualify for an exception to the requirement pursuant to 49 U.S.C. 5323(j)(2), as amended, and the applicable regulations in 49 CFR 661.7.

Date; ___________________________________________________________________

Signature: ___________________________________________________________________

Company: ___________________________________________________________________

Name: ___________________________________________________________________

Title: ___________________________________________________________________

5/2007

CERTIFICATE -2

BUILD AMERICA, BUY AMERICA (BABA) CERTIFICATION

The undersigned certifies, to the best of its knowledge and belief, that:

1. The Contractor understands that the Build America, Buy America Act, enacted as part of the

Infrastructure Investment and Jobs Act (Pub. L. 117-58), requires that all iron, steel, manufactured products, and construction materials used in the performance of this contract be produced in the United States, unless a waiver has been granted by the Federal Transit

Administration (FTA).

2. The Contractor certifies that all iron, steel, manufactured products, and construction materials incorporated into the project will comply with the domestic preference requirements of the Build America, Buy America Act and 2 CFR Part 184, except as specifically permitted under an approved waiver.

3. The Contractor agrees to maintain documentation sufficient to demonstrate compliance with

BABA requirements, including manufacturer certifications, origin documentation, and supply-chain records, and to make such documentation available to the Recipient, the Federal Transit

Administration, the U.S. Department of Transportation Office of Inspector General, and the

Comptroller General of the United States upon request.

4. The Contractor understands that failure to comply with Build America, Buy America requirements may result in remedies including, but not limited to, withholding of payments, termination of the contract, or other remedies available under federal law.

5. The Contractor further agrees to flow down the requirements of the Build America, Buy America

Act and this certification to all subcontractors and suppliers at all tiers, as applicable.

Waiver Disclosure (If Applicable)

☐ The Contractor certifies that it cannot comply with the Build America, Buy America requirements and requests reliance on an applicable waiver approved by the Federal Transit Administration.

FTA Waiver Reference (if known): _______________________________________

Contractor Information

Firm Name: ___________________________________________

Address: _____________________________________________

City, State, ZIP: _____________________________________

Certification Execution

Authorized Representative (Printed Name): _______________________________

Title: _________________________________________________________________

Signature: _____________________________________________________________

Date: _________________________________________________________________

CERTIFICATE 3

NON-COLLUSION STATEMENT

SOUTH CENTRAL TRANSIT AUTHORITY

45 ERICK ROAD

LANCASTER, PENNSYLVANIA 17601

TO: SCTA, Lancaster, Pennsylvania

The Undersigned, having examined the Specifications, Standard Requirements and other documents and being familiar with the various conditions under which these services, equipment and/or supplies are to be used, agrees to furnish all labor, materials, tools, equipment and services called for in the bid for the prices stated.

The Undersigned hereby certifies that this proposal is genuine and not a sham, collusive, or fraudulent or made in the interest of or in behalf of any person, firm or corporation not herein named, and that the Undersigned has not, directly induced or solicited any Bidder to submit a sham bid or any other person, firm or corporation to refrain from bidding and that the

Undersigned has not, in any manner, sought by collusion to secure for themselves an advantage over any other bidder.

Company Name __________________________________________________

Address __________________________________________________

Signature __________________________________________________

Printed Name __________________________________________________

Title __________________________________________________

Date __________________________________________________

TRADING AND DOING BUSINESS AS (CHECK ONE)

( ) Individual ( ) Partnership ( ) Corporation

(Seal)

2/2018

CERTIFICATE 4

COMMONWEALTH NON-DISCRIMINATION/SEXUAL HARASSMENT CLAUSE

The Contractor agrees:

a. In the hiring of any employee(s) for the manufacture of supplies, performance of work, or any other activity required under the contract, or subcontract, the contractor, a subcontractor, or any person acting on behalf of the contractor shall not, by reason of gender, race, creed, or color, discriminate against any citizen of the Commonwealth of Pennsylvania who is qualified and available to perform the work to which the employment relates.

b. The contractor or any subcontractor or any person acting on their behalf shall not in any manner discriminate against or intimidate any of its employees on account of gender, race, creed, or color.

c. The contractor or any subcontractor shall establish and maintain a written sexual harassment policy and shall inform their employees of the policy. The policy must contain a notice that sexual harassment will not be tolerated and employees who practice it will be disciplined.

d. The contractor or any subcontractor shall not discriminate by reason of gender, race, creed, or color against any contractor, subcontractor or supplier who is qualified to perform the work to which the contracts relates.

e. The contractor or any subcontractor shall, within the time periods requested by the

Commonwealth of Pennsylvania, furnish all necessary employment documents and records and permit access to their books, records, and accounts by the Pennsylvania Department of

Transportation and the Bureau of Minority and Women Business Opportunities (BMWBO), for the purpose of ascertaining compliance with provisions of this Non-discrimination/ Sexual

Harassment Clause.

f. The contractor or any subcontractor shall include the provisions of this Nondiscrimination/

Sexual Harassment Clause in every contract or subcontract so that those provisions applicable to contractors or subcontractors will be binding upon each contractor or subcontractor.

g. The South Central Transit Authority may cancel or terminate the contract and all money due or to become due under the contract may be forfeited for a violation of the terms and conditions of this

Non-discrimination/Sexual Harassment Clause. In addition, the South Central Transit Authority may proceed with debarment or suspension and may place the contractor or subcontractor in the

Contractor Responsibility File.

DATE FIRM NAME

BY: ___________________________________

SIGNATURE

TITLE

CERTIFICATE 5

LOBBYING CERTIFICATE

The undersigned certifies, to the best of his or her knowledge and belief, that:

1 No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of

Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.

2 The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S. Code (as amended by the Lobbying Disclosure

Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Note: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure.

The Contractor, , certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certification and disclosure, if any.

DATE SIGNATURE OF AUTHORIZED OFFICIAL

TITLE OF AUTHORIZED OFFICIAL

(Applies to contracts/subcontracts with a contract sum of $100,000 and over.)

8/2015

CERTIFICATE 6 - 1

DISADVANTAGED BUSINESS ENTERPRISE CERTIFICATION

(1) Policy. It is the policy of the Department of Transportation that disadvantaged business enterprises as defined in 49 CFR Part 26 shall have the opportunity to participate in the performance of contracts financed in whole or in part with Federal funds under this agreement. Consequently, the DBE requirements of 49 CFR Part 26 apply to this agreement.

(2) DBE Obligation. The supplier or contractor agrees to ensure that disadvantaged business enterprises as defined in 49 CFR Part 26 have the opportunity to participate in the performance of contracts and subcontracts financed in whole or in part with Federal funds provided under this agreement. In this regard all contractors shall take necessary and reasonable steps in accordance with 49 CFR Part 26 to ensure that disadvantaged business enterprises have the opportunity to compete for and perform contracts.

Contractors shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract.

Failure by the Contractor to carry out these requirements is a material breach of the contract which may result in the termination of this contract or such other remedy as

SCTA deems appropriate.

DATE

SIGNATURE

TITLE

8/2015

CERTIFICATE 6 - 2

Affidavit of Disadvantaged Business Enterprise

I HEREBY DECLARE AND AFFIRM that I am the and the duly authorized representative of (the firm of) doing business at

(include address, city, state and zip code).

I HEREBY DECLARE AND AFFIRM that the above business is: (check as appropriate)

A firm that is at least 51% owned by one or more individuals who are disadvantaged as defined in 49 CFR Part 26, Subpart D, or

A corporation in which at least 51% of the stock is owned by one or more disadvantaged individuals as defined in 49 CFR Part 26, Subpart D.

And that such firm or corporation has been organized/incorporated since , 20 and is controlled by one or more individuals defined as disadvantaged in 49 CFR Part 26, Subpart D.

FURTHERMORE, I HEREBY DECLARE AND AFFIRM that I will provide such additional information as requested by the South Central Transit Authority to document this fact as provided for in 49 CFR Part 26, Subparts D and E.

I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF

PERJURY THAT THE CONTENTS OF THE FOREGOING DOCUMENT ARE TRUE AND

CORRECT, AND THAT I AM AUTHORIZED, ON BEHALF OF THE ABOVE FIRM, TO

MAKE THIS AFFIDAVIT.

AFFIANT:

DATE:

On this day of , 20 , before me, , the undersigned officer, personally appeared , known to me to be the person described in the foregoing Affidavit and acknowledged that he/she executed the same in the capacity therein stated and for the purposes therein contained.

In witness thereof, I hereunto set my hand and official seal.

(Notary Public)

My Commission Expires (SEAL)

STATE OF:

COUNTY/CITY OF:

CERTIFICATE 7

CERTIFICATION OF PARTICIPANTS REGARDING

DEBARMENT, SUSPENSION, AND OTHER INELIGIBILITY AND VOLUNTARY

EXCLUSION

The Participant (a potential sub-grantee or sub-recipient under an FTA project, a potential third party contractor, or a potential subcontractor under a major third party contractor), certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.

If the Participant (a potential sub-grantee or sub-recipient under an FTA project, a potential third party contractor, or a potential subcontractor under a major third party contract) is unable to certify to any of the statements in this certification, such participant shall attach an explanation to this proposal.

THE PARTICIPANT (A POTENTIAL SUB-GRANTEE OR SUB-RECIPIENT UNDER AN

FTA PROJECT, A POTENTIAL THIRD PARTY CONTRACTOR, OR A POTENTIAL

SUBCONTRACTOR UNDER A MAJOR THIRD PARTY CONTRACT) CERTIFIES OR

AFFIRMS THE TRUTHFULNESS AND ACCURACY OF THE CONTENTS OF THE

STATEMENTS SUBMITTED ON OR WITH THIS CERTIFICATION AND UNDERSTANDS

THAT THE PROVISIONS OF 31 U.S.C. SECTIONS 3801 ET SEQ. ARE APPLICABLE

THERETO.

Signature of Authorized Official Title of Authorized Official

Date

(Applies to contracts and sub-contracts over $25,000)

CERTIFICATE -8

Certification of Lower-Tier Participants Regarding Debarment, Suspension, and Other Ineligibility and Voluntary Exclusion

The Lower Tier Participant (potential sub-recipient under an FTA project, potential third party contractor, or potential subcontractor under a major third party contract), (Name of Firm) _____________________________________________ certifies, by submission of this proposal, that neither it nor its “principals” as defined at 49 CFR, Part 29105(p), are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.

(If the Lower Tier Participant (potential sub-recipient under an FTA project, potential third party

(Name of Firm)_______________________________________________________ is unable to certify to any of the statements in this certification, such participant shall attach an explanation to this proposal.)

THE LOWER-TIER PARTICIPANT (potential sub-recipient under an FTA project, potential third party

Please indicate only ONE scenario above.

(Name of Firm)______________________________________________________

CERTIFIES OR AFFIRMS THE TRUTHFULNESS AND ACCURACY OF THE CONTENTS OF THE

STATEMENTS

SUBMITTED ON OR WITH THIS CERTIFICATION AND UNDERSTANDS THAT THE

PROVISIONS OF 31 USC

SECTIONS 3801 ET SEQ. ARE APPLICABLE THERETO.

Signature and Title of Authorized Official: _________________________________

Date: _________________________

CERTIFICATE 9

CONTRACTOR INTEGRITY

It is essential that those who seek to contract with the South Central Transit Authority (“SCTA”) observe high standards of honesty and integrity. They must conduct themselves in a manner that fosters public confidence in the integrity of the SCTA procurement process. In furtherance of this policy, Contractor agrees to the following:

1. Contractor shall maintain the highest standards of integrity during the performance of this agreement and shall take no action in violation of state or federal laws or regulations, or other requirements applicable to the Contractor or that govern contracting with the Commonwealth of Pennsylvania (“Commonwealth”) and/or SCTA.

2. Contractor, its affiliates, agents and employees shall not influence, or attempt to influence, any SCTA or

Commonwealth employee to breach the standards of ethical conduct for employees or to breach any other state or federal law or regulation.

3. Contractor, its affiliates, agents and employees shall not offer, give, or agree or promise to give any gratuity to a SCTA or Commonwealth official or employee or to any other person at the direction or request of any

SCTA or Commonwealth official or employee.

4. Contractor, its affiliates, agents and employees shall not offer, give, or agree or promise to give any gratuity to a SCTA or Commonwealth official or employee, the acceptance of which would violate the applicable code of conduct or any statute, regulation, statement of policy, management directive or any other published standard of SCTA or the Commonwealth.

5. Contractor, its affiliates, agents and employees shall not, directly or indirectly, offer, confer, or agree to confer any pecuniary benefit on anyone as consideration for the decision, opinion, recommendation, vote, other exercise of discretion, or violation of a known legal duty by any official or employee of SCTA or the

Commonwealth.

6. Contractor, its affiliates, agents, employees or anyone in privity with him or her shall not accept or agree to accept from any person, any gratuity in connection with the performance of work under the contract, except as provided in the contract.

7. Contractor shall not have financial interest in any other contractor, subcontractor or supplier providing services, labor, or material on this project, unless the financial interest is disclosed to SCTA in writing at the time of bid or proposal submission and SCTA consents to the Contractor’s financial interest prior to SCTA execution of the contract.

8. Contractor, its affiliates, agents and employees shall not disclose to others any information, documents, reports, data, or records provided to, or prepared by, Contractor under this contract, or secured by Contractor from a third party in connection with the performance of this contract, without the prior approval of SCTA, except as required by the Pennsylvania Right-to-Know Law, 65 P.S. §§ 67.101-3104;

necessary for purposes of Contractor’s internal assessment and review; or otherwise required by law.

9. Contractor certifies that neither it nor any of its officers, directors, associates, partners, limited partners or individual owners has not been officially notified of ,charged with, or convicted of the commission of embezzlement, theft, forgery, bribery or destruction of public records; commission of fraud or other improper conduct associated with obtaining, attempting to obtain or performing a public contract;

violation of any federal or state law regulating campaign contributions; violation of any federal or state environmental law; violation of any federal or state law regulating hours of labor, minimum wage standards or prevailing wage standards, discrimination in wage, or child labor violations; violation of any federal or state law prohibiting discrimination in employment; debarment by any agency or department of the federal government or by any other state. Contractor acknowledges that SCTA may, in its sole discretion, terminate the contract for cause upon such notification or when SCTA otherwise learns that SCTA has been officially notified, charged or convicted.

10. Contractor shall comply with requirements of the Lobbying Disclosure Act, 65 Pa.C.S. § 13A01 et seq., and the regulations promulgated pursuant to that law.

11. When Contractor has reason to believe that any breach of ethical standards as set forth in law or in these provisions has occurred or may occur, Contractor shall immediately notify the SCTA contracting officer in writing.

12. Contractor, by submission of its bid or proposal and/or execution of this agreement and by the submission of any bills or invoices for payment pursuant to the contract, certifies and represents that it has not violated any of these contractor integrity provisions with the submission of the bid or proposal, during any contract negotiations or during the term of the contract.

13. Contractor shall cooperate with the Lancaster County Controller or the Office of State Inspector General in its investigation of any alleged SCTA or Commonwealth employee breach of ethical standards and any alleged Contractor non-compliance with these provisions. Contractor agrees to make identified Contractor employees available for interviews at reasonable times and places. Contractor, upon the request of the

Controller or the Inspector General, shall provide or make promptly available for inspection and copying, any information of any type or form deemed relevant by the Controller or the Inspector General to

Contractor’s integrity and compliance with these provisions. Such information may include, but shall not be limited to, Contractor’s business or financial records, documents or files of any type or form that refers to or concern this contract.

14. For violation of any of the above provisions, SCTA (or Commonwealth, if applicable) may terminate this and any other agreement with the Contractor, claim liquidated damages in an amount equal to the value of anything received in breach of these provisions, claim damages for all additional costs and expenses incurred to debar and suspend the Contractor from doing business with SCTA or Commonwealth. These rights and remedies are cumulative, and the use or no-use of any one shall not preclude the use of all or any other. These rights and remedies are in addition to those SCTA and the Commonwealth or SCTA may have under law, statute or regulations.

15. For purposes of these Contractor Integrity Provisions, the following terms shall have the meanings found in this paragraph:

a. “Confidential information” means information that is not already in the public domain; is not available to the public open request; is not or does not become generally known to the Contractor from a third party without an obligation to maintain its confidentiality; has not become generally known to the public through an act or omission of the Contractor; or has not been independently developed by

Contractor without the use of confidential information of the Commonwealth of Pennsylvania or

SCTA.

b. “Consent” means written permission signed by a duly authorized officer or employee of the

Commonwealth or SCTA, provided that where the material facts have been disclosed, in writing, by pre-qualification, bid, proposal, or contractual terms, SCTA shall be deemed to have consented by virtue of execution of this contract.

c. “Contractor” means the individual or entity that has entered into this agreement with SCTA, including those directors, officers, partners, managers and owners having more than five percent (5%) interest in the Contractor.

d. “Financial Interest” means:

(1) Ownership of more than five (5%) percent interest in any business; or

(2) Holding a position as an officer, director, trustee, partner, employee, or holding any position of management.

e. “Gratuity” means tendering, giving, or providing anything of more than nominal monetary value including, but not limited to, cash, travel, entertainment, gifts, meals, lodging, loans., subscriptions, advances, deposits of money, services, employment, or contracts of any kind.

f. “Immediate family” means a spouse and any unemancipated child.

g. “Political contribution” means any payment, gift, subscription, assessment, contract, payment for services, dues, loan, forbearance, advance or deposit of money or any valuable thing, to a candidate for public office or to a political committee, including but not limited to a political action committee, made for the purpose of influencing any election in the Commonwealth of Pennsylvania or for paying debts incurred by or for a candidate or committee before or after any election.

CONTRACTOR: _________________________________________

BY: _________________________________________

Signature

Print Name

Date

(FAILURE TO COMPLETE THIS FORM AND SUBMIT WITH YOUR PROPOSAL WILL RENDER THE

PROPOSAL NON-RESPONSIVE)

CERTIFICATE 11

Commonwealth of Pennsylvania

Public Works Employment Verification Form

Public Works Employment Verification

Office Department of General Services

Bureau of Procurement 6th floor, Forum Place 555 Walnut Street

Harrisburg, PA 17101-1914

717-346-8115 ra-gsgseverify.pa.gov Instructions: Complete and return the form to the contracting Public Body prior to the award of the contract.

Business or Organization Name (Employer)

Address

City State Zip Code

Check One:

Contractor

Subcontrac tor

Contracting Public Body

Contract/Project No.

Project Description

Project Location

Date enrolled in E-Verify

As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of the above date, our company is in compliance with the Public Works Employment Verification Act

(‘the Act’) through utilization of the federal E-Verify Program (EVP) operated by the United States

Department of Homeland Security. To the best of my/our knowledge, all employees hired post

January 1, 2013 are authorized to work in the United States.

It is also agreed to that all public works contractors/subcontractors will utilize the federal EVP to verify the employment eligibility of each new hire within five (5) business days of the employee start date throughout the duration of the public works contract. Documentation confirming the use of the federal EVP upon each new hire shall be maintained in the event of an investigation or audit.

I, , authorized representative of the company above, attest that the information contained in this verification form is true and correct and understand that the submission of false or misleading information in connection with the above verification shall be subject to sanctions provided by law.

Authorized Representative Signature Date of Signature

CERTIFICATE 12

Company Name: Contract Number:

Address:

Telephone:

Fax:

Contact Person:

Email Address:

Address Contact Name Subcontract Work/ Materials

City, State Zip Code Telephone NAICS Code

Sheet may be copied to supply requested information or contractor my use their own form that includes all of the requested information

* If the DBE participation levels have not been achieved, you must supply additional information, on additional sheets, documenting the good faith efforts made to achieve the goal, which may impact on the determination of your firm as a responsible bidder.

Bidders contact with subcontractors and suppliers should be at least ten

(10) days prior to bid date to enure that solicited firms have sufficient time to adequately prepare a bid.

DBE Participation Level Set in Contract Documents:

DBE Participation Level Achieved:

DBE Subcontractor and Supplier Commitment Sheet

Project Name:

Date Commitment Letter

Sent (Attach Copy) DBE Subcontractor Name

Amount of

Commitment

Prime Contract Bid

Amount:

CERTIFICATE -13

CLEAN AIR ACT AND CLEAN WATER ACT CERTIFICATION

Certification

The undersigned bidder/proposer hereby certifies that it has reviewed and understands the requirements of the Clean Air Act, as amended (42 U.S.C. §§ 7401–7671q), and the Federal Water Pollution Control

Act (Clean Water Act), as amended (33 U.S.C. §§ 1251–1387).

The bidder/proposer further certifies that:

1. It is not listed on the U.S. Environmental Protection Agency (EPA) List of Violating

Facilities as of the date of execution of this certification; and

2. It will comply with all applicable requirements of the Clean Air Act and the Clean Water Act in the performance of this contract.

Notification Requirement

The bidder/proposer agrees to immediately notify the recipient if it is placed on the EPA List of Violating

Facilities during the performance of this contract.

Flow-Down Requirement

The bidder/proposer agrees to include the substance of this certification in all subcontracts at any tier and to ensure that subcontractors comply with applicable Clean Air Act and Clean Water Act requirements.

Applicability

This certification is required for contracts and subcontracts exceeding $150,000 that are financed in whole or in part with federal assistance.

Acknowledgment of Federal Requirements

The bidder/proposer acknowledges that compliance with environmental requirements is a material condition of the contract and that failure to comply may result in remedies available under the contract and applicable federal law, including termination, suspension of payments, or other enforcement actions.

Contractor Information

Firm Name: _______________________________________________

Address: _________________________________________________

City, State, ZIP: _________________________________________

Telephone: _______________________________________________

I certify under penalty of perjury that the information contained in this certification is true and correct and that I am authorized to execute this certification on behalf of the bidder/proposer.

Authorized Representative (Printed Name): _______________________________

Title: ___________________________________________________

Signature: _______________________________________________

Date: ___________________________________________________

CERTIFICATE -14

ENERGY CONSERVATION CERTIFICATION

Certification

The undersigned bidder/proposer hereby certifies that it has reviewed and understands the mandatory energy efficiency standards and policies applicable to federally assisted contracts.

The bidder/proposer further certifies that, in the performance of this contract, it will comply with all applicable energy conservation standards and policies, including those contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (42 U.S.C. §

6321 et seq.).

Acknowledgment of Federal Requirements

The bidder/proposer acknowledges that compliance with energy conservation requirements is a material condition of the contract and that failure to comply may result in remedies available under the contract and applicable federal law, including termination or other enforcement actions.

Flow-Down Requirement

The bidder/proposer agrees to include the substance of this certification in all subcontracts at any tier and to ensure that subcontractors comply with applicable energy conservation standards and policies.

Firm Name: _______________________________________________

Address: _________________________________________________

I certify under penalty of perjury that the information contained in this certification is true and correct and that I am authorized to execute this certification on behalf of the bidder/proposer.

Authorized Representative (Printed Name): _______________________________

Title: ___________________________________________________

CERTIFICATE -15

FEDERAL CHANGES ACKNOWLEDGEMENT CERTIFICATION

Certification

The undersigned bidder/proposer hereby acknowledges that the contract to be awarded is subject to federal requirements that may be amended or modified during the term of the contract.

The bidder/proposer certifies that it agrees to comply with all applicable federal laws, regulations, executive orders, circulars, and directives, including those issued by the Federal Transit

Administration (FTA), as they may be amended from time to time, to the extent that such federal requirements are applicable to this contract.

Acknowledgment of FTA Master Agreement

The bidder/proposer acknowledges that the FTA Master Agreement in effect on the date of contract award is incorporated by reference into the contract and agrees to comply with all applicable provisions contained therein, including any amendments or revisions that become applicable during the performance of the contract.

Flow-Down Requirement

The bidder/proposer agrees to include the substance of this Federal Changes Acknowledgement

Certification in all subcontracts at any tier and to require subcontractors to comply with applicable federal requirements.

Acknowledgment of Material Condition

The bidder/proposer understands that compliance with applicable federal requirements is a material condition of the contract and that failure to comply may result in remedies available under the contract and applicable federal law, including termination, suspension of payments, or other enforcement actions.

Contractor Information

Firm Name: _______________________________________________

Address: _________________________________________________

I certify under penalty of perjury that the information contained in this certification is true and correct and that I am authorized to execute this certification on behalf of the bidder/proposer.

Authorized Representative (Printed Name): _______________________________

Title: ___________________________________________________

CERTIFICATE -16

U.S. CARGO PREFERENCE CERTIFICATION

Certification

The undersigned bidder/proposer hereby certifies that it has reviewed and understands the requirements of the U.S. Cargo Preference Act, as amended (46 U.S.C. § 55305), and the implementing regulations at 46

CFR Part 381.

The bidder/proposer further certifies that, to the extent the performance of this contract involves the transportation of equipment, materials, or commodities by ocean vessel, it shall ensure that at least fifty percent (50%) of the gross tonnage of such cargo transported on ocean vessels is carried on privately owned United States-flag commercial vessels, to the extent such vessels are available at fair and reasonable rates.

Compliance and Reporting

The bidder/proposer agrees to:

Use U.S.-flag vessels for eligible cargo whenever available at fair and reasonable rates;

Submit U.S. Cargo Preference shipment reports to the Federal Transit Administration and the Maritime Administration (MARAD) in accordance with 46 CFR Part 381;

Maintain documentation sufficient to demonstrate compliance with Cargo Preference requirements.

Flow-Down Requirement

The bidder/proposer agrees to include the substance of this certification in all subcontracts at any tier and to require subcontractors and suppliers to comply with applicable U.S. Cargo Preference requirements.

Applicability

This certification applies only when ocean transportation of supplies, materials, or equipment is required under the contract. If no international ocean shipment is involved, this certification shall be deemed not applicable.

Acknowledgment of Material Condition

The bidder/proposer acknowledges that compliance with U.S. Cargo Preference requirements is a material condition of the contract and that failure to comply may result in remedies available under the contract and applicable federal law, including withholding of payments or other enforcement actions.

Firm Name: _______________________________________________

Address: _________________________________________________

I certify under penalty of perjury that the information contained in this certification is true and correct and that I am authorized to execute this certification on behalf of the bidder/proposer.

Authorized Representative (Printed Name): _______________________________

Title: ___________________________________________________

CERTIFICATE -17

ACCESS TO RECORDS CERTIFICATION

Certification

The undersigned bidder/proposer hereby certifies that it agrees to provide full and free access to all records, books, documents, papers, accounting records, and other evidence pertaining to this contract.

Such access shall be provided to the Federal Transit Administration (FTA), the U.S. Department of

Transportation, the U.S. Department of Transportation Office of Inspector General, the

Comptroller General of the United States, and any of their duly authorized representatives, for the purpose of making audits, examinations, excerpts, and transcriptions.

Retention Period

The bidder/proposer agrees to maintain all such records for a period of not less than three (3) years after final payment under the contract or longer if required by applicable federal requirements or if any litigation, claim, or audit is started before the expiration of the three-year period.

Flow-Down Requirement

The bidder/proposer agrees to include the substance of this Access to Records Certification in all subcontracts at any tier and to require subcontractors to comply with the same record access and retention requirements.

Acknowledgment of Material Condition

The bidder/proposer acknowledges that compliance with access-to-records requirements is a material condition of the contract and that failure to comply may result in remedies available under the contract and applicable federal law, including termination, suspension of payments, or other enforcement actions.

Contractor Information

Firm Name: _______________________________________________

Address: _________________________________________________

I certify under penalty of perjury that the information contained in this certification is true and correct and that I am authorized to execute this certification on behalf of the bidder/proposer.

Authorized Representative (Printed Name): _______________________________

Title: ___________________________________________________