3-FTA Supplement Acknowledgement (for vendors).pdf
PDF 95 KB Posted
- Attached to
- Refrigerant Recovery Machine (FTA)
- Solicitation number
- MTD041426310
- Issued by
- Broward County, Florida
About this file
This is a Federal Transit Administration (FTA) Funding Supplement Acknowledgement form issued by Broward County, Florida, in connection with a refrigerant recovery machine procurement for Broward County Transportation (BCT). The form serves as a certification document requiring vendors to acknowledge receipt of the county's FTA Funding Supplement containing all required FTA clauses, disclosures, certifications, and forms mandated by the U.S. Department of Transportation. Vendors must commit to complying with both the FTA Funding Supplement and the Standard Terms and Conditions incorporated into the contract, and agree to refrain from any actions that would cause Broward County to violate FTA regulations or requirements. The form requires an authorized signature, printed name, title, and company name from the vendor's representative.
The contract is funded wholly or in part by Federal Transit Administration funds received by Broward County. Vendors are directed to reference the FTA's website at https://www.transit.gov for additional information regarding contractor and subcontractor FTA obligations, and to consult the Code of Federal Regulations at http://www.ecfr.gov for regulatory references. In the event of conflicts between contract provisions and the Standard Terms and Conditions imposed by the FTA, the FTA's Standard Terms and Conditions prevail. This acknowledgement form is a mandatory compliance document that must be completed and submitted by any vendor bidding on this FTA-funded refrigerant recovery machine procurement.
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Text version
FTA Funding Supplement Acknowledgement Source: Broward CAO/drp Current as of 9/21/21
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/
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