7-FTA Funding Supplement Acknowledgement.pdf

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ServiceNow IT Service Management (ITSM) Professional Software, Support, Subscriptions and Product Services
Solicitation number
PNC2130864B2
Issued by
Broward County, Florida

About this file

This is a Federal Transit Administration (FTA) Funding Supplement Acknowledgement form issued by Broward County, Florida, certifying contractor compliance with FTA requirements and regulations. The document serves as an attestation that contractors have received the complete FTA Funding Supplement, including all required FTA clauses, disclosures, certifications, and forms mandated by the U.S. Department of Transportation. Contractors executing this acknowledgement commit to comply with the FTA Funding Supplement and its incorporated Standard Terms and Conditions, and agree to refrain from any actions or omissions that would place the County in violation of FTA regulations or requirements.

The acknowledgement establishes that in the event of conflict between contract provisions and the Standard Terms and Conditions, the Standard Terms and Conditions shall prevail. The contract is funded in whole or in part by FTA funds received by the County. Contractors and their subcontractors are directed to reference the FTA website at https://www.transit.gov for additional information regarding FTA obligations, with Code of Federal Regulations references available at http://www.ecfr.gov. The form requires authorized signature, printed name, title, company name, and date from the contractor's representative, confirming understanding and acceptance of all FTA-related requirements and conditions applicable to the contract.

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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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