APPENDIX 4 - SPECIAL NOTICES

RIDGEMOOR BLVD AND BROOKER CREEK AT BROOKER CREEK BRIDGE #154153

BRIDGE REPLACEMENT PROJECT

PINELLAS COUNTY PID NO. 005749A

FDOT FINANCIAL PROJECT NO. 445437-1-58-01

NOTICES TO CONTRACTOR

AWARD:

Section 5.11 (A) is amended to add the following:

The Quantities shown on the Bid Submittal Form are listed for each project and have estimated quantities for the Work provided with this Invitation to Bid. Pinellas County does not guarantee any maximum or minimum quantity, any range of quantities or the exact quantities shown for each item bid. The total bid amount will then be used to determine low bidder; however, actual payments under the awarded contract will be based on actual quantities completed.

PINELLAS COUNTY UTILITIES- WATER AND SEWER:

Pinellas County Utilities will be responsible for water and sewer relocations. Contractor shall coordinate with Pinellas County Utilities to coordinate relocation efforts. Point of contact for Pinellas County Utilities will be provided at the pre-construction meeting.

STRUCTURES PAY ITEM GROUP:

For all pay items in the “STRUCTURES- PARTICIPATING” group, FDOT standards and specifications (FY 2026-2027) take precedence over Pinellas County Standards and Supplemental Specifications.

CHANGES TO INVITATION TO BID:

ADDITIONS:

• Section 4.10. Conflict of Interest

D. "No member, officer or employee of the Recipient or of the locality during his tenure or for 2 years there after shall have any interest, direct or indirect, in this contract or the proceeds thereof."

• Section 4.16. E-Verify

“’E-Verify System’ means an Internet-based system operated by the United States Department of Homeland Security which allows participating employers verify the employment eligibility of new employees.”

• Section 5.41. Right to Audit

Addition to B: “It is the duty of every state officer, employee, agency, special district, board, commission, contractor, and subcontractor to cooperate with the inspector general in any investigation, audit, inspection, review, or hearing pursuant to this section.”

DELETIONS:

Section 5.48. Warranty LAP DIVISION 1 SPECIFICATIONS (See Section 7 - FDOT Specifications Package):

LAP Division 1 Specifications applies to this contract except for the following:

• Section 2-1 does not apply to this contract. The County’s Two-Step Qualification Process Section 5.2 of the Invitation to Bid supersedes Section 2-1.

With the exception of the above, in the event of conflicts between the LAP Division 1 Specifications and the County’s Invitation to Bid, the LAP Division 1 Specifications supersedes.

FEDERAL FUNDING REQUIREMENTS

This is a federally funded Local Agency Program (LAP) project administered through the Florida Department of Transportation (FDOT). The LAP Agreement requires adherence to Federal Regulations, as detailed in LAP Division 1 Specifications (Section 7 - FDOT Specifications Package) contained in the Solicitation documents. The compliance and reporting requirements are required by this contract. All FDOT forms contained in Attachment A, included in this Notice, must be completed by the contractor and are due upon submitting the Bid Package.

• FDOT Form # 525-010-46 LAP Certification of Current Capacity

• FDOT Form # 275-030-11 DBE Bid Package Information

• FDOT Form # 375-030-33 Certification for Disclosure of Lobbying Activities on Federal-Aid Contracts

• FDOT Form # 375-030-34 Disclosure of Lobbying Form

• FDOT Form # 575-060-13 Non-Collusion Declaration and Compliance

• FDOT Form # 375-030-32 Certification Regarding Debarment, Suspension, Ineligibility

Davis-Bacon Act Davis-Bacon Act language stated in the FDOT Specifications Package, included in this solicitation, is applicable. See Attachment B for Davis Bacon Wage Rates. The project requires adherence to the Fully Executed LAP Agreement in Attachment C, the compliance and reporting of which are required by this contract.

Equal Opportunity Compliance As required in the FDOT Specfications Package and Appendix 4 of the Invitation to Bid, Attachment A , bidders must complete the Bidder Opportunity List through the Equal Opportunity Compliance system within 3 business days of submission of the bid or proposal for ALL subcontractors or subconsultants who quoted to the bidder for this bid. Please refer to the FDOT Equal Opportunity Compliance website to create your account. The web address to the Equal Opportunity Compliance system is:

https://fdotwp1.dot.state.fl.us/EqualOpportunityCompliance/Account.aspx/LogIn?ReturnUrl=%2fEqualOpportunityCompliance

FHWA 1273

Sub-recipients of federal grants awards for Federal-Aid Highway construction shall take responsibility to obtain this information and comply with all provisions contained in FHWA 1273, included in Attachment D.

FDOT REQUIREMENTS:

• No Contractor Purchased Equipment for State or Local Ownership is allowed on this contract. The County will defer to FDOT requirements in 2 CFR 200.313, 23 U.S.C.302, and 23 CFR 140.

• There will be no Local/State Hiring Preference: Examples of preference programs include: in-state or local business; location of contractor; limitations in purchasing of materials; use of disadvantaged, minority or small business enterprises; local economic development hiring practices or programs; targeted hiring practices or programs (e.g. homeless, welfare-to-work, veterans); or exclusionary business preferences not based on federal sanctions. The County will defer to FDOT requirements in 23 CFR 635 .112(d) & .117 and 255.0991 F.S.

• Public Agencies in Competition with the Private Sector will not be allowed. The County will defer to FDOT requirements in 23 CFR 635.112(e).

• Publicly Owned Equipment will not be allowed. The County will defer to FDOT requirements in 23 CFR 635.106.

• State (Florida or other) produced materials. Preference programs mandating materials purchasing requirements or restrictions are not allowed: The County will defer to FDOT requirements in 23 CFR 635.409.

• State/ Local Owned/Furnished/ Designated Materials. County furnished materials are not allowed: The County will defer to FDOT requirements in 23 CFR 635.407.

• The County will need to verify status for all contractors and subcontractors by using federal and state web applications. The County will confirm that all vendors who apply are not on the following lists:

o FDOT Contractors Suspension List o Department of Management Services Vendor Registration and Vendor Lists

• Human Trafficking Affidavit - Contractors and subcontractors are not to engaged in coercion for labor or services

OFF-SITE STORAGE AND STAGING AREAS

Contractor must comply with FDOT LAP Division 1 Specifications Sections 7-1.4 and 7-1.8 of the FDOT Specification Package included in this Solicitation.

BUY AMERICA:

Contractor must comply with FDOT LAP Division 1 Specifications Section 6-5.2 of the FDOT Specification Package included in this Solicitation.

INDEMNIFICATION:

In addition to the Construction Agreement, paragraph 1.J., Contractor agrees to include the following indemnification requirement in all contracts with subcontractors, consultants, or subconsultants (each referred to as “Entity” for the purposes of the below indemnification) who perform work in connection with this Agreement:

“To the extent provided by law, [ENTITY] shall indemnify, defend, and hold harmless the [RECIPIENT] and the State of Florida, Department of Transportation, including the Department’s officers, agents, and employees, against any actions, claims, or damages arising out of, relating to, or resulting from negligent or wrongful act(s) of [ENTITY], or any of its officers, agents, or employees, acting within the scope of their office or employment, in connection with the rights granted to or exercised by [ENTITY].

The foregoing indemnification shall not constitute a waiver of the Department’s or [RECIPIENT’]’s sovereign immunity beyond the limits set forth in Florida Statutes, Section 768.28. Nor shall the same be construed to constitute agreement by [ENTITY] to indemnify [RECIPIENT] for the negligent acts or omissions of [RECIPIENT], its officers, agents, or employees, or third parties. Nor shall the same be construed to constitute agreement by [ENTITY] to indemnify the Department for the negligent acts or omissions of the Department, its officers, agents, or employees, or third parties. This indemnification shall survive the termination of this Agreement.”

Attachment A

All FDOT forms contained in Attachment A, included in this Notice, must be completed by the contractor and are due upon submitting the Bid Package.

• FDOT Form # 525-010-46 LAP Certification of Current Capacity

• FDOT Form # 275-030-11 DBE Bid Package Information

• FDOT Form # 375-030-33 Certification for Disclosure of Lobbying Activities on

Federal-Aid Contracts

• FDOT Form # 375-030-34 Disclosure of Lobbying Form

• FDOT Form # 575-060-13 Non-Collusion Declaration and Compliance

• FDOT Form # 375-030-32 Certification Regarding Debarment, Suspension, Ineligibility

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

LAP CERTIFICATION OF CURRENT CAPACITY

525-010-46

LOCAL PROGRAMS

09/20

CONFIDENTIAL per Ch 337.14(1) F.S.

For bids to be received on (Letting Date)

Fill in your FDOT Vendor Number

VF

(Only applicable to FDOT pre-qualified contractors)

CERTIFICATE

I hereby certify that the amount of any proposal submitted by this bidder for the above letting does not exceed the amount of the Firm’s CURRENT CAPACITY (maximum capacity rating less total uncompleted work).

The total uncompleted work as shown on the “Status of Contracts on Hand” report (page 2) $

I further certify that the “Status of Contracts on Hand” report (page 2) was prepared as follows:

1. If the letting is before the 25th day of the month, the certificate and report reflect the uncompleted work as of the 15th day of the month, last preceding the month of the letting.

2. If the letting is after the 25th day of the month, the certificate and report reflects the uncompleted work in progress as of the 15th day of the month of the letting.

3. All new contracts (and subcontracts) awarded earlier than five days before the letting date are included in the report and charged against our total rating.

I certify that the information above is correct. NAME OF FIRM

Sworn to and subscribed this day By:

of , 20 Title

STATUS OF CONTRACTS ON HAND

525-010-46

LOCAL PROGRAMS

09/20

(Furnish complete information about all your contracts, whether prime or subcontracts;

whether in progress or awarded, but not yet begun; and regardless of whom contracted with.)

1 2 3 4 5 6

PROJECTS

OWNER, LOCATION AND DESCRIPTION

CONTRACT (OR

SUBCONTRACT)

AMOUNT

AMOUNT

SUBLET

TO OTHERS

BALANCE OF

CONTRACT

AMOUNT

UNCOMPLETED AMOUNT TO BE DONE

BY YOU

AS PRIME

CONTRACTOR

AS

SUBCONTRACTOR

NOTE: Columns 2 and 3 to show total contract (or subcontract) amounts. Column 4 to be difference between columns 2 and 3. Amount in columns 5 or 6 to be uncompleted portion of amount in column 4. All amounts to be shown to nearest $100. The Contractor may consolidate and list as a single item all contracts which, individually, do not exceed 3% of total, and which, in the aggregate, amount to less than 20% of the total.

TOTALS $0.00 $0.00

TOTAL UNCOMPLETED WORK ON

HAND TO BE DONE BY YOU

(TOTAL COLUMNS 5 AND 6)

$0.00

CERTIFICATION FOR DISCLOSURE OF LOBBYING

ACTIVITIES

ON FEDERAL-AID CONTRACTS

(Compliance with 49CFR, Section 20.100 (b))

375-030-33

PROCUREMENT

11/25

The prospective participant certifies, by signing this certification, that to the best of his or her knowledge and belief:

(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 of Lobbying Activities", in accordance with its instructions.

(3) 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. 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.

The prospective participant also agrees by submitting his or her proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly.

Name of Consultant:

By: Date:

Authorized Signature:

Title:

DISCLOSURE OF LOBBYING ACTIVITIES

375-030-34

Is this form applicable to your firm?

If no, then please complete section 4 below for “Prime”

YES NO

1. Type of Federal Action:

a. contract

b. grant

c. cooperative agreement

d. loan

e. loan guarantee

f. loan insurance

2. Status of Federal Action:

a. bid/offer/application

b. initial award

c. post-award

3. Report Type:

a. initial filing

b. material change For Material Change Only:

Year: Quarter:

Date of last report:

(mm/dd/yyyy)

4. Name and Address of Reporting Entity:

Prime Subawardee Tier , if known:

Congressional District, if known: 4c

5. If Reporting Entity in No. 4 is a Subawardee, Enter Name and Address of Prime:

Congressional District, if known:

6. Federal Department/Agency:

7. Federal Program Name/Description:

Assistance Listing Number (ALN), if applicable:

8. Federal Action Number, if known:

9. Award Amount, if known:

10. a. Name and Address of Lobbying Registrant (if individual, last name, first name, MI):

b. Individuals Performing Services (including address if different from No. 10a) (last name, first name, MI):

11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352.

This information will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Signature: ____________________________________________

Print Name:

Title:

Telephone No.: Date (mm/dd/yyyy):

Federal Use Only: Authorized for Local Reproduction Standard Form LLL (Rev. 7-97)

375-030-34

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C.

section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity 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 a covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.

1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.

2. Identify the status of the covered Federal action.

3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action.

4. Enter the fullname, address, city, State and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier.

Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.

5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, if known.

6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard.

7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full

Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments.

8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001."

9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.

10. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action.

(b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a).

Enter Last Name, First Name, and Middle Initial (MI).

11. The certifying official shall sign and date the form, print his/her name, title, and telephone number.

According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503.

NON-COLLUSION DECLARATION AND

COMPLIANCE WITH 49 CFR § 29

575-060-13

RIGHT OF WAY

05/01

ITEM/SEGMENT NO.:

F.A.P. NO.:

MANAGING DISTRICT:

PARCEL NO.:

COUNTY OF:

BID LETTING OF:

I, , hereby declare that I am

(NAME)

of

(TITLE) (FIRM)

of

(CITY AND STATE)

and that I am the person responsible within my firm for the final decision as to the price(s) and amount of this Bid on this

State Project.

I further declare that:

1. The prices(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement, for the purpose of restricting competition with any other contractor, bidder or potential bidder.

2. Neither the price(s) nor the amount of this bid have been disclosed to any other firm or person who is a bidder or potential bidder on this project, and will not be so disclosed prior to the bid opening.

3. No attempt has been made or will be made to solicit, cause or induce any other firm or person to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or other form of complementary bid.

4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from, any firm or person to submit a complementary bid.

5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or services from any firm or person, or offered, promised or paid cash or anything of value to any firm or person, whether in connection with this or any other project, in consideration for an agreement or promise by any firm or person to refrain from bidding or to submit a complementary bid on this project.

6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person, and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any other project, in consideration for my firm's submitting a complementary bid, or agreeing to do so, on this project.

7. I have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication, consultation, discussion, agreement, collusion, act or other conduct inconsistent with any of the statements and representations made in this Declaration.

8. As required by Section 337.165, Florida Statutes, the firm has fully informed the Department of

Transportation in writing of all convictions of the firm, its affiliates (as defined in Section 337.165(l)(a), Florida Statutes), and all directors, officers, and employees of the firm and its affiliates for violation of state or federal antitrust laws with respect to a public contract or for violation of any state or federal law involving fraud, bribery, collusion, conspiracy or material misrepresentation with respect to a public contract. This includes disclosure of the names of current employees of the firm or affiliates who were convicted of contract crimes while in the employ of another company.

575-060-13

RIGHT OF WAY

9. I certify that, except as noted below, neither my firm nor any person associated therewith in the capacity of owner, partner, director, officer, principal, investigator, project director, manager, auditor, and/or position involving the administration of Federal funds:

(a) is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions, as defined in 49 CFR §29.110(a), by any Federal department or agency;

(b) has within a three-year period preceding this certification been convicted of or had a civil judgment rendered against him or her for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a Federal, State or local government transaction or public contract;

violation of Federal or State antitrust statutes; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements or receiving stolen property;

(c) is presently indicted for or otherwise criminally or civilly charged by a Federal, State or local governmental entity with commission of any of the offenses enumerated in paragraph 9(b) of this certification; and

(d) has within a three-year period preceding this certification had one or more Federal, State or local government public transactions terminated for cause or default.

10. I(We), certify that I(We), shall not knowingly enter into any transaction with any subcontractor, material supplier, or vendor who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this contract by any Federal Agency unless authorized by the Department.

Where I am unable to declare or certify as to any of the statements contained in the above stated paragraphs numbered (1) through (10), I have provided an explanation in the "Exceptions" portion below or by attached separate sheet.

EXCEPTIONS:

(Any exception listed above will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted, indicate to whom it applies, initiating agency and dates of agency action.

Providing false information may result in criminal prosecution and/or administrative sanctions.)

I declare under penalty of perjury that the foregoing is true and correct.

CONTRACTOR: (Seal)

BY: WITNESS:

NAME AND TITLE PRINTED

BY: WITNESS:

SIGNATURE

Executed on this day of , FAILURE TO FULLY COMPLETE AND EXECUTE THIS DOCUMENT

MAY RESULT IN THE BID BEING DECLARED NONRESPONSIVE

575-060-13

RIGHT OF WAY

REQUIRED CONTRACT PROVISIONS

This certification applies to subcontractors, material suppliers, vendors and other lower tier participants.

- Appendix B of 49 CFR Part 29 –

Appendix B—Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion—Lower Tier Covered Transactions

Instructions for Certification

1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below.

2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549.

You may contact the person to whom this proposal is submitted for assistance in obtaining a copy of those regulations.

5. The prospective lower tier participant agrees by submitting this proposal that it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated.

6. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.

7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the Nonprocurement List.

8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion—Lower Tier Covered Transactions

(1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntary excluded from participation in this transaction by any Federal department or agency.

(2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

CERTIFICATION REGARDING DEBARMENT, SUSPENSION,

INELIGIBILITY AND VOLUNTARY EXCLUSION-

LOWER TIER COVERED TRANSACTIONS FOR FEDERAL AID CONTRACTS

(Compliance with 2 CFR Parts 180 and 1200)

375-030-32

11/15

It is certified that neither the below identified firm nor its principals are presently suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency.

Name of Consultant/Contractor:

By:

Date:

Title:

Instructions for Certification

Instructions for Certification - Lower Tier Participants:

(Applicable to all subcontracts, purchase orders and other lower tier transactions requiring prior FHWA approval or estimated to cost $25,000 or more - 2 CFR Parts 180 and 1200)

a. By signing and submitting this proposal, the prospective lower tier is providing the certification set out below.

b. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department, or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

c. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous by reason of changed circumstances.

d. The terms "covered transaction," "debarred," "suspended," "ineligible," "participant," "person," "principal," and "voluntarily excluded," as used in this clause, are defined in 2 CFR Parts 180 and 1200. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations. “First Tier Covered Transactions” refers to any covered transaction between a grantee or subgrantee of Federal funds and a participant (such as the prime or general contract). “Lower Tier Covered Transactions” refers to any covered transaction under a First Tier Covered Transaction (such as subcontracts).

“First Tier Participant” refers to the participant who has entered into a covered transaction with a grantee or subgrantee of Federal funds (such as the prime or general contractor). “Lower Tier Participant” refers any participant who has entered into a covered transaction with a First Tier Participant or other Lower Tier Participants (such as subcontractors and suppliers).

e. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated.

f. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions exceeding the $25,000 threshold.

g. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant is responsible for ensuring that its principals are not suspended, debarred, or otherwise ineligible to participate in covered transactions. To verify the eligibility of its principals, as well as the eligibility of any lower tier prospective participants, each participant may, but is not required to, check the Excluded Parties List System website (https://www.epls.gov/), which is compiled by the General Services Administration.

h. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

i. Except for transactions authorized under paragraph e of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

Modification Number Publication Date 0 01/02/2026

SUFL2022-035 06/27/2024

Rates Fringes

CARPENTER........................$ 24.96 0.00

CEMENT MASON/CONCRETE FINISHER...$ 23.06 0.00

ELECTRICIAN......................$ 24.02 3.53

IRONWORKER.......................$ 24.16 0.00

LABORER: Asphalt, Includes Raker, Shoveler, Spreader and Distributor......................$ 14.00 0.86

LABORER: Common or General......$ 19.99 0.00

LABORER: Mason Tender - Cement/Concrete..................$ 20.24 2.01

LABORER: Pipelayer..............$ 20.86 10.21

LABORER: Grade Checker...........$ 17.21 0.00

OPERATOR:

Backhoe/Excavator/Trackhoe.......$ 22.74 15.30

OPERATOR: Bobcat/Skid Steer/Skid Loader................$ 23.46 1.25

OPERATOR: Boom..................$ 33.61 11.50

OPERATOR: Broom/Sweeper.........$ 19.52 0.82

OPERATOR: Bulldozer.............$ 25.19 0.00

OPERATOR: Crane.................$ 31.12 11.50

OPERATOR: Grader/Blade..........$ 25.02 0.00

OPERATOR: Loader................$ 20.68 6.77

OPERATOR: Mechanic..............$ 27.61 1.00

OPERATOR: Milling Machine.......$ 19.68 0.00

OPERATOR: Paver (Asphalt, Aggregate, and Concrete).........$ 23.08 2.65

Attachment B

"General Decision Number: FL20260266 01/02/2026

Superseded General Decision Number: FL20250266

State: Florida

Construction Type: Highway

County: Pinellas County in Florida.

HIGHWAY CONSTRUCTION PROJECTS

OPERATOR: Piledriver............$ 22.98 0.00

OPERATOR: Roller................$ 21.23 5.60

OPERATOR: Scraper...............$ 15.54 0.00

OPERATOR: Screed................$ 23.77 0.00

OPERATOR: Tractor...............$ 16.91 0.66

PAINTER..........................$ 21.02 0.00

TRAFFIC CONTROL PERSON...........$ 15.86 1.52

TRUCK DRIVER: Dump Truck........$ 18.60 6.43

TRUCK DRIVER: Flatbed Truck.....$ 20.00 0.00

TRUCK DRIVER: Lowboy Truck......$ 20.15 5.48

TRUCK DRIVER: Off the Road Truck............................$ 16.55 0.00

TRUCK DRIVER: Water Truck.......$ 18.27 0.00

TRUCK DRIVER: Distributor Truck............................$ 23.46 0.00

WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental.

Note: Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year.

Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the EO is available at https://www.dol.gov/agencies/whd/government-contracts.

Note: Executive Order 13658 generally applies to contracts subject to the Davis-Bacon Act that were awarded on or between January 1, 2015 and January 29, 2022, and that have not been renewed or extended on or after January 30, 2022. Executive Order 13658 does not apply to contracts subject only to the Davis-Bacon Related Acts regardless of when they were awarded.

If a contract is subject to Executive Order 13658, the contractor must pay all covered workers at least $13.30 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in 2025. The applicable Executive Order minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under Executive Order 13658 is available at www.dol.gov/whd/govcontracts.

Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (iii)).

The body of each wage determination lists the classifications and wage rates that have been found to be prevailing for the type(s) of construction and geographic area covered by the wage determination. The classifications are listed in alphabetical order under rate identifiers indicating whether the particular rate is a union rate (current union negotiated rate), a survey rate, a weighted union average rate, a state adopted rate, or a supplemental classification rate.

Union Rate Identifiers

A four-letter identifier beginning with characters other than ""SU"", ""UAVG"", ?SA?, or ?SC? denotes that a union rate was prevailing for that classification in the survey. Example:

PLUM0198-005 07/01/2024. PLUM is an identifier of the union whose collectively bargained rate prevailed in the survey for this classification, which in this example would be Plumbers.

0198 indicates the local union number or district council number where applicable, i.e., Plumbers Local 0198. The next number, 005 in the example, is an internal number used in processing the wage determination. The date, 07/01/2024 in the example, is the effective date of the most current negotiated rate.

Union prevailing wage rates are updated to reflect all changes over time that are reported to WHD in the rates in the collective bargaining agreement (CBA) governing the classification.

Union Average Rate Identifiers

The UAVG identifier indicates that no single rate prevailed for those classifications, but that 100% of the data reported for the classifications reflected union rates. EXAMPLE:

UAVG-OH-0010 01/01/2024. UAVG indicates that the rate is a weighted union average rate. OH indicates the State of Ohio.

The next number, 0010 in the example, is an internal number used in producing the wage determination. The date, 01/01/2024 in the example, indicates the date the wage determination was updated to reflect the most current union average rate.

A UAVG rate will be updated once a year, usually in January, to reflect a weighted average of the current rates in the collective bargaining agreements on which the rate is based.

Survey Rate Identifiers

The ""SU"" identifier indicates that either a single non-union rate prevailed (as defined in 29 CFR 1.2) for this classification in the survey or that the rate was derived by computing a weighted average rate based on all the rates reported in the survey for that classification. As a weighted average rate includes all rates reported in the survey, it may include both union and non-union rates. Example: SUFL2022-007 6/27/2024. SU indicates the rate is a single non-union prevailing rate or a weighted average of survey data for that classification. FL indicates the State of Florida. 2022 is the year of the survey on which these classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination. The date, 6/27/2024 in the example, indicates the survey completion date for the classifications and rates under that identifier.

?SU? wage rates typically remain in effect until a new survey is conducted. However, the Wage and Hour Division (WHD) has the discretion to update such rates under 29 CFR 1.6(c)(1).

State Adopted Rate Identifiers

The ""SA"" identifier indicates that the classifications and prevailing wage rates set by a state (or local) government were adopted under 29 C.F.R 1.3(g)-(h). Example: SAME2023-007 01/03/2024. SA reflects that the rates are state adopted. ME refers to the State of Maine. 2023 is the year during which the state completed the survey on which the listed classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination.

The date, 01/03/2024 in the example, reflects the date on which the classifications and rates under the ?SA? identifier took effect under state law in the state from which the rates were adopted.

WAGE DETERMINATION APPEALS PROCESS

1) Has there been an initial decision in the matter? This can be:

a) a survey underlying a wage determination

b) an existing published wage determination

c) an initial WHD letter setting forth a position on a wage determination matter

d) an initial conformance (additional classification and rate) determination

On survey related matters, initial contact, including requests for summaries of surveys, should be directed to the WHD Branch of Wage Surveys. Requests can be submitted via email to davisbaconinfo@dol.gov or by mail to:

Branch of Wage Surveys Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

Regarding any other wage determination matter such as conformance decisions, requests for initial decisions should be directed to the WHD Branch of Construction Wage Determinations.

Requests can be submitted via email to BCWD-Office@dol.gov or by mail to:

Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

2) If an initial decision has been issued, then any interested party (those affected by the action) that disagrees with the decision can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7).

Requests for review and reconsideration can be submitted via email to dba.reconsideration@dol.gov or by mail to:

Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

The request should be accompanied by a full statement of the interested party's position and any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue.

3) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board). Write to:

Administrative Review Board U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210.

END OF GENERAL DECISION

Florida Department of Transportation

RON DESANTIS

GOVERNOR

11201 N. Malcolm McKinley Drive

Tampa, Florida 33612-6403

JARED W. PERDUE, P.E.

SECRETARY

www.fdot.gov

June 16, 2026

David D. Fechter, AICP, CPPB Senior Department Administrative Manager Public Works Department 14 S Fort Harrison Avenue, 4th Floor Clearwater, Florida 33756

RE: Local Agency Program (LAP) Agreement Ridgemoor Blvd and Brooker Creek at Brooker Creek Bridge #154153 LAP FPN: 445437-1-58/68/01 Contract Number: G3R99

Dear Mr. Fechter:

The Local Agency Program (LAP) Agreement for the above referenced project was executed June 16, 2026, and is attached to this cover. This letter serves as the Notice to Proceed for the Construction phase of the project and the County may incur costs related to this phase as of the execution date. Project advertisement must occur within 30 days of this NTP.

Please ensure that the Key Contacts information has been updated in the Grant Application Process system (GAP), Agreements Detail tab, to include staff managing the project.

Upon advertisement, please submit any addendums to the Department for approval prior to issuing. In addition, please contact Rolando Sanchez, (813) 975-6928, from our Construction Office to coordinate pre-construction activities.

As you enter the bidding process, the Department must review and concur with the bid and intent to award. The Agency must upload a copy of the executed contract into GAP.

Please contact the following individuals within the District prior to the preconstruction meeting:

Stephanie Galvan, (813) 975-6746; Hewrald Humes, (813) 975-6745; Rolando Sanchez, 813- 975-6928 or 727-224-4747; D1-D7 Quality Systems D1-D7QualitySystems@dot.state.fl.us.

Refer to the Local Programs Manual, Chapter 21 for additional required contacts.

If you plan to hire a consultant for the CEI phase of this project, please submit the LAP Checklist for Federally Funded Professional Services Contracts (form 525-010-49), along with the required documents for review and concurrence before advertising the CEI contract.

Attachment C

If you have any questions, please call me at (813) 975-6134.

Sincerely, Billy D. Schmidt Local Programs Coordinator Billy.Schmidt@dot.state.fl.us cc: Brooke Oster, Accounting Services Supervisor; Stephanie Galvan, District Contract

Compliance; Alayna Delgado, Local Programs Project Manager; Whitney Yant, Federal Aid Coordinator; Sara Clark, Local Programs Administrator; Rolando Sanchez, LAP Projects Coordinator.

LOCAL AGENCY PROGRAM AGREEMENT

525-010-40

LOCAL PROGRAMS

OGC/OOC– 03/25

FPN: 445437 1 58 01 FPN: 445437 1 68 01 FPN:

Federal No (FAIN): D725 007 B Federal No (FAIN): D725 007 B Federal No (FAIN):

Federal Award Date: Federal Award Date: Federal Award Date:

Fund: ACBR/LF Fund: LF Fund:

Org Code: 55074010706 Org Code: Org Code:

FLAIR Approp: FLAIR Approp: FLAIR Approp:

FLAIR Obj: FLAIR Obj: FLAIR Obj:

County No:15 (Pinellas) Contract No:

Recipient Vendor No: F596000800203 Recipient Unique Entity ID (UEI) No: R37RMC63XKG1

Assistance Listing Number (ALN): 20.205 Highway Planning and Construction

THIS LOCAL AGENCY PROGRAM AGREEMENT (“Agreement”), is entered into on

, by and between the State of Florida Department of Transportation, an agency (This date to be entered by DOT only) of the State of Florida (“Department”), and Pinellas County (“Recipient”).

NOW, THEREFORE, in consideration of the mutual benefits to be derived from joint participation on the Project, the Parties agree to the following:

1. Authority: The Department is authorized to enter into this Agreement pursuant to Section 339.12, Florida Statutes. The Recipient by Resolution or other form of official authorization, a copy of which is attached as Exhibit “D” and made a part of this Agreement, has authorized its officers to execute this Agreement on its behalf.

2. Purpose of Agreement: The purpose of this Agreement is to provide for the Department’s participation in the construction and construction engineering inspection (CEI) activities of the Ridgemoor Blvd. and Brooker Creek at Brooker Creek Bridge #154153 bridge replacement project , as further described in Exhibit "A", Project Description and Responsibilities attached to and incorporated in this Agreement (“Project”), to provide Department financial assistance to the Recipient; state the terms and conditions upon which Department funds will be provided; and to set forth the manner in which the Project will be undertaken and completed.

3. Term of Agreement: The Recipient agrees to complete the Project on or before July 15, 2029. If the Recipient does not complete the Project within this time period, this Agreement will expire on the last day of the scheduled completion as provided in this paragraph unless an extension of the time period is requested by the Recipient and granted in writing by the Department prior to the expiration of this Agreement. Expiration of this Agreement will be considered termination of the Project.