Example - Olofson Manual.pdf

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Cody Shooting Complex - Phase 2
Solicitation number
25CRDLWBGANTO-0016
Issued by
Scott County, Iowa

About this file

The document is a comprehensive project manual for the Iowa Department of Natural Resources (DNR) detailing the Butch Olofson Shooting Range Training Center & Range Renovation project located in Polk County, Iowa, with Project Number 16-02-77-02. The project involves constructing a new one-story training center building with structural insulated panels (SIPs), renovating existing shooting range facilities, and completing associated site work. The project manual was prepared by the DNR Engineering Bureau and released on August 31, 2016, with sealed bids to be received until 11:00 AM on September 22, 2016. The project includes base bid work and four alternate bid options covering a storage garage, propane tank enclosure, and three separate shooting structures. The estimated probable cost for the project, including all four alternates, is $728,786.00, with a specified completion date of December 30, 2017.

The project will be funded through state resources, with potential federal assistance implications indicated by references to EPA and federal procurement requirements. The contract includes provisions for sales tax exemption, minority and women's business enterprise participation, and compliance with various federal and state regulations. Bidders must provide a proposal guarantee bond and are required to have a valid Iowa contractors registration number. The DNR reserves the right to reject any or all bids and to award the contract based on the most cost-effective combination of base and alternate bids. Contractors will be responsible for obtaining necessary permits, including a stormwater discharge permit for land-disturbing activities, and must comply with equal employment opportunity and labor standards requirements.

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Text version

IOWA DEPARTMENT OF NATURAL RESOURCES

PROJECT MANUAL

BUTCH OLOFSON SHOOTING RANGE

TRAINING CENTER

RANGE RENOVATIONS

POLK COUNTY, IOWA

PREPARED BY

ENGINEERING BUREAU

502 E. 9TH STREET, WALLACE STATE OFFICE BUILDING

DES MOINES, IOWA 50319-0034

PROJECT N0. 16-02-77-02

Obtain complete sets of contract documents including Drawings, Specification, bid documents, bidders’ list in electronic format at: www.beelineandblue.com http://www.beelineandblue.com/

8/31/2016 TABLE OF CONTENTS

00002-1

TABLE OF CONTENTS

OF PROJECT MANUAL

OLOFSON SHOOTING RANGE

TRAINING CENTER & RANGE RENOVATION

POLK COUNTY, IOWA

PROJECT NO. 16-02-77-02

Number of Section

Pages 00001.....Cover Page 00002.....Table of Contents 00003.....Enumeration of Drawings

Bidding Requirements:

00020.....Notice to Bidders 00120.....Special Notice to Contractors 00300.....Proposal 00310.....Certification Regarding Debarment, Suspension and Other Responsibility Matters 00320.....Minority/Women’s Business Enterprise 00321.....Guidance for Minority/Women’s Business Enterprise 00330.....Certification of Nonsegregated Facilities 00340.....Certification Regarding Lobbying 00350.....Instructions for Disclosure of Lobbying 00360.....Nondiscrimination in Employment 00410.....Proposal Guarantee Bond

Conditions of the Contract:

00500.....Contract 00610.....Performance Bond Form 00700.....General Covenants and Provisions 00710.....Specific EEO Responsibilities

Supplementary Conditions of Contract:

00811a…Supplementary Covenants and Provisions

Division 1 - General Requirements:

01000.....General Requirements 01030.....Alternates 01050.....Field Engineering 01250.....Measurement and Basis of Payment 01300.....Submittals 01400.....Quality Control

00002-2

01500.....Temporary Facilities and Control 01560.....Temporary Pollution Controls 01600.....Material and Equipment 01700.....Project Closeout 01730.....Operations and Maintenance Data

Division 3 - Concrete:

03361…Concrete Acid Stain

Division 4 - Masonry:

04480… Natural stone Veneer

Division 5 - Metals:

05500… Metal Fabrications

Division 6 - Wood and Plastics:

06071.....Preservative Treated Woods 06100.....Rough Carpentry 06121.....Structural Insulated Panel 06190.....Wood Trusses 06200.....Finish Carpentry 06410.....Custom Casework

Division 7 - Thermal and Moisture Protection:

07190.....Vapor Barrier 07200.....Insulation 07210.....Acoustic and Blow Insulation 07600.....Flashing & Sheet Metal 07712.....Manufactured Gutters and Downspouts 07900.....Joint Sealers

Division 8 - Doors and Windows:

08100.....Metal Doors & Frames 08210.....Wood Doors 08360.....Sectional Overhead Doors 08700.....Builder’s Hardware

Division 9 - Finishes:

09250.....Gypsum Wallboard 09511.....Ceiling Tile

00002-3

09900.....Painting

Division 10 - Specialties:

10522.....Fire Extinguishers

Division 15 - Mechanical:

15058.....Common Motor Requirements for HVAC Equipment 15061.....Hangers and Supports for Plumbing Piping and Equipment 15076.....Identification for Plumbing Piping and Equipment 15077.....Identification for HVAC Piping and Equipment 15085.....Plumbing Piping Insulation 15086.....Duct Insulation 15092.....Sleeves and Sleeve Seals for Plumbing Piping 15113.....Ball Valves for Plumbing Piping 15115.....Check Valves for Pluming Piping 15126.....Meters and Gages for Plumbing Piping 15140.....Domestic Water Piping 15145.....Domestic Water Piping Specialties 15150.....Sanitary Waste and Vent Piping 15155.....Sanitary Waste Piping Specialties 15185.....Hydronic Pumps 15196.....Facility Liquefied Petroleum Gas Piping 15414.....Commercial Plumbing Fixtures 15417.....Commercial Urinals 15421.....Commercial Lavatories 15422.....Commercial Sinks 15427.....Pressure Water Coolers 15441.....Domestic Water Pumps 15485.....Electric Water Heaters 15513.....Condensing Boilers 15738.....Split-System Air-Conditioning Units 15772.....Radiant Heating Piping 15785.....Air-To-Air Energy Recovery Equipment 15791.....Cabinet Unit Heaters 15815.....Metal Ducts 15820.....Duct Accessories 15838.....Power Ventilators 15855.....Diffusers, Registers and Grilles

Division 16 - Electrical:

16060.....Grounding and Bonding 16073.....Hangers and Supports for Electrical Systems 16075.....Electrical Identification 16120.....Conductors and Cables

00002-4

16130.....Raceways and Boxes 16140.....Wiring Devices 16145.....Lighting Control Devices 16442.....Panelboards 16511.....Lighting 16714.....Communications Equipment Room Fittings 16717.....Communications Horizontal Cabling 16726.....Public Address and Mass Notification Systems 16786.....Video Surveillance 16910.....Electric Hand Dryer

END OF SECTION 00002

SECTION 00003

ENUMERATION OF DRAWINGS

00003-1

8/31/2016

OLOFSON SHOOTING RANGE

TRAINING CENTER & RANGE RENOVATION

POLK COUNTY, IOWA

PROJECT NO. 16-02-77-02

CONSTRUCTION DRAWINGS - SHEET A-001 THROUGH E4.0 INCLUSIVE

A-001 COVER SHEET

A-002 WALL TYPES, NOTES & SYMBOLS

A-003 PROJECT LOCATION

C1 SURVEY CONTROL

C2 DIMENSION PLAN

C3 OVERALL GRADING PLAN

C4 SITE GRADING PLAN

C5 UTILITY PLAN

C6 DETAIL SHEET

A-020 LIFE SAFETY PLAN

A-100 REFERENCE FLOOR PLAN

A-101 DIMENSION FLOOR PLAN

A-110 REFLECTED CEILING PLAN

A-120 EXTERIOR ELEVATIONS AND DETAILS

A-121 EXTERIOR ELEVATIONS AND DETAILS

A-130 BUILDING SECTIONS AND ROOF DETAILS

A-131 BUILDING SECTIONS

A-140 ENLARGED PLAN AND ELEVATIONS

A-141 INTERIOR ELEVATIONS

A-142 MILLWORK SECTIONS

A-210 GARAGE AND TANK STORAGE PLAN

A-220 GARAGE ELEVATIONS AND SECTIONS

A-310 SHOOTING STRUCTURE PLANS

A-311 SHOOTING STRUCTURE PLANS

A-312 SHOOTING STRUCTURE DETAILS

A-600 FINISH, DOOR & WINDOW SCHEDULES

M0.0 MECHANICAL SYMBOLS AND NOTES

M1.0 OFFICE FLOOR PLAN – MECHANICAL

M2.0 MECHANICAL DETAILS

M3.0 MECHANICAL SCHEDULES

P0.0 OFFICE UNDERFLOOR PLAN - PLUMBING

P1.0 OFFICE FLOOR PLAN - PLUMBING

P2.0 PLUMBING SCHEDULES AND DETAILS

E0.0 ELECTRICAL SYMBOLS, NOTES & STIE PLAN

E1.0 OFFICE FLOOR PLAN - LIGHTING

E2.0 OFFICE FLOOR PLAN - POWER

E3.0 ELECTRICAL DETAILS

E4.0 ELECTRICAL SCHEDULES

PROJECT MANUAL

BUTCH OLOFSON SHOOTING RANGE

TRAINING CENTER

RANGE RENOVATIONS

PREPARED BY

ENGINEERING BUREAU

502 E. 9TH STREET, WALLACE STATE OFFICE BUILDING

DES MOINES, IOWA 50319-0034

PROJECT N0. 16-02-77-02

Obtain complete sets of contract documents including Drawings, Specification, bid documents, bidders’ list in electronic format at: www.beelineandblue.com

00002-1

TABLE OF CONTENTS

OF PROJECT MANUAL

OLOFSON SHOOTING RANGE

TRAINING CENTER & RANGE RENOVATION

POLK COUNTY, IOWA

PROJECT NO. 16-02-77-02

Number of Section

Pages 00001.....Cover Page 00002.....Table of Contents 00003.....Enumeration of Drawings

Bidding Requirements:

00020.....Notice to Bidders 00120.....Special Notice to Contractors 00300.....Proposal 00310.....Certification Regarding Debarment, Suspension and Other Responsibility Matters 00320.....Minority/Women’s Business Enterprise 00321.....Guidance for Minority/Women’s Business Enterprise 00330.....Certification of Nonsegregated Facilities 00340.....Certification Regarding Lobbying 00350.....Instructions for Disclosure of Lobbying 00360.....Nondiscrimination in Employment 00410.....Proposal Guarantee Bond

Conditions of the Contract:

00500.....Contract 00610.....Performance Bond Form 00700.....General Covenants and Provisions 00710.....Specific EEO Responsibilities

Supplementary Conditions of Contract:

00811a…Supplementary Covenants and Provisions

Division 1 - General Requirements:

01000.....General Requirements 01030.....Alternates 01050.....Field Engineering 01250.....Measurement and Basis of Payment 01300.....Submittals 01400.....Quality Control

00002-2

01500.....Temporary Facilities and Control 01560.....Temporary Pollution Controls 01600.....Material and Equipment 01700.....Project Closeout 01730.....Operations and Maintenance Data

Division 3 - Concrete:

03361…Concrete Acid Stain

Division 4 - Masonry:

04480… Natural stone Veneer

Division 5 - Metals:

05500… Metal Fabrications

Division 6 - Wood and Plastics:

06071.....Preservative Treated Woods 06100.....Rough Carpentry 06121.....Structural Insulated Panel 06190.....Wood Trusses 06200.....Finish Carpentry 06410.....Custom Casework

Division 7 - Thermal and Moisture Protection:

07190.....Vapor Barrier 07200.....Insulation 07210.....Acoustic and Blow Insulation 07600.....Flashing & Sheet Metal 07712.....Manufactured Gutters and Downspouts 07900.....Joint Sealers

Division 8 - Doors and Windows:

08100.....Metal Doors & Frames 08210.....Wood Doors 08360.....Sectional Overhead Doors 08700.....Builder’s Hardware

Division 9 - Finishes:

09250.....Gypsum Wallboard 09511.....Ceiling Tile

00002-3

09900.....Painting

Division 10 - Specialties:

10522.....Fire Extinguishers

Division 15 - Mechanical:

15058.....Common Motor Requirements for HVAC Equipment 15061.....Hangers and Supports for Plumbing Piping and Equipment 15076.....Identification for Plumbing Piping and Equipment 15077.....Identification for HVAC Piping and Equipment 15085.....Plumbing Piping Insulation 15086.....Duct Insulation 15092.....Sleeves and Sleeve Seals for Plumbing Piping 15113.....Ball Valves for Plumbing Piping 15115.....Check Valves for Pluming Piping 15126.....Meters and Gages for Plumbing Piping 15140.....Domestic Water Piping 15145.....Domestic Water Piping Specialties 15150.....Sanitary Waste and Vent Piping 15155.....Sanitary Waste Piping Specialties 15185.....Hydronic Pumps 15196.....Facility Liquefied Petroleum Gas Piping 15414.....Commercial Plumbing Fixtures 15417.....Commercial Urinals 15421.....Commercial Lavatories 15422.....Commercial Sinks 15427.....Pressure Water Coolers 15441.....Domestic Water Pumps 15485.....Electric Water Heaters 15513.....Condensing Boilers 15738.....Split-System Air-Conditioning Units 15772.....Radiant Heating Piping 15785.....Air-To-Air Energy Recovery Equipment 15791.....Cabinet Unit Heaters 15815.....Metal Ducts 15820.....Duct Accessories 15838.....Power Ventilators 15855.....Diffusers, Registers and Grilles

Division 16 - Electrical:

16060.....Grounding and Bonding 16073.....Hangers and Supports for Electrical Systems 16075.....Electrical Identification 16120.....Conductors and Cables

00002-4

16130.....Raceways and Boxes 16140.....Wiring Devices 16145.....Lighting Control Devices 16442.....Panelboards 16511.....Lighting 16714.....Communications Equipment Room Fittings 16717.....Communications Horizontal Cabling 16726.....Public Address and Mass Notification Systems 16786.....Video Surveillance 16910.....Electric Hand Dryer

END OF SECTION 00002

SECTION 00003

00003-1

8/31/2016

OLOFSON SHOOTING RANGE

TRAINING CENTER & RANGE RENOVATION

POLK COUNTY, IOWA

PROJECT NO. 16-02-77-02

CONSTRUCTION DRAWINGS - SHEET A-001 THROUGH E4.0 INCLUSIVE

A-001 COVER SHEET

A-002 WALL TYPES, NOTES & SYMBOLS

A-003 PROJECT LOCATION

C1 SURVEY CONTROL

C2 DIMENSION PLAN

C3 OVERALL GRADING PLAN

C4 SITE GRADING PLAN

C5 UTILITY PLAN

C6 DETAIL SHEET

A-020 LIFE SAFETY PLAN

A-100 REFERENCE FLOOR PLAN

A-101 DIMENSION FLOOR PLAN

A-110 REFLECTED CEILING PLAN

A-120 EXTERIOR ELEVATIONS AND DETAILS

A-121 EXTERIOR ELEVATIONS AND DETAILS

A-130 BUILDING SECTIONS AND ROOF DETAILS

A-131 BUILDING SECTIONS

A-140 ENLARGED PLAN AND ELEVATIONS

A-141 INTERIOR ELEVATIONS

A-142 MILLWORK SECTIONS

A-210 GARAGE AND TANK STORAGE PLAN

A-220 GARAGE ELEVATIONS AND SECTIONS

A-310 SHOOTING STRUCTURE PLANS

A-311 SHOOTING STRUCTURE PLANS

A-312 SHOOTING STRUCTURE DETAILS

A-600 FINISH, DOOR & WINDOW SCHEDULES

M0.0 MECHANICAL SYMBOLS AND NOTES

M1.0 OFFICE FLOOR PLAN – MECHANICAL

M2.0 MECHANICAL DETAILS

M3.0 MECHANICAL SCHEDULES

P0.0 OFFICE UNDERFLOOR PLAN - PLUMBING

P1.0 OFFICE FLOOR PLAN - PLUMBING

P2.0 PLUMBING SCHEDULES AND DETAILS

E0.0 ELECTRICAL SYMBOLS, NOTES & STIE PLAN

E1.0 OFFICE FLOOR PLAN - LIGHTING

E2.0 OFFICE FLOOR PLAN - POWER

E3.0 ELECTRICAL DETAILS

E4.0 ELECTRICAL SCHEDULES

Notice to Bidders - Iowa Department of Natural Resources

Sealed bids will be received by the Iowa Department of Natural Resources, Engineering Bureau, at the Wallace State Office Building, 502 East 9th Street, Des Moines, Iowa 50319-0034 until 11:00 A.M., September 22, 2016 for the public improvement projects listed below, at which time they will be opened publicly. No bids shall be accepted by FAX. After the bid opening, information concerning bid results may be obtained by visiting the Department’s website at www.iowadnr.gov.

Note: The United States Postal Service (USPS) does not deliver mail or packages directly to the address provided above but rather to the Capitol Complex Mail Room. Extra time should be allotted for proposals sent by the USPS. The Iowa Department of Natural Resources shall not consider bids if they are not received by the Department of Natural Resources, either at its mail room or at its Fourth Floor Reception Desk, by the time and date described in this Notice to Bidders, regardless of whether the bid was mailed prior to that time and date or whether the bid was received at the Capitol Complex Mail Room or other state government location prior to that time and date.

Project documents, including drawings, specifications, proposal forms and addenda items for the project are available at Beeline and Blue, at 2507 Ingersoll Ave., Des Moines, Iowa 50312. Please visit www.beelineandblue.com or contact (515) 244-1611 for more information. Alternatively, Bid Documents can be viewed or printed online at https://programs.iowadnr.gov/engreal/projectlist.asp

The Department shall comply with all public improvement procurement laws, as outlined in the plans and specifications and including but not limited to: Iowa Code chapter 26 related to public construction bidding; Iowa Code chapter 73 related to preferences;

Iowa Code chapter 573 related to labor and materials on public improvements; rules promulgated by the Department of Administrative Services – General Services Enterprise as they may apply; rules promulgated by the Department of Natural Resources and the Natural Resources Commission, as they may apply; and any federal statutes, rules and/or executive orders that may be associated depending on funding sources. Bidders shall comply with these laws to be considered and are encouraged to be familiar with public improvement procurement requirements and the bidding documents before submitting a bid.

Each bidder shall accompany the bid with a bid security as defined in Iowa code section

26.8. The bid security must be in an amount set forth in the bidding documents and made payable to the Iowa Department of Natural Resources. Failure to execute a contract for the proposed work and file an acceptable Performance Bond in an amount equal to 100% of the contract price and a certificate of liability insurance within thirty

(30) days of the date of the award of the contract will be just and sufficient cause for the rescinding of the award and the forfeiture of the bid security.

http://www.idnr.gov/

9/2/2016 SPECIAL NOTICE TO CONTRACTORS

00120-1

SPECIAL NOTICE TO CONTRACTORS

CONTRACTOR IS RESPONSIBLE FOR CONTACTING STATE STORMWATER PROGRAM

COORDINATOR (515/281-7017) FOR INFORMATION RELATING TO STORM WATER PERMIT

THAT IS NECESSARY IF CONSTRUCTION ACTIVITIES DISTURB ONE ACRE OR MORE.

THE ESTIMATED PROBABLE COST FOR THE PROJECT (INCLUDING ALL 4 ALTERNATES)

IS $728,786.00.

Direct questions concerning the Project Design, Drawings and Specifications to:

Brett Johnson, Engineer Wallace State Office Building 502 E. 9th St. – 4th Floor Des Moines, Ia. 50319 Ph: (515) 250-3711

Direct questions concerning Site Review and Project Inspection to:

Don Labate, PE DNR Inspector Jefferson, IA Ph: (515) 250-3714

Direct questions concerning Bidding and Contract Procedures to:

Kim Alliss, DNR Procurement Wallace State Office Building Des Moines, Iowa 50319-0034 Telephone: 515/725-0733

In accordance with House File 2622 implemented by Iowa Code Sections 442.42 (15) & (16) and 422.47.47(5), Contractors may purchase qualifying items for work on this contract exempt from sales tax. The DEPARTMENT will issue an authorization letter and exemption certificate to the prime contractor and each approved subcontractor." Complete information on qualifying materials and supplies can be found at www.state.ia.us/tax, the Iowa Department of Revenue and Finance (IDRF) Web site. Links are found in the Business Taxes and Local Government categories. 701 IAC 19.1-20 is found in Tax Research/Tax Research Library.

Recorded bid results can be accessed at https://programs.iowadnr.gov/engreal/projectlist.asp. Printed bid tabs will not be available for 3 working days after the Letting date.

PF-1 PROPOSAL

CPD-57924 00300-1

Time and Date of Letting 11:00 AM, SEPTEMBER 22, 2016 PROPOSAL Project Description and Location Project No. 16-02-77-02

OLOFSON SHOOTING RANGE

TRAINING CENTER & RANGE RENOVATION

Proposal of:

(Name of Bidder)

Located at: ( ) (Address) (Area) (Telephone)

Amount of Proposal Guarantee

Specified completion date or Number of Working Days

Approx. or Specified Starting Date or Number of Working Days

Liquidated Damages Per Day

$30,000.00 12/30/2017 N/A $500.00

The undersigned hereby agrees, if awarded the contract, to execute the proposed contract and to furnish an approved performance bond in a amount not less than 100 percent of the contract award within 30 days after the date of approval of award of the contract, and to provide all labor, materials, and equipment required to complete the project designated above, for the price hereinafter set forth, in strict compliance with the contract documents prepared by the Iowa Department of Natural Resources.

The undersigned agrees, if awarded the contract, to commence the work within a reasonable time after the preconstruction conference or by the specific starting date, if so specified, and to complete the work within the contract period, or to pay liquidated damages in the amount stipulated herein for each calendar day the work remains uncompleted after the expiration of the contract period or any authorized reduction thereof.

A proposal guarantee in the amount stipulated herein is included with this proposal, to be forfeited to the Iowa Department of Natural Resources if the undersigned fails to execute the contract and furnish an approved performance bond, if awarded the contract.

By virtue of statutory authority, preference will be given to products and provisions grown and coal produced within the state of Iowa, and also, a resident bidder shall be allowed a preference against a nonresident bidder from a state or foreign country which gives or requires a preference to bidders from that state or foreign country on projects in which there are no federal funds involved.

BY

(Iowa Contractor Registration No.)

(Signed) (Date)

(FID/EIN/SSN)

(Phone Number) (Fax Number)

(Email Address)

THE FOLLOWING AFFIDAVIT MUST BE COMPLETED AND NOTORIZED, OR THIS BID WILL BE REJECTED.

- AFFIDAVIT-

The signatory. being duly sworn, does depose and say that the undersigned is an authorized representative of:

(Name of Firm)

Located at:

Hereinafter referred to as “Bidder” and does hereby affirm to have personal knowledge that said bidder has examined the drawings and specifications, carefully prepared the proposal form, and has checked the same in detail before submitting; and that said bidder, or the agents, officers, or employees thereof, have not either directly or indirectly, entered into any agreement, participated in any collusion or fraud, or otherwise taken any action in restraint of free competitive bidding in connection with this bid.

(Signed)

Day of , 20

(Signed Notary)

My Commission Expires , 20

CPD-57924 00300-2

SCHEDULE OF PRICES

Project Description and Location

OLOFSON SHOOTING RANGE

TRAINING CENTER & RANGE RENOVATION

POLK COUNTY, IOWA

PROJECT NO. 16-02-77-02

Name of Bidder

THE “UNIT PRICE” AND “AMOUNT” COLUMNS MUST BE FILLED IN FOR THIS PROPOSAL TO BE CONSIDERED COMPLETE. IF THERE IS A DISCREPANCY BETWEEN UNIT BID PRICES, EXTENSIONS, OR TOTAL AMOUNTS

OF BID, THE UNIT PRICES SHALL GOVERN.

Item No.

Description Estimated Quantity Unit Price Amount

1 GRADING LS

2 SEEDING, FERTILIZING AND MULCHING 4 AC

3 SCOURSTOP OUTLET PROTECTION 16 SF

4 8” FILTER SOCK 100 LF

5 5” REINFORCED PCC SIDEWALK 166.5 SY

6 GRANULAR SUBBASE FOR PCC SIDEWALK 34 TONS

7 6” PVC SDR 35 PIPE 98 LF

8 8” PVC SDR 35 PIPE 261 LF

9 10” PVC SDR 35 PIPE 198 LF

10 12” DIAMETER NYLOPLAST DRAIN BASIN 3 EA

11 10” DIAMETER NYLOPLAST DRAIN BASIN 6 EA

12 6” DIAMETER RAT GUARD 4 EA

13 10” DIAMETER RAT GUARD 1 EA

14 REPLACE GRATE WITH SOLID MANHOLE LID 1 EA

15 2-INCH HDPE WATER PIPE 37 LF

16 2-INCH CURB STOP 1 EA

17 PAINT STRIPING AND MARKINGS LS

18 PRECAST CONCRETE PARKING WHEEL STOPS 11 EA

19 SIGNAGE-HC SIGNS FOR PARKING SPACES LS

20 BLACK PVC COATED CHAIN LINK FENCING LS

21 NPDES GENERAL PERMIT #2 & SWPPP LS

22 CONSTRUCTION STAKING LS

CPD-57924 00300-3

23 MOBILIZATION LS

24 ELECTRICAL SERVICE (MAIN BLDG & STUBS TO

ALTERNATES)

LS

25 TRAINING CENTER BUILDING LS

BASE BID TOTAL

ALTERNATE #1

26 STORAGE GARAGE & PROPANE TANK ENCLOSURE LS

27 CLASS ‘A’ CRUSHED STONE 39 TONS

ALTERNATE #2

28 SHOOTING STRUCTURE #1 (INCL. INTERIOR ELECTRICAL) 1 EA

29 ROAD GRAVEL 9.2 TONS

30 5” REINFORCED PCC SIDEWALK 24 SY

31 GRANULAR SUBBASE FOR PCC SIDEWALK 5 TONS

ALTERNATE #3

32 SHOOTING STRUCTURE #2 (INCL. INTERIOR ELECTRICAL) 1 EA

33 ROAD GRAVEL 9.2 TONS

34 5” REINFORCED PCC SIDEWALK 14 SY

35 GRANULAR SUBBASE FOR PCC SIDEWALK 3 TONS

ALTERNATE #4

36 SHOOTING STRUCTURE #3 (INCL. INTERIOR ELECTRICAL) 1 EA

37 ROAD GRAVEL 9.2 TONS

38 5” REINFORCED PCC SIDEWALK 24 SY

39 GRANULAR SUBBASE FOR PCC SIDEWALK 5 TONS

TOTAL BID INCLUDING ALL ALTERNATES

Bidder Acknowledges Receipt of Any Issued Addenda Below (Number and Date)

CERTIFICATION REGARDING DEBARMENT, SUSPENSION,

AND OTHER RESPONSIBILIY MATTERS

00310-1 08/29/16

EPA Project Control Number

EPA

United State Environmental Protection Agency Washington, DC 20460

Certification Regarding Debarment, Suspension, and Other Responsibility Matters

EPA Form 5700-49 (11-83)

The prospective participant certifies to the best of its knowledge and belief that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agencies.

(b) Have not within a three year period preceding this proposal been convicted of or had a civil judgment rendered against them for the commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; 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) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and

(d) Have not within a three-year period preceding this application/proposal had one or more public transaction

(Federal, State, or local) terminated for cause or default.

I Understand that a false statement on this certification may be grounds for rejection of this proposal or termination of the award. In addition, under 18 USC Sec. 1001, a false statement may result in a fine up to $10.000 or imprisonment for up to 5 years, or both.

Type Name & Title of Authorized Representative

Signature of Authorized Representative Date

? I am unable to certify to the above statements. My explanation is attached.

Instructions

CERTIFICATION REGARDING DEBARMENT, SUSPENSION,

AND OTHER RESPONSIBILIY MATTERS

00310-2 08/29/16

Under Executive Order 12549, an individual or organization debarred or excluded from participation in Federal assistance or benefit programs may not receive any assistance award under a Federal program, of a sub agreement thereunder for $25,000 or more.

Accordingly, each prospective recipient of an EPA grant, loan, or cooperative agreement and any contract or sub agreement participant thereunder must complete the attached certification or provide an explanation why they cannot.

For further details, see 40 CFR 32.510, Participants' responsibilities, in the attached regulation.

Where To Submit

The prospective EPA grant. loan, or cooperative agreement recipient must return the signed certification of explanation with its application to the appropriate EPA Headquarters or Regional office, as required in the application instructions.

A prospective prime contractor must submit a completed certification or explanation to the individual or organization awarding the contract.

Each prospective subcontractor must submit a completed certification or explanation to the prime contractor for the project.

How To Obtain Forms:

EPA includes the certification form, instructions, and a copy of its implementing regulation (40) CFR Part 32) in each application kit. Applicants may reproduce these materials as needed and provide them to their prospective prime contractors, who, in turn may reproduce and provide them to prospective subcontractors.

Additional copies/assistance may be requested from:

Compliance Branch Grants Administration Division (PM-216F) U.S. Environmental Protection Agency 401 M Street, SW Washington, DC 20460 (Telephone: 202/475-8025)

MINORITY/WOMEN BUSINESS ENTERPRISE

00320-1

8/29/2016

EPA Region VII Procedures for Implementation of 40 CFR Part 33.240

( Minority Business Enterprise/Women's Business Enterprise)

The following information must be contained in solicitation documents for construction contracts and engineering agreements pursuant to 40 CFR Part 33.240)

Each bidder/offeror must fully comply with the requirements, terms, and conditions of EPA's policy to award a fair share of sub agreements to minority and women's businesses. The bidder/offeror commits itself to taking affirmative steps contained herein. Bidders/offerors will take affirmative steps prior to submission of bid/proposal.

Affirmative Steps

A. When feasible, segmenting total work requirements to permit maximum MBE/WBE participation.

B. Assuring that MBEs and WBEs are solicited whenever they are potential sources of goods or services. This step may include:

1. Sending letters or making other personal contacts with MBEs and WBEs, (e. g. those whose name appear on lists prepared by EPA or the grantee and other MBE/WBEs known to the bidder/offeror.) MBEs and WBEs should be contacted when other potential subcontractors are contacted, within reasonable time (fifteen days) prior to bid submission or closing date for receipt of initial offers. Those letters or other contacts should communicate the following:

a. Specific description of the work to be subcontracted;

b. How and where to obtain a copy of the drawings and specifications or other detailed information needed to prepare a detailed price quotation;

c. Date the quotation is due to the bidder/offeror;

d. Name, address, and phone number of the person in the bidder/offeror's firm whom the prospective MBE/WBE subcontractor should contact for additional information.

2. Sending letters or making other personal contacts with local, state, federal and private agencies and MBE/WBE associations relevant to the project. Such contacts should provide the same information provided in the direct contacts to MBE and WBE firms.

C. Where feasible, establishing delivery schedules which will encourage participation by MBE and WBEs.

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Determination of Compliance

It is to be noted that bidders/offerors must demonstrate compliance with MBE/WBE requirements in order to be deemed responsible. Demonstration of compliance shall include, but is not limited to, the following information:

1. Names, addresses and phone numbers of MBE/WBEs expected to perform the work;

2. Work to be performed by MBEs and WBEs;

3. Aggregate dollar amount of work to be performed by MBEs and WBEs, showing aggregate to MBEs and aggregate to WBEs separately;

4. Description of contacts to MBE and WBE organizations, agencies and associations which serve MBE/WBEs, including names of organizations, agencies and associations and dates of contacts;

5. Description of contacts to MBEs and WBEs, including number of contacts, fields, (i. e.

equipment or material supplier, excavator, transport services, electrical subcontractors, plumbers, etc.) and dates of contacts.

All bidders/offerors should complete the Minority and Women's Business Enterprise

Utilization Worksheet and submit to the grantee prior to contract award.

(Grantee may establish alternative methods of compliance equivalent to or more stringent than the above.)

00320-3

MINORITY, WOMEN'S AND SMALL RURAL BUSINESS ENTERPRISE WORKSHEET

Grant Applicant___________________________________________________________________ Project No. _____________________________________________________________________ Contractor/Engineer ________________________________________________________________ Address_________________________________________________________________________ Contact Person:____________________________________Telephone No.____________________ Amount of Contract___________________ MBE Percentage _________ WBE Percentage________

1. MBE______ Subcontractor_____________________________________________________

WBE______ Address__________________________________________________________ Contact Person____________________________ Telephone No._______________________ Amount of Subcontract________________________________________________________ Scope of Work_______________________________________________________________

1. MBE______ Subcontractor_____________________________________________________

WBE______ Address__________________________________________________________ Contact Person____________________________ Telephone No._______________________ Amount of Subcontract________________________________________________________ Scope of Work_______________________________________________________________

2. MBE______ Subcontractor_____________________________________________________

Contact Person____________________________ Telephone No._______________________ Amount of Subcontract________________________________________________________ Scope of Work_______________________________________________________________

3. MBE______ Subcontractor_____________________________________________________

Contact Person____________________________ Telephone No._______________________ Amount of Subcontract________________________________________________________ Scope of Work_______________________________________________________________

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4. MBE______ Subcontractor_____________________________________________________ WBE______ Address__________________________________________________________ Contact Person____________________________ Telephone No._______________________ Amount of Subcontract________________________________________________________ Scope of Work_______________________________________________________________

5. MBE______ Subcontractor_____________________________________________________

Contact Person____________________________ Telephone No._______________________ Amount of Subcontract________________________________________________________ Scope of Work_______________________________________________________________

6. MBE______ Subcontractor_____________________________________________________

Contact Person____________________________ Telephone No._______________________ Amount of Subcontract________________________________________________________ Scope of Work_______________________________________________________________

Comments________________________________________________________________________

Prepared By Telephone No. Date

GUIDANCE FOR MINORITIY/WOMEN’S BUSINESS

ENTERPRISE REQUIREMENT

00321-1 8/31/2016

GUIDANCE FOR MINORITY BUSINESS ENTERPRISE

AND WOMEN'S BUSINESS ENTERPRISE REQUIREMENT

OF 40 CFR 31.36(e)

I. PURPOSE

This guidance is to assist States, EPA assistance recipients, prime contractors, consultants, minority business owners and women's business owners in complying with EPA's Minority Business Enterprise (MBE) and Women's Business Enterprise (WBE) requirements in the Agency's procurement regulations, 40 CFR Part 31. This guidance provides suggestions for carrying out the affirmative steps included in EPA procurement regulations. Also included is a description of activities to be undertaken by EPA or delegated States, as well as suggestions for MBE/WBEs to take in pursuing opportunities for work in EPA-funded projects.

II. DEFINITIONS

A. Minority Business Enterprise (MBE): A minority business enterprise is a business which is

1. certified as socially and economically disadvantaged by the Small Business

Administration;

2. certified as a minority business enterprise by a State or Federal agency; or

3. an independent business concern which is at least 51 percent owned and controlled

(as defined below) by minority group member(s). A minority group member is an individual who is a citizen of the United States and one of the following:

a. Black American

b. Hispanic American (with origins form Puerto Rio, Mexico, Cuba, South or

Central America)

c. Native American (American Indian, Eskimo, Aleut, native Hawaiian)

d. Asian-Pacific American (with origins from Japan, China, the Philippines, Vietnam, Korea, Samoa, Guam, the U.S. Trust Territories of the Pacific, Northern Marianas, Laos, Cambodia, Taiwan or the Indian Subcontinent)

B. Women's Business Enterprise (WBE): A women's business enterprise is a business which is certified as such by a State or Federal agency, or which meets the following definition:

A women's business enterprise enterprise is an independent business concern which is at least 51 percent owned by a woman or women who also control and operate it.

Determination of whether a business is a least 51 percent owned by a woman or women shall be made without regard to community property laws. For example, an otherwise qualified WBE which is 51 percent owned by a married woman in a community state will not be disqualified because her husband has a 50 percent interest in her share. Similarly, a business that is 51 percent owned by a married man

00321-2 8/31/2016 and 49 percent owned by an unmarried woman will not become a qualified WBE by virtue of his wife's 50 percent interest in his share of the business.

C. Ownership and Control:

1. The minority of women's ownership's interest in the firm must be real, substantial and continuing. Such interest may include:

a. risk of loss/share of profit commensurate with the proportional ownership;

and

b. receipt of the customary incidents of ownership, such as salary and/or intangible benefits.

2. A minority or woman owner must have and exercise the authority to independently control the business. The minority or woman owner need not be continually present to be deemed in control. Characteristics of control may include:

a. authority to sign contacts;

b. making decisions in price negotiations;

c. incurring liabilities for the firm;

d. making final staffing decisions;

e. policy-making; and

f. making general company management decisions.

3. Only those firms performing a useful business function according to custom and practice in the industry are qualified as MBEs or WBEs. Acting merely as a passive conduit of funds to some other, non-minority firm where such activity is unnecessary to accomplish the project the project does not constitute a "useful business function according to custom and practice in the industry."

D. Recipient: A party receiving federal financial assistance under an EPA program pursuant to a grant or cooperative agreement.

E. Project: The scope of work from which a cooperative agreement, grant or grant amendment is awarded.

H. Bidder: A party seeking to obtain a contract with a recipient through a competitive, advertised, sealed bid process.

I. Offeror: A party seeking to obtain a contract with a recipient through a negotiated procurement process.

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IV. RESPONSIBILITIES

A. Headquarters.

1. The office in charge of the assistance program (program office) has primary responsibility for implementation of the MBE/WBE program, in cooperation with the Office of Small and Disadvantaged Business Utilization (OSDBU).

2. OSBDU is responsible for serving as the Agency focal point for inquiries on the

MBE/WBE program, providing explanation of the program and guidance to MBEs and WBEs interested in working on EPA funded projects.

B. Regional Responsibilities.

1. Provide guidance and advice to recipients as requested.

2. Maintain lists of those MBE and WBE firms which have participated in EPA funded projects. The Region may also add MBEs and WBEs requesting to be included on source lists. Such lists are for information purposes only, and shall carry a clear and prominent statement that the firms listed are neither endorsed nor guaranteed by EPA as bona fide MBE/WBEs. It is not necessary to be on any list in order to qualify as a bona fide MBE/WBE.

3. Monitor recipients for compliance with MBE/WBE requirements and for determining levels of MBE/WBE participation.

V. RECIPIENT RESPONSIBILITIES

A. The recipient shall take affirmative steps to contract with MBEs and WBEs and ensure that its contractors and consultants take affirmative steps to contract with MBEs and WBEs during all phases of work funded or to be funded under an EPA assistance agreement. The recipient's affirmative steps as defined in EPA procurement regulations are the following:

1. When feasible, dividing the total work to be contracted into smaller tasks in the solicitation documents to permit maximum MBE/WBE participation.

2. Placing qualified MBEs and WBEs on solicitation lists of EPA Regional Offices and appropriate minority/women's business associations and agencies.

3. Assuring that MBEs and WBEs are solicited whenever they are potential sources of service and supplies, for example, by:

a. Holding pre-bid conferences, with interested MBEs and WBEs in attendance when possible, to highlight the requirements of this program to prospective bidders;

b. Including this MBE/WBE interim guidance in requests for proposals (RFP) and invitations for bid (IFB);

00321-4 8/31/2016

c. Publishing announcements of MBE/WBE opportunities for work on EPA funded projects;

d. Developing a source list of MBE/WBEs and providing its list to prospective bidders/offerors;

1. The recipient may wish to engage a MBE/WBE liaison to compile the list.

2. The recipient may wish to use available lists such as those of the

EPA Regional Office, adjacent municipalities, appropriate minority/women associations. Names of these agencies with address and phone number should also be included on the recipient's source list.

e. Providing necessary and appropriate liaison services between MBE/ WBEs and prospective bidders/offerors. (Liaison service should not be delegated to consultants where a potential for conflict of interest exists.)

4. When project requirements permit, establishing delivery schedules which encourage participation of MBE/WBEs.

5. Using the services and assistance of the Small Business Administration (SBA), the Minority Business Development Agency (MBDA), and other federal, State and local agencies when appropriate.

B. Unless otherwise provided in the specifications, compliance with the MBE/WBE requirement in the regulations is a matter of bidder/offeror responsibility.

C. The recipient is responsible for monitoring work in progress to ensure that MBE and WBE subcontractors and joint venturers are actually participating in the performance of the subcontract or joint venture contract and to insure that the consultant/contractor is fulfilling its obligations with respect to MBE/WBE requirements under the contract.

D. As part of the documentation required under 40 CFR 31.36(b)(9), the recipient shall maintain and update records of MBE/WBE participation and supply data to the delegated State when requested. Such records may include:

1. Name of MBE/WBEs being utilized;

2. Work designated to be performed by MBE/WBE;

3. Dollar value of that work;

4. Portion of project being performed by MBEs and WBEs.

VI. BIDDER AND OFFEROR RESPONSIBILITIES

A. Affirmative Steps: Activities during preparation of bids and offers. Bidders/offerors shall take affirmative steps in compliance with the regulations, prior to submission of bids or

00321-5 8/31/2016 closing date for receipt of initial offers, to encourage participation in projects by MBEs and WBEs. Such efforts include:

1. When feasible, segmenting total work requirements to permit maximum MBE/WBE participation.

2. Assuring the MBEs and WBEs are solicited whenever they are potential sources of goods or services. This step may include:

a. Sending letters or making other personal contacts with MBEs and WBEs, (e.g. those whose names appear on lists prepared by EPA or the recipient and other MBE/WBEs known to the bidder/offeror). MBEs and WBEs should be contacted when other potential subcontractors are contacted, within reasonable time prior to bid submission or closing date for receipt of initial offers. Those letters or other contacts should communicate the following:

1. Specific description of the work to be subcontracted;

2. How and where to obtain a copy of plans and specifications or other detailed information needed to prepare a detailed price quotation;

3. Date the quotation is due the bidder/offeror;

4. Name, address, and phone number of the person in the bidder/offeror's firm whom the prospective MBE/WBE subcontractor should contact for additional information.

b. Sending letters or making other personal contacts with local, State, federal and private agencies and MBE/WBE associations relevant to the project.

Such contacts should provide the same information provided in the direct contacts to MBE/WBE firms.

3. Where feasible, establishing delivery schedules which will encourage participation by MBEs and WBEs.

B. Bidders/offerors must demonstrate compliance with the MBE/WBE requirements in order to be deemed responsible. Demonstration of compliance may include the following information, however the recipient may specify other methods of demonstrating compliance:

1. Names, addresses and phone numbers of MBE/WBEs expected to perform work.

2. Work to be performed by the MBEs and WBEs.

3. Aggregate dollar amount of work to be performed by MBEs and WBEs, showing aggregate to MBEs and aggregate to WBEs separately.

4. Description of contacts to MBE and WBE organizations, agencies and associations which service MBEs/WBEs, including names of organizations, agencies and associations and dates of contact.

00321-6 8/31/2016

5. Description of contacts to MBEs and WBEs, including number of contacts, fields, (i.e. equipment or material supplier, excavators, transport serviced, electrical subcontractors, plumbers, etc.) and dates of contacts.

C. Successful bidders/offerors should take reasonable affirmative steps to subcontract with

MBEs and WBEs whenever additional subcontracting opportunities arise during the performance of the contract.

VII. MBE AND WBE RESPONSIBILITIES

MBEs and WBEs are responsible for promoting themselves and taking the initiative to obtain contracts and subcontracts, and for encouraging joint venture arrangements. MBEs/WBEs interested in working on EPA funded projects are strongly encouraged to take the following steps:

A. Submit information to the recipients to identify status as a MBE/WBE.

B. Become certified as MBE/WBE under available State of federal agency procedures.

C. Contact federal, State, and local MBE/WBE liaison offices to obtain information on potential jobs.

D. Provide capability statements to State agencies, recipients, consulting engineers, and contractors, stating type(s) of work performed by the firm, size of job that the firm can handle, bonding information, and any special skills.

E. Make every effort to establish contacts and relationships with contractors for potential future business, including attending pre-bid conferences and subscribing to industry and trade journals.

F. Contact EPA Regional offices or appropriate State offices to obtain information on planned

EPA funded projects.

G. Respond promptly to solicitation requests.

VIII. REMEDIES FFOR NONCOMPLIANCE

A. Protests. A bidder/offeror for EPA funded work or MBE/WBE with an adversely affected direct financial interest may file a bid protest with the recipient pursuant to EPA procurement regulations 40 CFR 31.36(b)(12). These procedures are available to protest alleged violation of federal MBE/WBE requirements and may not be used to enforce local or State MBE/WBE requirements.

B. Upon a finding by EPA that a recipient, bidder/offeror, consultant, contractor or subcontractor has not complied with the MBE/WBE requirements of EPA regulations, EPA may invoke any and all sanctions and remedies specified in EPA regulations.

IX. STATE OR LOCAL LAW

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Nothing in this program prevents a State or recipient from applying more stringent MBE/WBE requirements or procurement obligations which pertain to bid responsiveness or percentage of MBE and WBE participation.

CERTIFICATION OF NONSEGREGATED FACILITIES

00330-1

U.S. ENVIRONMENTAL PROTECTION AGENCY

(Applicable to contracts, subcontracts, and agreements with the applicants who are themselves performing Federally assisted construction contracts, exceeding $10,000, which are not exempt from the provisions of the Equal Opportunity Clause.)

By the submission of this bid, the bidder, offeror, applicant, or subcontractor certifies that he does not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. He certifies further that he will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The bidder, offeror, applicant, or subcontractor agrees that a breach of this certification is a violation of the Equal Opportunity clause in this contract. As used in this certification, the term “segregated facilities” means any waiting rooms, work areas, rest rooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color, or national origin, because of habit, local custom, or otherwise. He further agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause; that he will retain such certifications in his files; and that he will forward the following notice to such proposed subcontractors (except where the proposed subcontractors have submitted identical certifications for specific time periods):

NOTICE TO PROSPECTIVE SUBCONTRACTORS OF REQUIREMENT FOR

A Certification of Non-segregated Facilities, as required by the May 9, 1967 order (33 F.R. 7808, May 28, 1968) on Elimination of Segregated Facilities, by the Secretary of Labor, must be submitted prior to the award of a subcontract exceeding $10,000 which is not exempt from the provisions of the Equal Opportunity clause. The certification may be submitted either for each subcontract or for all subcontracts during a period (i.e., quarterly, semiannually, or annually).

Signature Date

Name and Title of Signer (Please Type)

NOTE:

The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001

EPA-7 5720-4.2 (6/2/77)

CERTIFICATION REGARDING LOBBYING

00340-1

Recipient Certification - Anti-Lobbying Act of 1990

U.S. Department of the Interior Certification Regarding Lobbying

This certification is required by Section 1352, title 31, U.S. Code, entitled "Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions."

(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE)

Certification for Contracts, Grants, Loans, and Agreements

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 person for influencing or attempting to influence an officer or employee of any agency, a Member Congress, and officer or employee of Congress, or an employee of a Member of Congress in 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 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.

(3) The undersigned shall require that 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 accordingly.

This certification is a material representation of fact upon which reliance was placed when this 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.

Signature ____________________________________________ Date_________________________

CERTIFICATION REGARDING LOBBYING

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