Exhibit C Federal Compliance Certification Package.docx

EXHIBIT C - FEDERAL COMPLIANCE CERTIFICATION FORMS

DEPARTMENT OF HAWAIIAN HOME LANDS

RFP-26-HHL-012: Solar Charging Work Stations Installation This project is funded with federal funds. All certifications below are MANDATORY.

CERTIFICATION #1: EQUAL EMPLOYMENT OPPORTUNITY

Executive Order 11246 Compliance Certification The undersigned contractor certifies compliance with Executive Order 11246 and agrees to:

1. Non-Discrimination: Not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin.

2. Affirmative Action: Take affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

3. Posting Requirements: Post notices in conspicuous places setting forth non-discrimination provisions.

4. Subcontractor Requirements: Include these provisions in all subcontracts and purchase orders.

Contractor Signature: ________________________________________ Print Name/Title: __________________________________________ Date: ____________________________________________________

CERTIFICATION #2: DEBARMENT AND SUSPENSION

System for Award Management (SAM) Certification The undersigned contractor certifies that:

1. Not Debarred: Contractor is not currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal contracts by any federal agency.

2. SAM Verification: Contractor has verified that it is not listed on the government-wide exclusions in the System for Award Management (SAM).

3. Subcontractor Verification: Contractor will not enter into lower tier contracts with parties listed on government-wide exclusions in SAM.

SAM Registration Number: ____________________________________ Contractor Signature: ________________________________________

CERTIFICATION #3: ANTI-LOBBYING (BYRD AMENDMENT)

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

1. No Federal Appropriated Funds Used: 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 any 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 this Federal contract.

2. Disclosure of Non-Federal Lobbying: 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, the undersigned shall complete and submit Standard Form-LLL "Disclosure Form to Report Lobbying," in accordance with its instructions.

3. Subcontractor Requirements: The undersigned shall require that this certification be included in the award documents for all subawards at all tiers 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. 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.

Contractor Signature: ________________________________________

CERTIFICATION #4: BUY AMERICAN PREFERENCES

Domestic Preferences Acknowledgment The undersigned contractor acknowledges and agrees to:

1. Buy American Preference: To the greatest extent practicable, provide a preference for the purchase, acquisition, or use of goods, products, or materials produced in the United States (including but not limited to iron, aluminum, steel, cement, and other manufactured products).

2. Documentation: Provide documentation of the country of origin for all major components and materials.

3. Preference Application: When consistent with law, prioritize American-made products in equipment selection and procurement.

Primary Equipment Country of Origin:

· Solar Panels: _______________________________________________

· Battery System: ____________________________________________

· Charging Components: _______________________________________

· Structural Materials: ______________________________________ Contractor Signature: ________________________________________

CERTIFICATION #5: ENVIRONMENTAL COMPLIANCE

Clean Air Act and Federal Water Pollution Control Act Certification The undersigned contractor certifies that:

1. Clean Air Act Compliance: All operations will comply with applicable standards, orders, or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q).

2. Water Pollution Control Act Compliance: All operations will comply with the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387).

3. Environmental Protection: Contractor will take all reasonable measures to protect the environment during construction and installation activities.

Contractor Signature: ________________________________________

CERTIFICATION #6: TELECOMMUNICATIONS EQUIPMENT RESTRICTIONS

Prohibition on Certain Telecommunications and Video Surveillance Equipment The undersigned contractor certifies that:

1. Prohibited Equipment: No equipment, services, or systems will be procured or used that contain covered telecommunications equipment or services as substantial or essential components.

2. Covered Entities: Will not use equipment or services produced by: Huawei Technologies Company, ZTE Corporation, Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, Dahua Technology Company, or any subsidiary or affiliate of such entities.

3. Alternative Equipment: All telecommunications and video surveillance equipment (if any) will be procured from approved, non-restricted sources.

Contractor Signature: ________________________________________

CERTIFICATION #7: ENERGY EFFICIENCY

Energy Policy and Conservation Act Compliance The undersigned contractor certifies that:

1. Energy Efficiency: All equipment and installation practices will comply with mandatory standards and policies relating to energy efficiency contained in applicable State Energy Conservation plans.

2. Efficient Design: Solar charging station will be designed and installed to maximize energy efficiency and minimize energy waste.

Contractor Signature: ________________________________________

CERTIFICATION #8: CERTIFIED PAYROLL

Certified Payroll and Labor Standards Compliance This project is federally funded through the NTIA Tribal Broadband Connectivity Program (TBCP) and is subject to applicable federal and state labor standards. This project is not subject to the Davis-Bacon Act. The undersigned contractor certifies that:

3. NTIA Grant Condition Compliance: Contractor will maintain accurate and complete payroll records for all workers employed on this project, consistent with NTIA TBCP grant conditions and 2 CFR Part 200 Uniform Administrative Requirements.

4. Hawaii Wage and Hour Law (HRS Chapter 104) Compliance: Contractor certifies compliance with Hawaii Revised Statutes Chapter 104 (Wages and Hours of Employees on Public Works), including payment of applicable Hawaii prevailing wages for all covered trades and occupations employed on this public works project.

5. Payroll Records: Contractor will maintain weekly certified payroll records for all workers, including name, classification, hours worked, rate of pay, gross wages, deductions, and net wages paid. Records will be retained for a minimum of three (3) years following project closeout.

6. Submission of Certified Payrolls: Contractor will submit certified payroll reports to the Department of Hawaiian Home Lands on a weekly basis throughout the period of construction. Each submission will include a statement of compliance signed by the contractor or authorized representative attesting that the payroll records are correct and complete and that all workers have been paid not less than applicable wage rates.

7. Subcontractor Requirements: Contractor will ensure that all subcontractors at any tier comply with applicable NTIA grant labor standards and HRS Chapter 104 requirements. Contractor will collect and submit certified payroll records from all subcontractors on the same weekly schedule.

8. Access and Audit: Contractor will make all payroll records available for inspection and copying by DHHL, NTIA, or any authorized federal or state representative upon request, and will fully cooperate with any labor standards audit or investigation.

Contractor Signature: ________________________________________ Print Name/Title: __________________________________________ Date: ____________________________________________________

CERTIFICATION #9: DAVIS-BACON ACT COMPLIANCE

Davis-Bacon Act Prevailing Wage Certification The undersigned contractor certifies that:

1. Wage Compliance: All laborers and mechanics employed directly on the site of work will be paid not less than the prevailing wage rates as determined by the Secretary of Labor and listed in the applicable Davis-Bacon wage determination.

2. Wage Determination: Contractor has reviewed the current Davis-Bacon wage determination for Hawaii and will incorporate these wage rates into all construction work.

3. Record Keeping: Contractor will maintain accurate payroll records showing compliance with prevailing wage requirements and make them available for inspection.

4. Subcontractor Compliance: All subcontractors will be required to comply with Davis-Bacon Act requirements.

Contractor Signature: ________________________________________

MASTER CERTIFICATION

Federal Compliance Master Certification By signing below, the contractor certifies that all above federal compliance certifications (Certifications #1 through #8) have been completed accurately, including the Certified Payroll and Labor Standards Compliance certification, and that the contractor agrees to comply with all applicable federal and state requirements for this federally funded project.

Company Name: ______________________________________________ Authorized Representative: ___________________________________ Title: ____________________________________________________ Signature: ________________________________________________ Date: ____________________________________________________ Company Seal: (if applicable)

NOTICE: False statements on these certifications may result in criminal prosecution under 18 U.S.C. 1001 and may result in debarment from federal contracting.