EXHIBIT E-1 - PAYMENT CERTIFICATION (CONTINUOUS).pdf

PDF 189 KB Posted

Attached to
Neurodiversity Accessibility Training and Transit Orientation Program
Solicitation number
PS144500
Issued by
California

About this file

Exhibit E-1 - Payment Certification (Continuous)

This is a payment certification form associated with the Neurodiversity Accessibility Training and Transit Orientation Program, a California state and local contract opportunity. The document serves as a continuous payment certification instrument designed to facilitate reimbursement processing for services rendered under the contract. The form establishes the procedural framework for contractors to submit payment requests and certify that work has been completed in accordance with contract specifications and deliverables outlined in the Neurodiversity Accessibility Training and Transit Orientation Program.

The payment certification form contains standardized fields and requirements for documenting services delivered, quantities completed, and amounts due under the contract terms. As a continuous payment certification document, it allows for recurring submission of invoices throughout the contract term, enabling the contractor to request reimbursement on a periodic basis rather than requiring a single lump-sum payment at project completion. The form likely includes certification language requiring the contractor to attest that all work performed complies with contract requirements, that charges are accurate and allowable, and that supporting documentation is available for audit purposes.

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EXHIBIT 4 - LIST OF CERTIFIED FIRMS (RESERVED).pdf PDF
EXHIBIT 2 - SCHEDULE OF QUANTITIES AND PRICES.xlsx XLSX spreadsheet
EXHIBIT 2 - FORM 60 INSTRUCTIONS - PROFESSIONAL SERVICES COST_PRICE SUMMARY.pdf PDF
EXHIBIT A - SCOPE OF SERVICES.pdf PDF
EXHIBIT I - RESERVED.pdf PDF
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EXHIBIT 8 - ETHICS DECLARATION.pdf PDF
EXHIBIT 10 - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655.pdf PDF
EXHIBIT 5 - PROPOSAL LETTER.pdf PDF
EXHIBIT B - PRICING AGREEMENT.pdf PDF
EXHIBIT C - WORK-COMPLETION_DELIVERABLE SCHEDULE (RESERVED).pdf PDF
EXHIBIT 12 - MISCELLANEOUS (RESERVED).pdf PDF
FORM 2 - AFFIDAVIT.pdf PDF
EXHIBIT 2 - FORM 60 - PROFESSIONAL SERVICES COST_PRICE SUMMARY.xls XLS spreadsheet
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf PDF
EXHIBIT D - DEOD CONTRACT COMPLIANCE MANUAL (Non-Fed).pdf PDF
EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL).pdf PDF
EXHIBIT F - RELEASE OF CLAIMS.pdf PDF
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EXHIBIT E-1 - PAYMENT CERTIFICATION (CONTINUOUS)

A. I hereby certify to the best of my knowledge and belief that:

1. This Payment Certification represents a true and correct statement of the Services performed;

2. The Services completed to date under this Contract are in full accordance with the terms of the Contract Documents;

3. All Subcontractors and/or Suppliers who have performed Services on the project through the closing date of the prior Payment Request have been paid their proportionate share of all previous payments from LACMTA;

4. This Payment Certification does not include any amounts which the Contractor intends to withhold or retain from a Subcontractor or Supplier in accordance with the terms and conditions of the subcontract; and

5. The Contractor and its principals, (i) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any governmental department or agency (federal, state, or local); (ii) have not in the past three years had one or more public transactions (federal, state, or local) terminated for cause or default; (iii) have not within the past three years been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, 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; and (iv) are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, local) with commission of any of the offenses listed in Section (A)(5)(iii) above.

B. This Payment Certification is not to be construed as final Acceptance of the Contractor's, and any Subcontractor's or Supplier's performance.

C. I understand that it is a violation of both the federal and California False Claims Acts to knowingly present or cause to be presented to LACMTA a false claim for payment or approval. A claim includes a demand or request for money. It is also a violation of the False Claims Acts to knowingly make use of a false Record or statement to get a false claim paid. The term "knowingly" includes either actual knowledge of the information, deliberate ignorance of the truth or falsity of the information, or reckless disregard for the truth or falsity of the information. Proof of specific intent to defraud is not necessary under the False Claims Acts. I understand that the penalties under the Federal False Claims Act and State of California False Claims Act are non-exclusive, and are in addition to any other criminal and/or civil remedies which LACMTA may have either under contract or law.

I certify under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct

Firm:

Signature:

Name of Certifying Official:

Title:

Date of Execution:

Firm:
Name of Certifying Official:
Title:
Date of Execution:
Contract Number: Contract Number
Project Name: Project Name

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