FTA Clauses Acknowledgement THIRD_PARTY Opera.pdf
PDF 198 KB Posted
- Attached to
- 24-026 - 3rd Party Transportation Operator
- Solicitation number
- PE-64800-NONST-2024-000000028
- Issued by
- Douglas County, Georgia
About this file
This document is an FTA Clauses Acknowledgement form related to a Third-Party Operator (Fixed route & ADA Paratransit) contract opportunity. The form requires the bidder to initial acknowledgement of 32 FTA contract clauses, as well as certifications related to lobbying and government-wide debarment and suspension. The scope of work and project details are not provided in this document. Bidders must complete and submit both pages of the form with their bid proposal.
The document does not contain information on pricing terms, set asides, incumbents, funding requirements, or other salient details beyond the FTA clauses and certifications. The term of the contract and any renewal options are also not specified.
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Text version
PLEASE COMPLETE AND SUBMIT BOTH PAGES WITH YOUR BID PROPOSAL.
FTA CLAUSES AND/OR CERTIFICATION ACKNOWLEDGEMENT FORM
Project Description: _THIRD-PARTY OPERATOR (Fixed route & ADA Paratransit)
Please initial below indicating receipt of a copy of the required FTA Clauses listed below for the above listed project/contract. Complete page two as appropriate. Return Both pages AND the required certifications with your proposal.
FTA CONTRACT CLAUSES
1. _____ Access to Records and Reports
2. _____ Americans with Disabilities Act (ADA)
3. _____ Changes to Federal Requirements
4. _____ Charter Service
5. _____ Civil Rights Laws and Regulations
6. _____ Clean Air Act and Federal Water Pollution Control Act
7. _____ Contract Work Hours and Safety Standards Act
8. _____ Conformance with ITS National Architecture
9. _____ Debarment and Suspension
10. _____ Disadvantaged Business Enterprise (DBE)
11. _____ Energy Conservation
12. _____ Equal Employment Opportunity
13. _____ Restrictions on Lobbying
14. _____ Fly America
15. _____ Federal Tax Liability and recent Felony Convictions
16. _____ Incorporation of Federal Transit Administration (FTA) Terms
17. _____ No Government obligation to Third Parties
18. _____ Notification to FTA
19. _____ Solid Wastes
20. _____ Program Fraud and False or Fraudulent Statements and Related Acts
21. _____ Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment
22. _____ Prompt Payment
23. _____ Public Transportation Employee Protection Arrangements
24. _____ Safe Operation of Motor Vehicles
25. _____ School Bus Operations
26. _____ Special Notification Requirements for States
27. _____ Substance Abuse Requirements
28. _____ Simplified Acquisition Threshold
29. _____ Severability
30. _____ Termination
31. _____ Trafficking in Persons
32. _____ Violation and Breach of Contract
FTA CONTRACT CERTIFICATION
PLEASE INITIAL BELOW INDICATING RECEIPT OF THE BELOW CERTIFICATION FORMS AND THAT YOU FURTHER
ACKNOWLEDGE THAT THE ATTACHED CERTIFICATION FORMS MUST BE SIGNED AND RETURNED WITH THE
BID PROPOSAL.
1. _____ Certification and Restrictions on Lobbying
2. _____ Government-Wide Debarment and Suspension (Non-procurement)
I, , of
PRINT Name of Authorized Representative Name of Business/Vendor will comply / will NOT comply with the above FTA clauses for this project.
Name: ____________________________________ Signature: ___________________________________
Title: ______________________________________ Date _____________________________________
File details come from the government source that posted it. Updated .