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Okaloosa County BOCC — February 4, 2014 — Purchasing Forms — reading text
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{currently less than $100,000) made with capital, operating, or planning funds. Separate
requirements for rolling stock are set out at 5323{j}(2}(C) and 49 CFR 661.11. Rolling stock not
subject to a general waiver must be manufactured in the United States and have a 60 percent
domestic conten}.
A bidder or offeror must submit to the FTA recipient (Okaloosa County) the appropriate Buy
America certification (below) with all bids on FTA-funded contracts, except those subject to a
general waiver. Bids or offers that are not accompanied by a completed Buy America
certification must be rejected as non-responsive. This requirement does not apply to lower tier
subcontractors.
Certification requirement for procurement of steel, iron, or manufactured products.
Certificate of Compliance with 49 U.S.C. 5323(j) (1)
The bidder or offeror certifies that it will meet the requirements of 49 U.S.C. 5323(j}(1} and the
applicable regulations in 49 CFR Part 661.
Date
Signature
Company Name
Title
Certificate of Non-Compliance with 49 U.S.C. 5323{j){1)
The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C.
5323(j)(1), but it may qualify for an exemption pursuant to 49 U.S.C. 5323({j) (2) (B)} or (j)(2)(D} and
the regulations in 49 CFR 661.7.
Date
Signature
Company Name
Title
Certification requirement for procurement of buses, other rolling stock and associated
equipment
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Certificate of Compliance with 49 U.S.C. 5323(j}(2)(C)
The bidder or offeror certifies that it will comply with the requirements of 49 U.S.C. 5323(j) (2) (C)
and the regulations at 49 CFR Part 661.
Date
Signature
Company Name
Title
Certificate of Non-Compliance with 49 U.S.C. 5323 (j)(2}(C)
The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C.
5323 (j) (2)(C), but may qualify for an exception pursuant to 49 U.S.C. 5323{j)(2)(B) or (j)(2)(D}) and
the regulations of 49 CFR 661.7.
Date
Signature
Company Name
Title
Post Delivery Certification (refer to Form Appendices) will be completed by Okaloosa County
employees upon delivery of vehicles.
BUS TESTING - The contractor (manufacturer) agrees to comply with 49 U.S.C. A 5323(c) and FTA's
implementing regulation at 49 CFR Part 665 and shall perform the following:
1) A manufacturer of a new bus model or a bus produced with a major change in components
or configuration shall provide a copy of the final test report to the recipient at a point in the
procurement process specified by the recipient which will be prior to the recipient's final
acceptance of the first vehicle.
2) A manufacturer who releases a report under paragraph | above shall provide notice to the
operator of the testing facility that the report is available to the public.
3) If the manufacturer represents that the vehicle was previously tested, the vehicle being sold
should have the identical configuration and major components as the vehicle in the test
report, which must be provided to the recipient prior to recipient's final acceptance of the
first vehicle.
If the configuration or components are not identical, the manufacturer shall provide a
description of the change and the manufacturer's basis for concluding that it is not a major
change requiring additional testing.
4) lf the manufacturer represents that the vehicle is "grandfathered" (has been used in mass
transit service in the United States before October 1, 1988, and is currently being produced
without a major change in configuration or components}, the manufacturer shall provide the
name and address of the recipient of such a vehicle and the details of that vehicle's
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configuration and major components.
Certification of Compliance with FTA's Bus Testing Requirements
The undersigned (contractor/manufacturer) certifies that the vehicle offered in this procurement
complies with 49 U.S.C. A 5323(c) and FTA's implementing regulation at 49 CFR Part 665.
The undersigned understands that misrepresenting the testing status of a vehicle acquired with
Federal financial assistance may subject the undersigned to civil penalties as outlined in the
Department of Transportation's regulation on Program Fraud Civil Remedies, 49 CFR Part 31. In
addition, the undersigned understands that FTA may suspend or debar a manufacturer under the
procedures in 49 CFR Part 29.
Date
Signature
Company Name
Title
LOBBYING - The undersigned (contractor) certifies, to the best of his or his knowledge and belief,
that:
{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 making lobbying contracts to 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 (as amended by "Government wide
Guidance for New Restrictions on Lobbying,” 61 Fed. Reg. 1413 (1/19/96). Note: Language
in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying
Disciosure Act of 1995 (p.L. 104-65, to be codified at 2 U.S.C. 1601, et seq.)
(3) The undersigned shall require that the language of this certification be included in the
award documenis 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 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 31, U.S.C. § 1352 (as amended by the Lobbying
Disclosure Act of 1995). 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 failure.
(Note: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure
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or fails to file or amend a required certification or disclosure form shall be subject to a civil
penalty of not less than $10,000 and not more than $100,000 for each expenditure or failure.)
The Contractor, , certifies or affirms the truthfulness and
accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor
understands and agrees that the provisions of 31 U.S.C. A 3801, ef seq., apply to this certification
and disclosure, if any.
Signature of Contractor's Authorized Official
Name and Title of Contractor's Authorized Official
Date
CLEAN AIR
{1} The contractor agrees to comply with all applicable standards, orders or regulations issued
pursuant to the Clean Air Act, as amended, 42 U.S.C. §§ 7401 et seq. The contractor agrees
to report each violation to the Purchaser and agrees that the Purchaser will, in turn, report
each violation as required to assure notification to FTA and the appropriate EPA regional
office.
(2) The contractor also agrees to include these requirements in each subcontract exceeding
$100,000 financed in whole or in part with Federal assistance provided by
FTA.
CIVIL RIGHTS - The following requirements apply to the underlying contract:
(1) |Nondiscrimination - In accordance with Title V1 of the Civil Rights Act, as amended, 42 U.S.C.
§
2000d, section 303 of the Age Discrimination Act of 1975, as amended, 42 U.S.C. § 6102,
section 202 of the Americans with Disabilities Act of 1990, 42 U.S.C. § 12132, and Federal
transit
law at 49 U.S.C. § 5332, the contractor agrees that it will not discriminate against any
employee or applicant for employment because of race, color, creed, national origin, sex,
age, or disability. In addition, the contractor agrees to comply with applicable Federal
implementing regulations and other implementing requirements FTA may issue.
(2) Equal Employment Opportunity - The following equal employment opportunity requirements
apply to the underlying contract:
(a) Race, Color, Creed, National Origin, Sex - In accordance with Title VII of the Civil
Rights Act, as amended, 42 U.S.C. § 2000e, and Federal transit laws at 49 U.S.C. §
5332, the contractor agrees to comply with all applicable equal employment
opportunity requirements of U.S. Department of Labor (U.S. DOL) regulations, "Office of
Federal Contract Compliance Programs, Equal Employment Opportunity, Department
of Labor," 41 CFR Parts 60 et seq., (which implement Executive Order No.
11246, "Equal Employment Opportunity,” as amended by Executive Order No. 11375,
“Amending Executive Order 11246 Relating to Equal Employment Opportunity," 42
U.S.C. § 2000e note), and with any applicable Federal statutes, executive orders,
regulations, and Federal policies that may in the future affect construction activities
undertaken in the course of the project. The contractor agrees to take affirmative
action to ensure that applicants are employed, and that employees are treated
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(3)
(b)
(c)
during employment, without regard to their race, color, creed, national origin, sex, or
age. Such action shall include, but not be limited to, the following: employment,
upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or
termination; rates of pay or other forms of compensation; and selection for training,
including apprenticeship. In addition, the contractor agrees to comply with any
implementing requirements FTA may issue.
Age - In accordance with section 4 of the Age Discrimination in Employment Act of
1967, as amended, 29 U.S.C. §§ 623 and Federal transit law at 49 U.S.C. § 5332, the
contractor agrees to refrain from discrimination against present and prospective
employees for reason of age. In addition, the contractor agrees to comply with any
implementing requirements FTA may issue.
Disabilities - In accordance with section 102 of the Americans with Disabilities Act, as
amended, 42 U.S.C. § 12112, the contractor agrees that it will comply with the
requirements of U.S. Equal Employment Opportunity Commission, “Regulations to
Implement the Equal Employment Provisions of the Americans with Disabilities act," 29
CFR Part 1630, pertaining to employment of persons with disabilities. In addition, the
contractor agrees to comply with any implementing requirements FTA may issue.
The contractor also agrees to include these requirements in each subcontract financed in
whole or in part with Federal assistance provided by FTA, modified only if necessary to
identify the affected parties.
BID PROTESTS - The Director of Purchasing or his/her representative shall post a tabulation of bids
received along with the intended award recommendations or a short list of proposers on the
bulletin board in the Purchasing Department. Any person allegedly adversely affected by the
decision or intended decision of award must file a written notice of protest within 72 hours after
posting of the award recommendation. This notice must be delivered to the County Administrator
and must contain the following:
1. The protestant's business name, address and phone number
2. The solicitation involved
3. A clear statement as to the grounds of protest (applicable statutes, ordinances,
laws, etc.)
4. Specifically
