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Okaloosa County BOCC — April 27, 2013 — Okaloosa County Purchasing Manual-5 — reading text
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I have since contacted
this merchant and canceled the order. I will refuse delivery should the merchandise still
8. be sent.
Merchandise Returned:
My account has been charged for the transaction listed above, but the merchandise
has been returned. Provide a description of the circumstances. (Please include postal
9. receipt if applicable.)
Inadequate Description/Unrecognized Charge:
I do not recognize this charge. Please supply a copy of the sales draft for my review.
10. I am no longer disputing this charge.
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OKALOOSA COUNTY
PURCHASING CARD AGREEMENT
I, , agree to the following regarding my use of the Purchasing Card:
(Print Name)
1. I understand that I am being entrusted with a valuable tool and will be financially
obligating Okaloosa County and will strive to obtain the best value for the taxpayers of
Okaloosa County.
2. I understand that under no circumstances will I use the Purchasing Card to make
personal purchases. Willful intent to use the Purchasing Card for personal use may result
in disciplinary actions, including termination of employment.
3. I will follow the established procedures for using the Purchasing Card. Failure to do so
may result in the revocation of my use privileges or other disciplinary actions.
Additionally, I will follow all County purchasing requirements.
4. I have been given a copy of the Purchasing Card Manual and understand the
requirements for using the Purchasing Card.
5. I agree that should I violate the terms of this Agreement and use the Purchasing Card for
personal use or gain, I will reimburse the County for all incurred charges and any fees
related to the collection of those charges.
Employee Name (Print)
Employee Signature/Date
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BID ATTACHMENTS
The following are requirements that shall be included in all bid specifications (Special Conditions
section) for projects that are funded through/by the U.S. Department of Transportation, Federal
Transit Administration. Okaloosa County reserves the right to reject any/all bids that are submitted
incomplete or without these documents.
1. Buy America
2. Bus Testing
3. Lobbying
4. Clean Air
5. Civil Rights
6. Bid Protests
7. Government Debarment and Suspension
8. Fraud
9. The Purchasing Director has the authority and responsibility to ensure Federal requirements
are met regarding all procurements of goods and services utilizing FTA Funds. That person
will also have the ability to stop any procurement activity if it conflicts with Federal
procurement practices.
10. The Okaloosa County Coordinated Transportation Office shall ensure that all required
portions of the Uniform Administrative Requirements for Grants & Cooperative Agreements
(49CFR-Part 18 & Circular 4220 are complied with.
11. The Purchasing Department & Okaloosa Coordinated Transit will maintain current copies of
the above documents and familiarize themselves with the requirements.
12. Okaloosa Coordinated Transit shall maintain a written record of all purchases utilizing FTA
funds showing the purpose of the expenditure.
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FEDERAL TRANSIT ADMINISTRATION REQUIREMENTS
UNDER 49 CFR, PARTS 18 AND 19,
AND CIRCULAR 4220
BUY AMERICA - The contractor agrees to comply with 49 U.S.C. 5323(j) and 49 CFR Part 661 which
provide that Federal funds may not be obligated unless steel, iron, and manufactured products
used in FTA-funded projects are produced in the United States, unless a waiver has been granted
by FTA or the product is subject to a general waiver. General waivers are listed in 49 CFR 661.7
and include final assembly in the United States for 15 passenger vans and 15 passenger wagons
produced by Chrysler Corporation, microcomputer equipment, software, and small purchases
(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 content.
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 (see attached form) 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 1 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) If 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
Disclosure 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 documents 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, et seq., apply to this certification
and disclosure, if any.
