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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 VI 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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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.
(b) 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.
(c) 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.
(3) 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 request the relief to which the protestant deems itself entitled.
Failure to file a written notice of protest within the time period specified shall result in
relinquishment of all rights of protest by the vendor.
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BUY AMERICA
POST DELIVERY CERTIFICATION
The undersigned Okaloosa County employee certifies that he/she has inspected the below listed
vehicle for compliance with Title 49 of the CFR, Part 663 (Buy America). This assures that at least
60% of the total costs of all components in the completed vehicle were secured from
manufacturers in the United States and that final assembly of the vehicle took place in the United
States, unless an attached waiver from the Federal Transit Administration is included. This
provision does not apply to purchases with a total contract price of $100,000.00 or less.
Date
Vehicle Description
VIN #
Vendor/Source
Purchasing Employee Name
(Printed/Typed)
Signature
Okaloosa Coordinated Transit
Employee Name (Printed/Typed)
Signature
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GOVERNMENT DEBARMENT AND SUSPENSION
INSTRUCTIONS
1. By signing and submitting this proposal, the prospective low tier participant is providing
the certification set out below.
2. The certification in this clause is a material representation of fact upon which reliance was
placed when this transaction was entered into. If it is later determined that the
prospective lower tier participant knowingly rendered an erroneous certification, in
addition to other remedies available to the Federal government, the department or
agency with which this transaction originated may pursue available remedies, including
suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the person
to whom this proposal is submitted if at any time the prospective lower tier participant
learns that its certification was erroneous when submitted or has become erroneous by
reason of changed circumstances.
4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered
transaction," "participant," "person," "primary covered transaction," "principal," "proposal,"
and "voluntarily excluded," as used in this clause, have the meanings set out in the
Definitions and Coverage sections of rules implementing Executive Order 12549. You
may contact the person to which this proposal is submitted for assistance in obtaining a
copy of those regulations.
5. The prospective lower tier participant agrees by submitting this proposal that should the
proposed covered transaction be entered into, it shall not knowingly enter into any lower
tier covered transaction with a person who is debarred, suspended, declared ineligible,
or voluntarily excluded from participation in this covered transaction, unless authorized by
the department or agency with whom this transaction originated.
6. The prospective lower tier participant further agrees by submitting this proposal that it will
include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion-Lower Tier Covered Transactions" without modification in all lower tier
covered transactions and in all solicitations for lower tier covered transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction that it is not debarred, suspended,
ineligible or voluntarily excluded from the covered transaction unless it knows that the
certification is erroneous. A participant may decide the method and frequency by
which it determines the eligibility of its principals. Each participant may, but is not
required to, check the Non-procurement List (Telephone Number).
8. Nothing contained in the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification required by this clause.
The knowledge and information of a participant is not required to exceed that which is
normally possessed by a prudent person in the ordinary course of business dealings.
9. Except for transactions authorized under paragraph 5 of these instructions, if a
participant in a covered transaction knowingly enters into a lower tier covered
transaction with a person who is suspended, debarred, ineligible or voluntarily excluded
from participation in this transaction, in addition to other remedies available to the
Federal government, the department or agency with whom this transaction originated
may pursue available remedies, including suspension and/or debarment.
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CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY
AND VOLUNTARY EXCLUSION
LOWER TIER COVERED TRANSACTIONS
This certification is required by the regulations implementing Executive Order 12549, Debarment
and Suspension, 49 CFG Part 29, Participants' Responsibilities.
(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ABOVE)
(1) The prospective lower tier participant certifies, by submission of this proposal, that neither it
nor its principals are presently debarred, suspended, proposed for debarment,
declared ineligible or voluntarily excluded from participation in this transaction by any
Federal department or agency.
(2) Where the prospective lower tier participant is unable to certify to any of the statements in
this certification, such prospective participant shall attach an explanation to this
proposal.
Name and Title of Authorized Representative
Signature Date
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PROGRAM FRAUD AND FALSE OR FRAUDULENT
STATEMENTS OR RELATED ACTS
1. The Contractor acknowledges that the provisions of the Program Fraud Civil Remedies
Act of 1986, as amended, 31 U.S.C. §§ 3801 et seq and U.S. DOT regulations, "Program
Fraud Civil Remedies," 49 CFR Part 31, apply to its actions pertaining to this project. Upon
execution of the underlying contract, the Contractor
