Agenda 01/11/2011 Item #16F1
Agenda Item No. 16F1
January 11,2011
Page 1 of 8
EXECUTIVE SUMMARY
Recommendation to approve and authorize the Chairman to sign the
submittal of a Volunteer Fire Assistance Grant Application in the amount of
$4125 to the Florida Division of Forestry for the purpose of purchasing fire
hose for the Brush Vehicles and Class A Foam.
OBJECTIVE: To obtain Board of County Commissioners approval to submit
and authorize the Chairman to sign the Volunteer Fire Assistance matching
(50/50) grant in the amount of $4125 for the purpose of purchasing fire hose for
the Brush Vehicles and Class A Foam.
CONSIDERATIONS: Ochopee Fire Control District has submitted and received
this type of grant from the Florida Division of Forestry for the past 32 years. The
grant has been used to purchase equipment to improve firefighter safety and
firefighting capabilities. Ochopee Fire Control District currently has two 6x6 five
ton vehicles on loan from the Division of Forestry that the Department is
outfitting. The fire hose to be purchased would be used on these vehicles. The
Class A Foam would also be used for brush fire containment. The 50/50 grant
will allow Ochopee Fire Control District to complete outfitting the Forestry
vehicles and increase the Departments suppression power by acquiring more
foam for brush fire season. This equipment is also a potential boost of resources
for Ochopee Fire Control District increasing fire protection of life and property
especially during the current budget constraints making the grant most beneficial.
FISCAL IMPACT: The total cost of the fire hose and Class A Foam is $4125.
As this is a 50/50 matching grant, the division of Forestry will pay $2062.50
leaving the Ochopee Fire Control district to provide $2062.50 from Reserves
Fund 146 (Ochopee Fire Control). Following award, budget amendments will be
needed to recognize grant funds in Fund 713, Bureau of Emergency Services
Grants and to transfer matching funds to Fund 714, Bureau of Emergency
Services.
GROWTH MANAGEMENT IMPACT: None.
LEGAL CONSIDERATION: This item has been reviewed by the County
Attorney's Office, requires majority vote, and is legally sufficient for Board Action.
-CMG
Agenda Item No. 16F1
January 11, 2011
Page 2 of 8
RECOMMENDATION: That the Board of County Commissioners approves and
authorizes the Chairman to sign the submittal of a Volunteer Fire Assistance
Grant application in the amount of $4125 to purchase Fire Hose and Class A
Foam.
Prepared by: Alan McLaughlin, Fire Chief
Item Number:
Item Summary:
Meeting Date:
Agenda Item No. 16F1
January 11, 2011
Page 3 of 8
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
16F1
Recommendation to approve and authorize the Chairman to sign the submittal of a Volunteer
Fire Assistance Grant Application in the amount of $4,125 to the Florida Division of Forestry
for the purpose of purchasing fire hose for the Brush Vehicles and Class A Foam.
1/11/2011 9:00:00 AM
Approved By
Joshua Thomas
Administrative Services
Division
Grants Support Specialist
Date
Administrative Services Division
12/9/20103:11 PM
Approved By
Dan E. Summers
Bureau of Emergency
Services and Emergency
Management
Director of Emergency Services
Date
Bureau of Emergency Services and
Emergency Management
12/13/2010 2:42 PM
Approved By
OMB Coordinator
County Manager's Office
Date
Office of Management & Budget
12/17/20109:44 AM
Approved By
Jeff Klatzkow
County Attorney
Date
Approved By
12/21/20101:39 PM
Sherry Pryor
Office of Management &
Budget
Management! Budget Analyst, Senior
Date
Office of Management & Budget
1/4/20119:04 AM
Approved By
Colieen Greene
County Attorney
Assistant County Attorney
Date
County Attorney
1/5/20119:22 AM
Approved By
Leo E. Ochs, Jr.
County Managers Office
County Manager
Date
County Managers Office
1/5/2011 9:24 AM
l.to
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January 11, 2011
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Florida Department 0' Agrlcuftwe and ConaumerServlCea
OM,fon 0' FOrNII)'
VOLUNTEER PIR! Ae81~TANOE GRANT APPLlOATION
I
C_IItIl.M4tItM
C_JIA
FORAI OF OR~l\HIlAnON: (I.IUilldpDI. Fico U4~, /(on-rcOlL
Dependent Fire Conlrol District
Tl
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IS fiRE ~PMT I lOOAIED CORl'OMIED lO~'M7
VES III No 0 'f'ves,tw.I&OFTlWM: fiivergladQs Clly
POPUlATION 01' l'OWH:1 ~-"""-.
'. 378 CVMEt'fCOOPEAAllVEAORuEIdENTWllII DOn VI!SIII NOO
PROTtOlEOAIIFA: E$r.POl'I/L4T1o.'/.trO. filE: (S~.I.btf6)~
! ''tlOU 11'100 1I1,9TANCEOFCLosr;srMUTUAlAlOfmEDEPAArf.leHnj32""
fW.'E OF AREOE'WWJErm Ea~ Na lea FlrEt Plat .-
\'dP,TlS,TH!f1~O!PAAmENTI'OM'lNOl f6- -
ISfIRE IlEPAAlIJEl4TtI/M8 COl\},LLa,Nt1 Yl!S Ii) HO 0
IlUM8En OF flRf.fIOHTEft&: PAlO: '17.... VOll1N1EEfll: f6 NAS ""'L1DANT RECElVCiD GIWITfUnos P/WMAHy 60URCE ,.,
' JI( lllePASrt2MOHtJ1S7 YE81l1 NOD '. -"--.,
NO. Of II/ClllE~lTSPAfrrYEAR:, nftClIM'/)F{RE:l3f-" ornER: 1473 IF Yea. WHtiRE7 fFjOrlda DivIsIon oT Forestry
NO, OF FIItEF1GHIERSCERJlf.IEOAll: ... I . .
VIILfJlAHOFIREF/GHrE/fl ,n'" mUltAll~FIkEF'ClHrEIlIII- AMOUNT; ~ 4,q14,6~
LIST TOlAlFUllllll RfOEIYrO Fnl>>.! 01Hl!R 'rl\l(tUoAUTHO~lnE5
SllClI A8 CJ . OOI1H~ T,...x~'lIlIllIlTRlCTS(l>,,112 r.leanll
AMOUl/T: ,
1.\.I.K!:JYIU.\ODtL PUMP'CAPAl;ITY. GPl.1) WJ.TEn CAPACITY (a.~.)
Eme!@!!9 One 911 0505 12M 10QO
Walker ~O 3000
6 x6 73 260 750/1100
Ood e 6500 260 350
l!$n~WED OM~n fUllllmo RcoufsT:41P.6 USrOfEQUlPlJiflTORSUPI'UeSlO PUftCIIASl!WltH G~TFU/lDS:
I'fofRAl &2062.60 !.'UMBER DESCRIPTION "MOUNT
APPlIcAlIT '2 062.60 1 Fire Hose for Bn.tsh units 2 '700
counTY ~ 2 Glass A fOl!m 1.426
rOTAl. 84 125
(Fedllll nC>i rnci'O Ihan 50YI 01101,1. AppJcalllellBa$t 6~ of
lo!alltlllla!(Mns rUn~..)
WIlIlldel$ltoo lIIelll1l, 1$ D 60 pelC4llll'llf.ldlooln COil.smt. prOflrlllll (Cooper..... Fllr,$fIy Anls/tnto kl 01 tOre, PL. $5.~13). Mil thalfllndt on1u
d.potl\ \Ill to 60 W<elll ollha a,11I1I Furdles. pdc.OIllttll,ms 'PpI'ovtd I'dII be comn4llia III OUt fll6l.,t TO THe BEST OF My I<NO'M.EOOE MOO
e!:lIEF.AU. MfA W T/il$APP~ICATIONAAI; 1nUltANo CO"~Rl!c'r. THE GOVERNINQ poor OP'lllUPPLlCANr HAs DULY AlITHORl2EO
TI.~O.o;qUMetlT.
)p.o ':!Ito t .I'~' TIIIJ TettpllOl\' ,,~ {239! 695.4 H 4
ChaIrman F,A,Xl '239 1695-3473
IIIfIl;
proved as to form & legal sufficiency
: Ams'r.
DWIGHT E. BROCK, Clerk
ene
AssIstant County ltbmey
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o:ttn AllprO\'ll1 No, OJ48.0040
t\SSURANCES.. NON-CONSTRUCTION PROGRAMS
Note: Cerlllln ofthe$e assurlln<<s may nol ba applicable to your project or progron!, (f)'ou have quesllolls, plellse conlllcllbe awarding llgency.
Further, certain Federal awarding &iencles'mll.>' require applicanlS to certl!')' 10 additional nSSl1t8nces, l(such Is Ihc case, you will be
notined.
As the dul)" authorized reale.cnlllli\'e anllc Ilj)DHcan11 cerlilY IImt IIle BDplkanl:
I, Hos lhe legal aUlhoril)' to cppl)' for Fedcrol assislance, and Ihe
Inslltulional, mallngerlnl lInd li'laneial cn(l:lbllicy (lllcludhlg filllds
sun1clent 10 (l'lY lhe non-Federal shole of project costs) 10 enSUle
prop~r plaMing. management nnd. complellon' of (he project
descrIbed in Ibis npplicallon.
2. WlIIgh-e the awarding ascuc)', the Comptroller Gcceml oft&e
United Slales, and If appropriale, !lll: Slole, IhlOt1gh any nulhoriz~d
r~preseJllali\'e, aCce~ Ie nnd the. rIght 10 el;nmine nil records, books,
papers, qr 9o)cllllleDl~ re!aled 10 tbe ownrd, Dntl will es,lablish n pro~r
accounting S}'slem in Ilcconlnnce willi ~enerall}' accepled nccounling
slnndar4s or ogcne}' direclh-es.
3. Will eslobli,h safeguards 10 prollibll elllplo)'e~s from usIng
their )loSilions for li pUrJlose Ih~t constitutes or presenls Iho
nppcarnllc': of personal or orgnnlzationnl C~lRmCI of inlerc,l, or
per:;onnl goill,
4, WiIIlnhlate ll~d COl1lplel~ lhe work withIn tlle opplicnble lime
frnlne nner recdpt of approval onlle awording ogene}'.
5. Will comply wilh lhe lntergo\'trllruenlal Personnel Act of InO
(42 U.S.('~ ~~ 472&.476.3) rclatin~ 10 prescrihed slnncl;1fqs. for IlIqil
s)'slems for programs funded under one of the nineteen statutc~ or
r'cgulniioDs sptcilkti in i)ppcnui,-: A of OP~i's Slllllli;tcds ror a M~rit
System ofPersollnci Adlllinhlmliou(S C.P.R. 900, Sllbp:ut f}.
6. Will COJl1plr with all Fedcrnl statutes relating 10
llllndiscrirulnalioli, These inclu~e but ore not Iill\ilCd !o: (a)Tilk VI,
of the Ch'i1 Rights At! of /964 (P.I,. 38-352) \\11lch prohibits
discrimination on Ih~ \l;lSis ofn1ce, calor or natiollal ~rjginj (b) Title
IX of the. tdueatlon Amcndmcnts of {!In. as amenned (20 U.S.C. ~~
16&1-1633, end /685.1686). \dlich prolllbils distrlruhlOlioll olllhe
bJsls of sex; (c) Section 50~ bf the Rehabililalion Act of 1973, nS
M'lcndcd (If) V.S.C, S 19~>, WhIch Prohibits discrimlnatiOll on th.e
basis of hmdicapsi (d) Ihc Age Discrimination Act of /975, {IS
amended (42 V.S.C. S~ 6101.6HI7), wllklt prohibits discrimination
on the basis of ngei
(e) Ihe Drug Abuse OOkc nnd Trealment Acl of 1972 (P,I... 92.
255), as nnltnded, relnting to nontliscrirnlnalion on the D;lSis of deug
nblls~; (f) Ille Comprel1cnsh-e Alcohol Abuse and A lcoholislll
Pre\'ention, TlcDlm.:nt olld RellobilUalioQ ^ct of /970 (P,L. 91.616).
os nmended, rclating to nondiscrimination on (he h~sis of alcohol
nuus<: or alcoholism, (g) ~~ 523 nnd 521 of tin> Public H~allh Smke
Act.oJ 1912 (42 U.S.C. 29().dd.3lUld 290 ee-3), os nnlended, relaling
to conlldenlialit}' of aleohollllld drug nbuse patient records; (h) title
ViII Ofn,~ eMI Rights Ae! of 1968 (42 U,S.C.!} 3601 el scq.), oi
Dmended, [clating 10 nondiscrrmination in the sale, renlal or financing
of hou~lng; (I) lllI>' olher nondjscrlmin~lion pro\'isions in the speelfic
slohtfe(s} unckr whicll bpplknlion for Pederal llSsislnnce (s being
IIlll<ki an~ (j) IIle rcqulrcmcnl$ of nnj' other lloildiserlmlnatlon
statute{s) ",hieh nlal' npp1r to rhe Dppliclltiou, .
7. Will comply, or has olreod)' complied, with Ihe requIrements of
Titles II ond \I( of the Unifoml Reloca'tion Assistance nnd Real
Propert)' Acqulshlon Policies Act of 1!>70 (p.r.. '961.G4~) which
peo,' fde for fair and equitable treolmenl of persons displaced or
whO$~ propcrt)'ls atqnir~d lIS11 result of Federal or feetrally ossisled
programs, 'these requlrclllen\s apply t<! nil (n(eresls In rell! pr~pert>.
i1cquiled for project purposcs regardless of Federal parlielJl3tioll III
purch3SCs,
8. Will COlllpll' with lhe pro\isiol!s 9fthc Helllth Act (5 U,S.C. ~S
150/,1508 1II1d 7324-7328) which limit the pollliCIIlllcli\'lties of
emp1o}'ees whose princiJl31 empIO)'lUelll acth'ities nre funded in
",holt orin part with Federal/huds.
9, Will campi)', lI$ opplicable, \\;tll lite provisions of the Da\'ls.
Becon Acl NO U,S.C. ~~ 2763 10 2163.1). the Copelond Acl (40
U.S.C. ~ 276c and III V.S.C, ~~ 8N), and the Contenct Work Hours
lluc1 8:1fel)' St1ndards Act (40 U.S.C, ~s 327':l33), regnrding Inl:01
stalldards fOr' rederilll)' assisted conslnlclion sub~grwllenls.
10, Will compl}', IT npplkllblc, with flood insur;'tllcc vurch~se
requiremcnls of Section 102 (n) oflhe flood Dis:iSler ProlecticlIl Act
of 1973 (['.L.. 93.fl4)' which requircs rc~ipicitls 1!1l! ~pCdlll flood
hll2nrd orca 10 pmictp~to Inll:e
progr~m nnd to Jiur~ha'~~ flood ln~uran~ iflhe (olal cesl of i.llsurablc
cOlIslmcltollond Acqulsilfon of~1 0.000 or more.
l1. Will compl)' with cn\'irJluncnlal slandards which 1lIi1)' t>e
prc5crlbcd pursuant fa the following: (3) instihltloll of cnVirOlllllCI!\3J
qua lily control measllres under the i,'o1lional F.m.jronmcnla\ Poilcj'
Aet of 1969 (p.L. 91-190) Qlld E);e~ulh'e Order (EO) /,15!4; (il)
lIo11flrolion of \'lolnllng f.1cililles pUT$uaul 10 EO 11738; (c)
proleclioll ofwel1all~~ pucs!l:lllllo EO 11990; (d) c\'aluntioll offl06d
h:izllIds In floodplains In ~ccord;nc.: with no I I !1M; (e) assurancc of
project consIstency with Ih~ oppro\'ed Slale mnnngcmcnl progqllll
developed' under lhe Coastal Zone Mnllngtment Acl of 1972 (J 6
U.S.C. ~~ 1~151 ~t se<1.); (I) cC!lfolmll)' QfFedernl aclion~ to S[~te
(Clear IIlr) Imptenlenlalion P)3IlS unMr Seelion 176(c~ of lhe Clear
Air Ael o;f 195.5, os nntended (42 V.S.C. ~. 7401 cl se.q.)i (g)
protcetion of !rndergrolllld 60\lrC~S 'of drlnkl~g ~\'lllcr under Ihe S~fe
Drinkhlg Waler Ael of 1974, as amended, (p,I,. 93-523)i fiOd (h)
prolecllon of endangered species [lnder the End:lngered S~cies Act
of j 973. O~ amended, (P.L.93.20S).
&~'
12. \Viii cempl)' wllh illc Wild nnd SccrJtc River. Act of 1%8 (16
U.S.C. ~~ 1211 cls-cq.) rdote<llo pmlectlng compoll~nts or po[enllal
components of the notional wild nnd s-.-cnic rivers systelU. .
V, 13.5 (02105)
Author!zed for Loeal Reproduction
Standard Form ~24B (9.03)Ple~(rilxd by OMB Circulu A-tO!
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13.: Will nssisllhe IIwardtllg ng~nc)'11I assuring cOJllplllll)cc \1'1111
Section 106 or the Natfonal fIIstorlc Preservalion Att of 1966, 0$
llmen(fed (16 U.s.C. 470), EO 11593 (identification IUld prolcclion of
historic properties), nnd tM Arebeologkal and Hlslode Presel\'31lon
Ael orI974 (16 U.S.C. oI69l1-hlseq.). .
14, Will comJlI}' \\'1111 P.L. 93-348 regarding tho protection or
human subJec/s Invoh'ed In research, development, Dnd rellltcd
Bellvltles supported by IM~ award orasslstallce.
IS. Will compl)' with tlle LobolllIOI)' Animal Welrare Act of l%G
(P.L. 89-544, as pmended, 7 U.S.C. 2131 el seq.) pel13lnlng 10 the
care, handling, ond treatment nfwann blooded animals held ror
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
APPLICANT ORGANIZATION
Collier County Board of Commissioners
/!x) roved a.s to form & legal sufficiency
Colleen Greene,
Assistant County Attorney
..,(.....,
research, teachillg. or olher nclh'llles SULlllOrtcd b)' Ibis nWIlft! of
nssislullt'e.
16. Will campI)' \\ilb lhe Lend.Bosed Pain! PoIsoning Pr.mnlion
Acl (42 U.S.C. ~~ 4301 el seq.) whIch prohibits Ihe use onead based
poiln! In conslruclloll or rehnbllllo.lion of residence stRIctures.
17. Will couse to ~ performed tlie required fln:mclnJ ond
complinllcc audits In accordance wllb the Single Audit Acl of 1984.
18. Will compI)' with nil ;ppllcllblo requlremeols of nil olher
Federal lal\'s. execnli\'C! ordell, r~glllallons ;nd pollch:s go\'cmlng
Ihls program,
TITLE
Chairman, Board of County Commissioners
DATE
SUBMITTED
\',11.6 (OUO$)
, Aulhorlzed for Lo~al ReprodUction)
Sr3nd.id 1'0ln1 ~WJ (9.0)
!'ff>rriblil b)' mlB Circular ,\.]02
ATTEST:
DWIGHT e. BROCK. Olerk
By:
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JanDaryl1, 201 1'.~
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FormAD-JO/7MlJ
u. S. DEPARTMENT OF AGRlCULTURE
Certification Regarding Debarment, Suspension. and Other
ResponslbJJity Matters. Primary Covered Transactions
Tius cerllficalloll is req\lired bj' lite regulatlons Implementing Executive Order 12549, Debarmenland Suspension.
7 CFR Pari 3017, Scelion 3017.510, Participants' responsibjlilies. The regulations were published as Pari TV ofthe
January 30, 1989, Federal Rttdsler(pages 4722-4733). Copies oflbe regulations III1\Y be obll'llllcd by contacting rhe
Department of Agriculture agency oflering the proposed covered transaction.
(Before camp/tUng ct/tlfiration. read inSlfuel/ons on reverse.)
(I) The prospectivl: primnry participont certifics 10 the best oflls knowledge nnd belief, that illlnd Its principals:
(a) ore nol prc~clllly debarred, suspeudcd, proposed for debarment, declared iucligl~le, or volulltarlly
e:.:c111ded from covered transllcliollS by nil}' Federal department or agency;
(b) luwe nol \\1Ihin n three-)'cnr period preceding this proposal been convictcd of or had 0 civil judgnlcnt
rendered agninst them forconunission offrnud or 11 criminal oftcnseill connection with obtaining,
i1tfeillpth!g to obtain, C!I performing n public (Federal, Slate or Lcc~l) transaction or cOlllmct undcr n
public trnllsnclion; violalion ofPcdcral or Stlllollntitnlst SIIlI\lIC~ or cOlllmission ofcmbl!zzlcmcnl,thcft,
forgery, lJribery, falsification or desln\cliolJ ofrceords, making folse slatcmcut~, or receiving slolen
properly;
(c) lire nol presently indicted fQr or otherwise crimilllllly or civilly chai'ged by n' govcmniclllal enlity
(Federal, Slale or Local) with coJililltSsion ofnny ofthe oflclIscs cimOlerillcd ill paragraph ([)(b) oHhis
certification; mid
Cd) IHIVe !lot within ~ Ihree-)'ear periOd precedi.ng Ihls App1lcalion/propos3! jlnd olle OJ more publi.c
Im,usn.cHons (Federal, Sl!ltc or Locnl) tejm.inaled for cause lir d~rall\t.
(2) Where the prosllccti\'C prilll3ry finrlicip311t is unable [0 cerlify 10 nil)' oflhe slalcniellts iL\ Ihis cCl'lificalioll,
sllch prospective parlicipnlll shall nunch 1111 exp\aunlionlo this proposal.
O.'IG.-.NllAHO.v ,.UIIE
PRltll,lWW NU.\ffJEJ~OR PR(ljECr MU.W
Collier County Board of ,County
Commissioners
"A..\fEM,[)lITle()FAumiJ.~/ZeD REfRfSEJlftlTll'E
Ochopee Fire Control District
SIGMI1URE
mre
Approved as to form & legal sufficiency
~
Colleen Greene,
Assistant County Attorney
ATTEST:
DWIGHT E. BROOK, ClerIc
By:
i
"''':;'~~.~~~''::
;:f...;;,~,:,;'~X;2:,:~:;j:C/i:;';!':>"',::.':f.~ii': .:':i:';<i:;; ~\;.?;,~~:'.::1,,;,'i:~(:&~~~ndasi~~,iiJtl:ii6}':2tl}Xi'~~&',: ."
:.:,.' ',. . ..;: '. " January::'f:r:; 2011' . ';.
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Foml AD-l041 (/I1l)(RE'lERSEJ
iNSTRUCTIONS FOR CERTIFICATION
l. By signing and submlUing this fonn, the prospeclive primary pDrlicipant is providing the mliflealion set out
on Ihe reverse side illllccordance wlll1lhesc Iustrucllolls. _
2. The inability OrA person 10 provide (he cerllfication required below willliot nccessarily result ill denlnl of
parliclpation In this covered transaction, The pro~pective participant shll\l sublUillln ellplallaliQn of why il
cannol provide Ihe <;crlificalion set out on Ihis form. 'lit\: certification or explmultioll \vill be considered In
conneclion with Ihe departlUent or ageneys determination whetilcr 10 enler WIO this Iflliisactioll. However,
fililnre oftbe prospecHve primaryparlieipollllo filmisll n cerlificalion or nn explanallon shall disqualify such
person from parlicipallon IlIlhls lransuclion.
3. The cerlificallon in Ihis clause is 8 material represenlation of fact upon wldeh reliance was placed when lhe
department or agency determined 10 enler into this transaclioll. rnl is laler delermined lhallhe prosp'cctivc
primal)' partieipanl knol\1ngly rendered an erroneous cerlificalion,In addifionle olher remedies nVluloble 10
lhe Pedel'lIl OO\termilenl, Ihe deparhnent Qr agency lIlay termlnale this IrRilsnclloll fOl' CQuse or de1h,ull.
4. The prospective primary particlpaut shqll provide Immcdinte wrillell1\otice 10 Ihe deparlment 01' ~gellcy 10
wlloni this proposal is Sublllilled ifnl !IllY lque fhe prospeclh'e primary parlidpallll~nrns Ihat its ccrlificnlioll
W/lS errOlltOns WhCll submitted or has become crroneOllS by reason of c1muged circlmlslallces.
5, The lerms "covered lmusnclion," udeb.,rred," '!slls~llded'" "iueligible," "lower lier covered transaction,"
"par([cipanl," "person," "primary c(lv~red IratlS;lCtion," "principal," "proposal," Rnd "\'oIUlilllri!y excluded," as
u~ed in this clause, bnv~ Ihe meanings seI oul ill the Definifiolls nnd Coverage secUons aflhe. rules
implementing Bxecutive Order 12549. YOllll111~' conlaclthe department or agency 10 which fhls proposnlls
being s\lbiniUed for assisfallce in obtaining a copy ofthose regulations. .
6. The prospective primary parlicipanlllgi:ees 1;lyslIbn)ifting Ih.is (onil fhat, should Uie propo~cd cOVeTcd
transaction be entercd info, it shall \lol knowingly enter Into Illl)' lower tier co\'crcd !mnsacHcn with n person
who is deb~rred, suspended, declared ineligible. or \'olnnlarHy excluded frolll pnrlicipalion iUlllis covered
transaction, unless milborizcd by the: dcparttllcill or agency cntcri1lg IIlIO this transuel [oli.
7. The prosp~c~ive pril!l~r~' parlicipanl {\trther agrees bY:;\l~llltlliug [his form Ihat it wii! inclllqe tbis clause
tilled "Certification Regarding Debarmelll, SlISpcnsioll,lndigibili!y and Volullfary Exclusion. Lower Tier
Cql'crcd Trnnsaclfolls," provided ~y the depnrlmcnt9f agency en te'riug into [,his covcreo trilllsac,tioil, withollt
l\lodilienlioll, ill nlllowcr licr covered transaclions ond ill nil ~olieilations for Jow'er lier covered transactions.
8. A parlicip:lllt III n covered frallSllc!ion l1la,rre1y upon n certificntion orn prospective IlMt!dpanl in a lower lieI'
cOI'ered Iransaeliolllhat It is I\oi debarred, s\lspended, illellgible, or vohllllarily excluded fcollltlle covered
transaeliolJ, unless it kuowslhal tbe cerl,ifieation is errOIl~OUS. A pnrliciptiul iuay de~id~ the method and
fi'cque1lcy by \\11ieh it delermines Ihe eligibilit}' orits principals. Each participant may. but is not required 10,
check fhe Nonprocureme,nt Lisf.
9. Nothing contained inlhe foregoing shall be colls[m~d 10 require e5tRb1i5111ne~11 ofn system of records in order
10 render in good fnitl1lhceerllficnlloll reqitircd by this clanso. The knowledg~ and informalion of!!
participnnt is !Jol required to exceed Ihal which is notnllilly possessed by a pn1rlent person in Ihe ordiIliH)'
course ofbuswess dealings.
iO. EKeept for !rnnsaclions authorized under paragraph 6 oflhese inSlrttclions. If a participant ilt l\ covered
Ifllnsnclion ktlo\'iingly cliters info a lower fier covered fransE\elion with 1\ perSOll WllO is suspended, debarred,
ineligible, or VOhllltllri~y excluded from parlicipation in Ihis Irans:lctioll, in addition 10 olher remedi~
available to the Federal Goverml\~lll, lhe deparhocnl or agency may l~rl11innte this Irallsaclion for cause or
d~ftllllt.
2