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CITY OF SANTA ANA
<br />PROPOSAL
<br />PROJECT NO,: 18-6918
<br />MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION
<br />FEDERAL PROJECT NO: HSIPL 5063 (189)
<br />`Whoomr, being an oflcw, agent, a employes d the United
<br />States, w of any Slate wTask", of whoever, whether a
<br />Perim, association, tmh, wcwpwation, know47gly makes any
<br />iske atakmed, false rapresmlalbn, Of false Milan as b the
<br />character, qubly, quao"ly, or will of the material used a to
<br />be used, or the quadlty w quaglya Ithework performed of to
<br />be performed, Or the cost thereof in connection with the
<br />aWmisabn of plans, maps, sPeckkations, contacts, or calls
<br />of construction on any highway or mleled Project Submitted fa
<br />approval to Iva Secretary of Transportation; or
<br />Whoever knmkVIy makes any false statement, fake
<br />aPmsentatim, false (matt w (at" claim with respect to the
<br />character, quality, gwmny, w cos of sty work performed a to
<br />be Pedwmed, w materials furni8hed or to be furnished, in
<br />cmirection with the construction of airy highway wreland
<br />Project approved by the Secretary of Transportation; a
<br />Molavw knowingly makes any fake stabmenl a fake
<br />representation as to material fad In any statement, cakficate,
<br />Of reps! submalad Pursued to Provisions of the FedaaWid
<br />Roads fit approved July 1, 1915, (39 Slat. 355). ea amended
<br />and supplemented;
<br />Shall be good uMet this "tie aritprkoned notmove ban 5
<br />years a both."
<br />IX. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL.
<br />WATER POLLUTION CONTROL ACT
<br />This Provision is applicable to as Fedomlakl owlslmdlm
<br />contracts and ball misted subconumbi,
<br />By submission of the bldiproposal ot he execution of this
<br />dwdmd, w subcontract, as appropriate, the bidder. proposer,
<br />Fededkam construction contractor, or subcodraclw, as
<br />appropriate, will be deamod to have stipulated as follows:
<br />1, That sly Person w110 k w will be utilized In the
<br />Periwmarwe of Inds contract is net prototided front receNrg an
<br />award due to 8 violation of Section 505 of the Clean Wrier Act
<br />a Section 306 of he Clean Air Ad.
<br />2. That he cmlragw agrees in Whirls w cause to W
<br />Imkidad the requirements of paragraph (1) of this Section X In
<br />Ovary s Wcontmd, and furhw agrees b Who such action as
<br />IN MOOR c"ng agency trey diced as a means of onfadng
<br />Wi:hrequramems.
<br />X. CERTIFICATION REGARDING DEBARMENT,
<br />SUSPENSION, INELIGIBILITY AND VOLUNTARY
<br />EXCLUSION
<br />This provision is applicable to ell Federalaid construction
<br />contmdsAftgn-fund contacts, subcontracts, ImW41W
<br />subcontracts, purchase "tiara, lease agreements, consultant
<br />contacts or any other covered ranaacfion requiring FHWA
<br />approval or that Is estimated to cost $25,000 at mom — as
<br />definer! In 2CFR Paris 180 and 1200,
<br />I. Instructions Iw tariff ballon - First Tier Participants:
<br />a By signing and submd"ng this proposal, tiu proapeclve
<br />fad llarpan"dPart k ptovidlog the codification set out below.
<br />b. The hillbilly of a person In, provide the catlYkal on set od
<br />below will not necessarily fesub In denial of Participation In this
<br />coveed transaction, The prospective Yrsl "a participant shay
<br />submit am oxplanatbn ofwhy n cannot proviso the certification
<br />set out bebw. The 00011on Of exptanaYon will be
<br />cwtsidemd in connection wah the depadmml wagencys
<br />determination whether to enter into the trensadbn. However,
<br />failure Of the prospective first tier participant b famish a
<br />ceitificallort wan MPIMaliD n Shell C1e41,19liy a Udl a person
<br />from Podbpetion in this transaction,
<br />c. The certkicdbn In this clause is a material rnp WOfiratlon
<br />of foci upon Much reliance was placed when Ito contracting
<br />agencydeteanbed to enlerblo Ma transaction, n it is tenor
<br />datermbad that her Prospedkie Panigpanl knowingly rendered
<br />eA anolwous conkketion, in addition b other mmadios
<br />available to the Federal Goverment, Iva contracting agency
<br />may terminate the Imnsectm for MOW of default
<br />d. The prospective first Iles padicpan shag provide
<br />immediate vwktan notice to the contracting agency to whom
<br />this Proposal Is submitted if any time the prospective fist get
<br />participant ]same that As "IWCNIDA was erroneous when
<br />submitted Or fee become sraboua by mason of changed
<br />circumstances.
<br />e. The Imre'coiemd transaction' debarred;'
<br />`suspended,"inatgmlo,"`particpan,"person` 'pdncipd:
<br />anti "vokanlaYy excluded,' as used in this clause, am dotted
<br />in 2 CFR Pala 180 and 1200, "Fib Tier Covered
<br />Tenn imallo tw'ralars to any covered transaction between a
<br />grant" a subgantee d Federal funds and a Participant (sucb
<br />as the Palms of p rural contract). 'Lowy That Covered
<br />Tmnsaidbre'parole to any opvemd"Mad al under a First
<br />Tlar Covered TIMISK(lm Ouch as eubpmntrade), 'Flral Tian
<br />PatbpanP talent to the Panidtxant who has entered Into a
<br />coronet transaction Wei a grantee w subgmnbe Of Federal
<br />funds Oudn as tlu Palm apensral cant air", -Lays Tier
<br />Psdn*aarr 10111111111 any padbparA who has antlered Vold a
<br />tiered transaction W1) a First Tier Poabpanl of other Lower
<br />Th r Participants (such as subcontractors and suppiem).
<br />f. The prospective brat ON palicipad agrees by submatng
<br />this Proposal that. should the proposed covered ransaction be
<br />entered Into, k shall not knowingly enter Into any lower liar
<br />covemtl tmnsadbn with a Racoon Win is debarred,
<br />suspended, declared ineligible, or voluntarily excluded kin
<br />parlicipatbn In this covered Irareac"an, cokes eultortEm by
<br />the department oragency emoring into this lrenssctim
<br />9. mes
<br />sWiWkhg this proposal 111N II 41 fir Ludo thgspoolivit first titur participant h drly aw9lkd
<br />"CerUFcation Regarding Ooli mlod, Suspension, Ineligibility
<br />and Voluntary Fxdrekvrlower Tier Covered Transactions,'
<br />Provided by the department or contacting agency, entering
<br />into this covered transaction, without modification, In all lows,
<br />Her covered transoMms and it all s oicitatlwe fa lower mar
<br />favored tramiWOOM exoaeding the S25,000 threshold.
<br />h. A participant in a covered transaction may rely upon a
<br />certification of a Prospective particpant in a lows, tier Covered
<br />transaction that Is not debated, suspended, ineligible, a
<br />volunlatty excluded from the owered transaction unless it
<br />Nnaws Thal thecmkicalon is eroneous. Apelticipantk
<br />mepmsible for ereaag fell its PdndPak NO not suspended,
<br />debated, or otherwise InafgkNs to Participate in covered
<br />trareacYons, To verify Ibe elg"ty of ns prk*als, m wd as
<br />he e1g,Yility of artylowartier PfmPrrc"ve paricpanta, each
<br />PmkiPOMmay, but is nol required to check ton Excluded
<br />Panes list System wabake MIDMI Avww colation. wfiicn k
<br />nnmpfled ty the General Services AdmInktration.
<br />P-27 of P-52
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