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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 />i. Nolhkmg contained In the foregoing shall be cAmq ed to
<br />aquae the edablstmenl of a system of records in order to
<br />render In good Falh the cedifxalion r nuked by this douse
<br />The knowledge end idormution of the prospedive, participant
<br />is not requked b exceed that which is norm ely possessed by
<br />e pmdenl person In Ills ordinary coWee Of busineeS deaWgs
<br />f Except Ion hanSaellane auludzed under paragraph (I) of
<br />these instructions, if apmlcparll In a covered transaction
<br />knowingly enters into a lower tier covered Irenseciton with a
<br />Person who Is suspended, debarred, Ineligible, or vdudeff y
<br />excluded from participation In Ira transaction. in addition to
<br />other remedies WOH0016 10 he Federal Dovemmerd, the
<br />department or agency very terminate this trmeaclim for cause
<br />a default.
<br />2, Certification Regarding Debarment, Susparrslon,
<br />IosllglbBity and Voluntary Es cluston —First Tier
<br />participants:
<br />a, The prospective first tier padicipml certifies b he heal of
<br />is knowledge and belief. that it and is principals:
<br />(1) Am mil presently debarred, suspended, proposed for
<br />debarment, declared ineligible, orvoanlarsy, excluded (mm
<br />part0poting In corered lansatlons by any Federal
<br />depadmem OF agency:
<br />(2) Have not wihin a Ihrse-yea Period Preceding Ibis
<br />proposal been convicted of or had a civa edgment rendered
<br />el l them forconln iaslon of Baud or a criminal offense in
<br />connechon vxlh oblairing, attempting to obtain, or performing
<br />a Pubic (Fademi. Slate or local) Uarsacdon or conlred under
<br />a pubic Irensadlon; violation of Federal or Slate aMartial
<br />sleldes a commission olembw.amenl, ", forgery.
<br />bribery, falolicalbn adesaudion of records, making false
<br />Vaaments, orrecelving stdon property,
<br />(g Am not presently indicted bra chemise aims navy OF
<br />oMlIv changed by o governmental Artily (Federal, Slate or
<br />WA) with commission of ally of the Offenses emmeraed in
<br />pamgmph (s)(2) of this certtficeton and
<br />(a) Have nor within a Ihreayear period preceding this
<br />applcalbNproposal had we a more Public Baneddions
<br />(Federal, Stale or local) terminated for cause a deadt.
<br />o Whore the prospedNep r dpenl b u cable to snit' to
<br />awl Or Via statements in this canif"llon, suchprospective
<br />panapari ahallauach an explanation to this proposal.
<br />2. Instruction s fa Certifleabon • Lower Tier Particlpanls
<br />(APpicOde to all a,tconlrads, purchase Orders and other
<br />over tier Ifanseclors requiring Aria FHWA approval Or
<br />eslimaled to cost S25,000 wmora • 2 CFR Parts 180 and
<br />1200)
<br />a By agriug awl wbmt ing the proposal. the prospective
<br />lower liar is providing the catficabon sal our below.
<br />IF The cenitcalion in this cause is a natenaf Fepresentelan
<br />Affect upon wNch reliance was paced when this bansedlon
<br />was allerad 1010. l it is later determined that the prospective
<br />I w f tier participant knowingly rendered an ernow u,
<br />carlficalm, IF eddsion to other remat iesavetaae to the
<br />Federal Gevemmert, he depaMwrt, a agency wish which
<br />this BaaacUm originated may pursue available remedies
<br />including suspension aMla debarment,
<br />c. The prospecive lower Ow Pencil shag praide
<br />immediate written notice to the parson to which his proposal Is
<br />submitted If at any Ma the prospective lower liar participant
<br />lenrne trot its cedlkdim was erroneous try reasonol
<br />changed ehatmalances.
<br />d. The was 'CWflAd lansactipm; 'debarmd,'
<br />'suspended" nelgble,'participant: person,''princial,-
<br />and'voluntersy exdudad; as used in this disuse, we dented
<br />in 2 CFR Pads 180 and 1200. You may amlact the person to
<br />which Ibis proposal is submitted or assistance in obahkmg a
<br />copy 011howmgualns. Fist Titer COVKWTraneacoom,
<br />,stare to my covered transaction belween a grenlee a
<br />subgmnlee of Federal funds aid a participant (such as the
<br />Prill Water cordarA, 'Lower Tlar Covered Twitedsil
<br />liters to any covered Ironaa:bon under a Fill Tier Covered
<br />Transaction pu ch As subrwrtlads). -Fhl Tier PaWdpaN'
<br />refers to the partidparl who hall 9rtened Into a covered
<br />trmsacltun with agadee a subgranas of Federal funds
<br />(such as the prime agenemi convador). taus, Tier
<br />Pulgdpent' offs any pergdpant who has enured Into e
<br />covered transaction with a First Tier par Imprint or dher Lower
<br />Tier Participants (such a subrontlactors and suppters)
<br />e. The Rmspoofwe lower Ilex parlicipar nl agrees by
<br />aubmging this proposer that, should the paused cover ad
<br />transaction he enlsred Into if short not knowingly anfor Into
<br />awl lower lief covered Ireraactlon with a person who Is
<br />debarred, suspended, declared Ineligible, a volmlanty
<br />oxdaled from palicipalbn in Inds covered transaction. unless
<br />authorized by the department Of agency with will Ibis
<br />trmsactionorginded.
<br />I. The prospedi" laver tier panicipanl IWllar agrees by
<br />submilling this proposal that it will Include Ibis clause liked
<br />'Celaeelm Regarding Debarment. Suspension, lnelgibli ly
<br />and Vobmary Exclusion -Lower Tier Covered Transaction. -
<br />without modification, in ON lower tiorcovared Ianspdtons and
<br />In at sdidlehms for lower liar covered transactions exceeding
<br />the $25,00011reshdd
<br />g. A pedidpanl in a covered Imnanclion may my, upon a
<br />ceificalon At. pospOctve POdbpenl In O lower liercwaed
<br />transaction theirs not debarred, suspended Ineligible, or
<br />voluntarily excluded from the covered trarseedon unless II
<br />knows that the certification is erroneous, A padicipart is
<br />responsible f rransuring gat Its pnndpas aro not suspended,
<br />dabaaed, a olhervase Invertible to panicipale in covered
<br />trarlsadfana. To verify the elgbgy of ills pnndpals, as was as
<br />11100/91 ihy or any lower tier prospective participants, each
<br />Participant may, but is nor required to, check the Exduded
<br />Parties List System webahe ((gig Is v ), which Is
<br />compiled by the General Services 4dmim5hrebon.
<br />In. Nothing conleinedin he foregoing shall be construed to
<br />recluse asabtetrea of asystem of raeatb In order tormder
<br />in goad faith the cedsicalon required by his clause. The
<br />knowledge andirlonnalion of podfcipunt Is not mq,Ued to
<br />exceed that which is normally, possessed by a pmoenl parson
<br />in he Ordinary course of business dealings.
<br />I, Except for transactions W horued under paragraph a of
<br />these ins0uclone, if a participant in a covered gansedion
<br />knowingly eners Inlos lower liar covered transeclion wih a
<br />Person who is stwimdad, debarred. ineir lHe, Or voanlar ty
<br />excluded from Pen"lon in Ws transaction, In addition to
<br />other remades available to the Federal Government, the
<br />P-28 of P-52
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