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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 />'Wtindvnr, being an oflcer, agent, oremploym of the United
<br />States, or of my State or Tentory, or whoever, whether a
<br />person, association. In, or corporation, knowingly makes any
<br />false statement, false representation, orfalse report as b the
<br />charaaar, qua9y, quantlly,a Cast ofhhe material used OF to
<br />be usetl, a the quandly orqually of Ihework pedomied or to
<br />be Pertained. or he met thereof in connectort wih the
<br />submission of plena, maps, specllkalbns, contracts, propels
<br />of construction Oct any highway or related project submitted for
<br />approval to he Secretory of Transportation; or
<br />Whoever knowingly makes any false statement, false
<br />representation, (also report or false claim with respect to (e
<br />Chmider, quafty, quantity, or cost of any wok partitioned a to
<br />be Pedorned, or materials furnished or to be furnished, in
<br />correction with the construction of any highway or related
<br />Project approved by the 3eaataryof Transpoestion; or
<br />Whoever knowingly makes any false stalamenl orfmse
<br />to presentation as to material fact In any statement, cwi fimle,
<br />or report submitted Pursuant to pmvidons of the Fedardakl
<br />Bonds Oct approved July 1, 1916, (39 Stal. 355). as amended
<br />and suppemmled;
<br />Shad be Road under this fills a fmp is Wed not men han 5
<br />Years or bcth."
<br />OL IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL
<br />WATER POLLUTION CONTROL ACT
<br />This Prooddm Is applicable to ON Faderalaid combuction
<br />Contracts Ord b all related subcontracts.
<br />By submission of his bidlpmpostel or Ito execufim or this
<br />contract, or subcomrd, as appropriate, the bidder, proposer,
<br />FederLaid construction contractor, or subcoandfor, as
<br />appropriate, will be deemed to have stipulated as follows.
<br />1. That ate person who Is orwdl he utiOted in the
<br />Pe f rewire of this contract is net PmWOd from daceldng an
<br />award due to a viola8on of Sedan 508 of he Clean Water Act
<br />or Section 306 of he Clean Air Act.
<br />2. That he contactor agrees b include or cause to be
<br />included the aquienleols of pomgmph (i) of this Section X in
<br />every subcontract, and further agrees b lake such action as
<br />he oontrscting agency my dial as a means of enlacing
<br />suchrequiemenla.
<br />X. CE RTIFICATION REGARDING DEBARMENT,
<br />SUSPENSION, INELIGIBILITY AND VOLUNTARY
<br />EXCLUSION
<br />This provision is appkable, to at FedealaM constrdim
<br />contacts, dedgn•b id contracts, subcontracts, imaralar
<br />oubcontreds, purchase "don. lease agreements, consultant
<br />controls orany other covered transaclm requiring FHWA
<br />approved Of that is estimated to coal S25,000 or mom — as
<br />defined In 2CFR Pads 180 and 1200,
<br />I. Instructions lor Certification — Flat Tier Participants:
<br />a By signing and submitting this proposal, he prospective
<br />feel tier participant Is providing the certification eel out below.
<br />b. The InabiTly of a person to provide he certification set oul
<br />below Ail not necessady result in denial of participation In this
<br />covered trareacthm. The prospective ksl nor Participant shag
<br />submi an expatiation of why I cannot provide the certification
<br />set or1 below. The cedMicalon or explanation will be
<br />corretdefed in camadtbn with the depmmenl oragencys
<br />determination whether to enter Into this trensed'gn. However,
<br />failure of the prospective firm lie(penlfoipanl to fumish a
<br />cerg8calon wan expenation del disqualify Ouch a person
<br />from participation In this transaction.
<br />c. The codification in this clause is a material representation
<br />of fact upon which ralieme was placed when the contracting
<br />agency deleanked to enter into this turns action. If it is later
<br />determined Unit he prospective partkdpant knowingly rendered
<br />an monition cans imtion, In addition to other remedies
<br />available to be Federal Government. he contracting agency
<br />may terminate this hmraadion for cause ofdafaua.
<br />d. The prospect" first IW parficpmt shad provide
<br />Immediate written MOO& to the contracting agency to wtem
<br />this proposed Is submitted If any bite the prospective first fiat
<br />participant lama Ind b ca ficallon was motmo swhen
<br />submitted "has become amo eas by mason of changad
<br />circumstances.
<br />e. The terms 'cwerod irortsedhon" "ddrrred,"
<br />`suspemled,"neliglbla,"`perticpant,"parson' Vdnoipd`
<br />and'boluntarty excluded; as used in Ills clause, am defined
<br />In 2 CFR Parts 180 and 1200. 'Flel Tier Covered
<br />TrmisadlerN' colds tomiy oalared trai eattlmbahwdl a
<br />grandee or subgnntm of Federal furls and a participant (such
<br />as he prima or genre( asrdrac0. 'Lower Tle(Covered
<br />Trsnsadiorq" refer b any adorned trenracg nmidara Flat
<br />Tqr C0leted Trmeadlm (such der aubCbdrnda). 'Flat Tier
<br />Participant. deters to the ponl ipaflt who has entered Into a
<br />covered transaction Win a grantee or subgmntee Of Federal
<br />Male ouch as the ovine Of general caritrackr). 'Lower Tier
<br />PantapOre MUM any participant who has mrbred Into a
<br />covered transaction with a Fist Tier Participant a other Lower
<br />Tier Partldpants, (such as suboadrectom and suppiesm).
<br />f. The pmspodive het tier perfidPera agrees by submadng
<br />ids proposal that, should the proposed covered transaction be
<br />entered into, 0 that not knowingly enter Into any lower tier
<br />commit transaction With a pamort who is debarred.
<br />suspended, declared ineligible, a voluntadly tocluded koa
<br />participation in this eoverd moseclion, unless authorized by
<br />lie deparkned oragency enledng into (his lrmsaction
<br />gg The prospective first (in( parmiant further agaes by
<br />oWmtko this Proposal Ind It wil Include the clause t)ged
<br />'Cafffeallon Regarding Delimited. Suspension, Inelghlly
<br />and Voluntary ExefuslonLowar Tier Covered Transactions,"
<br />provided by the department a contracting agency, entering
<br />Into this covered transaction, without modification, in all lower
<br />flat covered transactions and in all soiicilatorm for lower Ida
<br />covered transactions exceeding the $25,000 threshold.
<br />h. A padkdporil in a covered trmsaclm may rely upon a
<br />cortlmhion of a prospective participant in a lower tier covered
<br />transaction hat is not debased, suspandad, inallgiXe, or
<br />voluntarily excluded from he covered transaction unless X
<br />knowsthdthecandkalonisenonsous. Apstthdpantls
<br />raponsib O for ensuing that its Principals we not suspended,
<br />debsrtad, orotharwise Ineligible to participate in covered
<br />earsaclons. To vedfy the eliUM(y of is prbwjpals, as wdl as
<br />lie *11001y of any lower tier proapediva padicipents, each
<br />padkApanimay, M!f is not requked lo, check he Exduded
<br />Panes List System wetraile fhIgL1Avww,.Wls.now which s
<br />camplod by ltie General Stakes Admnialralio n,
<br />P-27 of P-52
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