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DocuSign Envelope ID:D137EDD8-37EA-4DA6-8627-255EDCGB496B <br /> State of Washington Department of Ecology Page 14 of 24 <br /> Agreement No: OTGP-2022-EverPW-00093 <br /> Project Title: Everett Smelter Plume(ESP)Cleanup Site Drainage Project <br /> Recipient Name: City of Everett <br /> 7. RECIPIENT/CONTRACTOR acknowledges that failing to disclose the information required in the Code of Federal <br /> Regulations may result in the delay or negation of this funding agreement, or pursuance of legal remedies, including <br /> suspension and debarment. <br /> 8. RECIPIENT/CONTRACTOR agrees to keep proof in its agreement file,that it,and all lower tier recipients or <br /> contractors,are not suspended or debarred, and will make this proof available to ECOLOGY before requests for <br /> reimbursements will be approved for payment.RECIPIENT/CONTRACTOR must run a search in <br /> <http://www.sam.gov>and print a copy of completed searches to document proof of compliance. <br /> B.FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT(FFATA)REPORTING <br /> REQUIREMENTS: <br /> CONTRACTOR/RECIPIENT must complete the FFATA Data Collection Form(ECY 070-395)and return it with the <br /> signed agreement to ECOLOGY. <br /> Any CONTRACTOR/RECIPIENT that meets each of the criteria below must report compensation for its five <br /> top executives using the FFATA Data Collection Form. <br /> • Receives more than$25,000 in federal funds under this award. <br /> • Receives more than 80 percent of its annual gross revenues from federal funds. <br /> • Receives more than$25,000,000 in annual federal funds. <br /> Ecology will not pay any invoices until it has received a completed and signed FFATA Data Collection Form.Ecology is <br /> required to report the FFATA information for federally funded agreements, including the required DUNS number, at <br /> www.fsrs.gov<http://www.fsrs.gov/>within 30 days of agreement signature. The FFATA information will be available to <br /> the public at www.usaspending.gov<http://www.usaspending.gov/>. <br /> For more details on FFATA requirements, see www.fsrs.gov<http://www.fsrs.gov/>. <br /> C. FEDERAL FUNDING PROHIBITION ON CERTAIN TELECOMMUNICATIONS OR VIDEO SURVEILLANCE <br /> SERVICES OR EQUIPMENT: <br /> As required by 2 CFR 200.216, federal grant or loan recipients and subrecipients are prohibited from obligating or expending <br /> loan or grant funds to: <br /> 1. Procure or obtain; <br /> 2. Extend or renew a contract to procure or obtain;or <br /> 3. Enter into a contract(or extend or renew a contract)to procure or obtain equipment, services,or systems that use <br /> covered telecommunications equipment,video surveillance services or services as a substantial or essential component <br /> of any system,or as critical technology as part of any system.As described in Public Law 115-232 <br /> <https://www.govinfo.gov/content/pkg/PLAW-115pub1232/pdf/PLAW-115pub1232.pdf>, section 889,covered <br /> telecommunications equipment is telecommunications equipment produced by Huawei Technologies Company or ZTE <br /> Corporation(or any subsidiary or affiliate of such entities). <br /> Recipients,subrecipients, and borrowers also may not use federal funds to purchase certain prohibited equipment, systems, or <br /> services, including equipment, systems,or services produced or provided by entities identified in section 889, are recorded in <br /> the System for Award Management(SAM)<https://sam.gov/SAM/>exclusion list. <br /> Template Version 12/10/2020 <br />