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DocuSign Envelope ID:82CF488E-D010-423F-A510-7E548D1 F9C38 <br /> State of Washington Department of Ecology Page 34 of 44 <br /> Agreement No: WQC-2022-EverPW-00030 <br /> Project Title: Water Quality Retrofit/Improvements,City of Everett's Programmatic Effort <br /> Recipient Name: City of Everett <br /> ECOLOGY for assistance in obtaining a copy of those regulations. <br /> 4. The RECIPIENT/CONTRACTOR agrees it shall not knowingly enter into any lower tier covered transaction with a <br /> person who is proposed for debarment under the applicable Code of Federal Regulations,debarred,suspended, <br /> declared ineligible,or voluntarily excluded from participation in this covered transaction. <br /> 5. The RECIPIENT/CONTRACTOR further agrees by signing this agreement,that it will include this clause titled <br /> "CERTIFICATION REGARDING SUSPENSION,DEBARMENT,INELIGIBILITY OR VOLUNTARY <br /> EXCLUSION"without modification in all lower tier covered transactions and in all solicitations for lower tier covered <br /> transactions. <br /> 6. Pursuant to 2CFR180.330,the RECIPIENT/CONTRACTOR is responsible for ensuring that any lower tier covered <br /> transaction complies with certification of suspension and debarment requirements. <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$30,000 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 Unique Entity Identifier in <br /> www.sam.gov<httD://www.sam.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 /> Template Version 12/10/2020 <br />