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Page 10 of 21State of Washington Department of Ecology <br />Agreement No: <br />Project Title: <br />Recipient Name: <br />WQSWCAP-2527-EverPW-00216 <br />2025-2027 Biennial Stormwater Capacity Grant <br />City of Everett <br />Funding Distribution Summary <br />Recipient / Ecology Share <br />Recipient Share Ecology Share TotalRecipient Match %Funding Distribution Name <br />$$$%120,000.00 120,000.000.000.002025-2027 Biennial <br />Stormwater Capacity Grant <br />Total $$0.00 120,000.00 $120,000.00 <br />AGREEMENT SPECIFIC TERMS AND CONDITIONS <br />N/A <br />SPECIAL TERMS AND CONDITIONS <br />GENERAL FEDERAL CONDITIONS <br />If a portion or all of the funds for this agreement are provided through federal funding sources or this <br />agreement is used to match a federal grant award, the following terms and conditions apply to you. <br />A. CERTIFICATION REGARDING SUSPENSION, DEBARMENT, INELIGIBILITY OR VOLUNTARY <br /> EXCLUSION: <br />1.The RECIPIENT/CONTRACTOR, by signing this agreement, certifies that it is not suspended, debarred, <br />proposed for debarment, declared ineligible or otherwise excluded from contracting with the federal <br />government, or from receiving contracts paid for with federal funds. If the RECIPIENT/CONTRACTOR is <br />unable to certify to the statements contained in the certification, they must provide an explanation as to why they <br />cannot. <br />2.The RECIPIENT/CONTRACTOR shall provide immediate written notice to ECOLOGY if at any time the <br />RECIPIENT/CONTRACTOR learns that its certification was erroneous when submitted or had become <br />erroneous by reason of changed circumstances. <br />3.The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, <br />person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have <br />the meaning set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. <br />You may contact 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 <br />with a person who is proposed for debarment under the applicable Code of Federal Regulations, debarred, <br />suspended, 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 />Template Version 12/10/2020 <br />Docusign Envelope ID: 1C2BBF95-3789-4F02-8D35-22CE8495E4D0