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State of Washington Department of Ecology Page 15 of 25 <br /> Agreement No: SEASMP-1719-EverPD-00013 <br /> Project Title: Shoreline Master Program—Periodic Review <br /> Recipient Name: City of Everett-Planning Department <br /> Funding Distribution Summary <br /> Recipient/Ecology Share <br /> Funding Distribution Name Recipient Match % Recipient Share Ecology Share Total <br /> Environmental Legacy 0.00 % $ 0.00 $ 30,000.00 $ 30,000.00 <br /> Stewardship Account(ELSA) <br /> Total $ 0.00 S 30,000.00 S 30,000.00 <br /> AGREEMENT SPECIFIC TERMS AND CONDITIONS <br /> N/A <br /> SPECIAL TERMS AND CONDITIONS <br /> The RECIPIENT will negotiate the task deliverable due dates with ECOLOGY's Project Manager. <br /> The task deliverable due dates will be managed by and through the Deliverable Due Date form located on the <br /> Application Menu—Forms page in EAGL.(Note:This form does not automatically print out with the agreement). <br /> The RECIPIENT will coordinate and keep track of these dates with ECOLOGY's Project Manager and will note any <br /> changes on the quarterly progress reports. <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 /> Version 10/30/2015 <br />