05-006.00 WSDOT: Pines Mansfield Corridor Congestion ReliefKcal Agency Federal Aid
Project Prospectus
You may petition for a review of our findings pertaining to any
redacted or withheld documents pursuant to Spokane Valley
Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.
Date
■ Supersedes Pre ' s Editions ■
Prefix
Route ( )
27 Date 2/8/2005
WSDOT Federal Employer I— REDACTED
Federal Aid
Project Number
CM
Local Agency
Project Number
SRTC04 -21
(Use Only) Tax ID Number
Agency
Federal Program Title
City of Spokane Valley
® 20.205 ❑ 20.209 ❑ Other
Project Title
Start Latitude N
Start Longitude W
Pines/Mansfield Corridor Congestion Relief
End Latitude N
End. Longitude W
Project Termini From
To
Pines at Indiana
Wilbur at Montgomery
From: To:
Length of Project
Award Type
0.75 miles
I ® Local ❑ Local Forces ❑ State ❑ Railroad
Federal Agency
City Number
County Number
County Name
WSDOT Region
I
® FHWA ® Others
1223
32
1 Spokane
EAST
Congressional District
Legislative Districts
Urban Area Number
TMA / MPO / RTPO
5
4
2
SRTC
Total
Local Agency?
Federal Funds
Phase Start
Phase
Estimated Cost
Funding
Date
(Nearest Hundred Dollar) ...
(Nearest Hundred Dollar )
(Nearest Hundred Dollar
Month Year ..: .
P.E.
$307,000
$217,100
$89,900
2/2005
RM/
$725,000
$512,700
$212,300
5/2005
Const.
$2,931,800
$2,073,500
$858,300
5/2006
Total
$3,963,800
$2,803,300
$1,160,500
Description of Existing FAclll (Existing Design and Present Condition)
Roadway Width
Number of Lanes
1
18
2
The current LOS of the existing facility is "F ". Within the last three years of collision data available, there have been 84
reported collisions in the Pines Rd./Indiana Avenue corridor of which 42 were multiple injury accidents. Most of the collisions
reported were moving rear end collisions. There was one pedestrian accident, several angle accidents and one head on accident.
The general structural condition of Wilbur Road between Montgomery Road and Mansfield Ave is average with a condition
rating of 59.8 based on the WSDOT rating method. The general structrual condition of Mansfield Ave. is poor with a conditon
rating of 21.
Description of Proposed Work
Roadway Width
Number of Lanes
® New Construction ❑ 3 -R ❑ 2 -R
46
3
This project will reconfigure the WB ramps of I -90 at SR -27 (Pines Rd.), using the existing slip ramps to Indiana Ave. and
Montgomery Ave. WB off -ramp traffic will use the slip ramp to a signalized intersection at Indiana Avenue. WB on -ramp
traffic will use the slip ramp at Montgomery Avenue. To improve operation of the WB on -ramp and ensure safety, the portion
of Montgomery Ave. between Pines Rd. and the slip ramp will be one -way, westbound only. Therefore, to provide access to
Pines Rd. for the properties west of Pines Rd., Mansfield Ave. will be improved to a three -lane section, with a traffic signal at
the intersection of Mansfield Ave. & Pines Rd. Curb, gutter, sidewalks and bike lanes will also be constructed. In addition, a
signal will be installed at the Mirabeau Pkwy & Pines Rd. intersection to bring this intersection up to an acceptable LOS.
Local Agency Contact Person
Title
Phone
Steve M. Worley, P.E.
Senior Capital Projects Engineer
509- 688 -0191
Mailing Address
City
State
Zip Code
11707 E. Sprague Avenue, Suite 106
Spokane Valley
WA
99206
This document contains confidential tax information and
has been redacted pursuant to RCW 82.32.330. Approving Professional Engineer
You may petition for a review of our findings pertaining to any
redacted or withheld documents pursuant to Spokane Valley
Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.
Date
■ Supersedes Pre ' s Editions ■
A92nGY Project Title Date
City of.Spokane'Vallcy Pines/Mansfield Corridor Congestion Relief 21812005
Geometric Design Data
Year
Property
� rtY
Carnage
Accidents
Iniury Accidents
Fatal Accidents
Description
plumber of
Accidents
Through Route
Number of
Accidents
Crossroad
Federal
Functional
Classification
Urban
❑ Rural
0 principal Arterial
C1 Minor Arterial
C, collector
❑ Major Collector
❑ Minor Collector
❑ Access StreetfRoad
❑ Principal Arterial
19 ® Minor Arterial
❑ Collector
❑ Major CQ11ador
❑ Rufal ❑ Minor Collector
❑ Access 5treetlRoad
Terrain
® Flat
❑ Roll ❑ Mountain
0 Flat
❑ Roll ❑ Mountain
Posted Speed
35
35
Design Speed
45
45
Ex� M!R9 ADT
16758
7354
Design Year ADT
NIA
R'1A
Deslgn Year
2025
2025
_
Design Hourly Volume (DHV)
'NIA
h'1A
Accident - 3 Year' Experience
Year
Property
� rtY
Carnage
Accidents
Iniury Accidents
Fatal Accidents
Total plumber
of Accidents,
plumber of
Accidents
plumber of
Injuries
Number of
Accidents
Number of
Fatalities
1999 -2002
42
42
84
Performance of Work
Plaliminmy Engineering Will Be Perfarmed By
Others
Agency
Spokane County & WSDOT
] 00 %
%
Construction Will Be Pe formed By
Contract
Agency
ConVtiCtOr
100 %
°la
Envirvnirrlental Classification.
❑ Final ® Pr8liminary
❑ Class I - Envirunmerital Impact Statement (EIS) i Class II - Categorically Exduded (CE)
❑ Project Involves NEPAfSEPA Section Q4 ❑ Projects Requiring Documentation
interagency Agregment (Documented GE)
❑ Class III - Environmental Assessment (EA)
❑ Project Involves NEPAfSEPA Section 404
Interagency Agreament
Environmental Con5id5*00rt9
gOT Form 140,101 =F Page 2 of 3
Rowlsed $112002
Agency Project Title Date
City of Spokane Valley I Pines/Mansfield Corridor Congestion Relief 2/8/2005
Right of Way
❑ No Right of Way Required
® Right of Way Required
* All construction required by the
®No Relocatjon El Relocation Required
contract can be accomplished
within the existing right of way.
Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project
FAA Involvement
Is any airport located within 3.2 kilometers (2 miles) of the proposed project? ❑ Yes ® No
Remarks
This project has been reviewed by the legislative body of the administration agency or agencies, or it's designee, and is
not inconsistent with the agency's comprehensive plan for community development.
Agency
Date %� ' J� By
City of Spokane Valley
DOT Foan 140 -101 EF Page 3 of 3
Revised 1=002
� Washington State L
VI/ Department of Transportation
Agency City of Spokane Valley
Address C/O Public Works Department
11707 L. Sprague Avenue
Spokane Valley, WA 99206
Lo(_';'] Agency Agreement
CFDA No. 20.205
(Catalog of Federal Domestic Assistance)
Project No.
Agreement No.
For OSC WSDOT Use Only
The Local Agency haAng complied, or hereby agreeing to comply, with the terms and conditions set fortis in (t) Tide 23, U.S. Code Highways. (2) the regulations issued
pursuant thereto. (3) Ofr= of Management and Budget Circulars A402, A -97 and AA 33, (4) the policies and procedures promulgated by the Washington State
Department of Transponation, and (5) the federal aid project agreement entered into between the State and Federal Government, relative to the above project, the
Washington State Department of Transportation will authorize the Local Agency to proceed on the project by a separate notification. Federal funds which are to be
obligated for the project may not exceed the amount shown herein on line r, column 3, without written authority by the State, subject to the approval of the Federal
Highway Administration. All project costs not reimbursed by the Federal Government shall be the responsibility of the Local Agency.
Project Description
Name Pines/Mansfield Corridor Congestion Relief Length 0.75 miles
Termini Pines Road
Description of Work
This project will reconfigure the N13 ramps of 1 -90 at SR -27 (Pines Rd.), using the existing slip ramps to Indiana Ave.
and .Montgomery Ave. Mansfield Ave. will be improved to a three -lane section, with a traffic signal at the intersection of
Mansfield Ave. R Pines Rd. Curb, gutter, sidewalks and bike lanes will also be constructed. In addition, a signal will be
installed at the Mirabeau PkNky & Pines Rd. intersection.
Type of Work
Estimate of Funding
(1)
Estimated Total
Project Funds
(2)
Estimated Agency
I Funds
(3)
Estimated
Federal Funds
PE a. Agency
86.5 % b —Qtber (Spo. Co.)
c. Other
Federal Aid d State
Participation .
Ratio for PE e, Total PE Cost Estimate a +ly +c +d
10,000.001
1,350.00
8,650.00
97,015.001
13.097.00
83 918.00
200,000.00
u 27,000.00
173,000.00
307,015.00
41,447.00
265,568.00
Right of Way f. Apenc
% _g _QJ Consultant
h. Other
Federal Aid i. State
Participation
Ratio for RW Total RNV Cost Estimate f+ +h +i
N
p
A
d
Construction k. Contract
I. Other
m. Other
n. Other
o. Agency
Federal Aid . State
Participation
Ratio for CN Q. Total CN Cost Estimate k +l +m +n +o+
r. Total Project Cost Estimate (e +j +q)
307,015.001
41,447-001
265,568.00
Agency Official
By
Washington State Department of Transportation
By
Title City Manager Assistant Secretary for Highways and Local Programs
City of SpnkaueyalleX Date Executed
DOT Form 140.039 EF
Revised 10J02
- Construction Method of Fines :., : — :: ig (Check Method Sarected)
State Ad and Award
❑ Method A - Advance Payment - Agency Share of total construction cost (based on contract award)
❑ Method B - Withhold from gas tax the Agency's share of total construction cost (line 4, column 2) in the amount of
at $
Local Force or Local Ad and Award
® Method C - Agency cost incurred with partial reimbursement
Provisions
I. Scope of Work
per month for
months.
The Local Agency further stipulates that pursuant to said Title 23, regulations and policies and procedures, and as a
condition to payment of the federal funds obligated, it accepts and will comply with the applicable provisions set forth
below. Adopted by official action on
The Agency slurll provide all the work, labor, maierials, and services necessary
to perform the project which is described and set forth in detail in the `Project
Oescript:ion" and "Type of Work."
When the Suite acts for and on behalf of ilte Agency, the State shall be deemed
an agent of the Agency and shall perform the services described and indicated in
"Type of Work" on the face of this agreement, in accordance with plans and
specifications as proposed by the Agency and approved by the State and the
Federal 1•iigliway Administration.
When the State acts for the Agency but is not subject to the right of control by
the Agency, the State shall have the right to perform the work subject to the
ordinary procedures of the State and Federal Highway Administration.
II. Delegation of Authority
The State is willing to fulfill the responsibilities to the Federal Government by
the administration of this project. The Agenry agrees that the State shall have the
full authority to carry out this administration. The State shall review, process, and
approve documents required for federal aid reimbursement in accordance with
federal requirements. If the Suite advertises and awards the contract, the State
csill further act for the Agency in all matters concerning the project as requested
by the Agency. If the Local Agency advertises and awards the project, the State
shall review the work: to ensure conformity with the approved plans and
specifications.
III. Project Administration
Certain types of work and services shall be provided by the State on this
project as requested by the Agency and described in the Type of Worts above. In
addition, the State will furnish qualified personnel for the supervision and
inspection of the work in progress. On [,coal Agency advertised and awarded
projects, the supervision and 'inspection shall be limited to ensuring all work is in
conformance with approved plans, specifications, and federal aid requirements.
Tlic salary of such engineer or other supervisor and all other salaries and costs
incurred by State forces upon the project will be considered a cost thereof. All
costs related to this project incurred by empitiyccs of the State in the customary
manner on highway payrolls and vouchers shall be charged as costs of the
project
IV. Availability of Records
All project records in support of all costs incurred and actual expenditures
kept by the Agency are to be maintained in accordance with local government
accounting procedures prescribed by the Washington State Auditor's Office,
the U.S. Department of Transportation, and the Washington State Department
of Transportation. The records shall be open in inspection by the State and
Federal Government at all reasonable times and shall be retained and made
available for such inspection for a period of not less than three years from the
final payment of any federal aid funds to the Agency. Copies of said records
shall be furnished to the State and/or Federal Government upon request
V. Compliance with Provisions
The Agency shall not incur an), federal aid participation costs on any
classification of work on this project until authorized in writing by the State for
each classification. The classifications of work for projects tire:
DOT Form 140 -439 EF
Revised 10,'1)2
, Resolution /Ordinance No.
1. Preliminary engineering.
2. Right of way acquisition.
3. Project construction,
In the event that right of way acquisition, or actual construction of the road, for
which preliminary engineering is undertaken is not started by the closing of the tenth
fiscal year following the fiscal year in which the agreement is executed, the Agency
will repay to the State the sum or sums of fcdctal fiords paid to the Agency under the
terms of this agreement (sce Section IA'),
The Agency agrees that all stages of construction necessary to provide the initially
planned complete facility within the limits of this project will conform to at least the
minimum values set by approved statewide design standards applicable to this class
of highw•ays, even though such additional work is financed without federal aid
participation.
The Agency agrees that on federal aid highway construction projects, the current
federal aid regulations which apply to liquidated damages relative to the basis of
federal participation in the project cosi shall be applicable in the event the contractor
fails to complete the contract within the contract time_
VI. Payment and Partial Reimbursement
The total cost of the pmjeca, including all review and engineering casts and
other expenses of the State, is to be paid by the Agency and by the Federal
Government Federal funding shall be in accordance with the Transportation
Equity Act for the 21st Century CIFA 21), as amended, and Office of
Management and Budget circulars A -102. A -87 and A -133. The State shall not
be ultimately responsible for any of the costs of tie project. The Agency shall be
ultimately responsible for all costs associated with the project which are not
reimbursed by the Federal Government. Nothing in this agreement shall be
consumed as a promise by the State as to the amount or nature of federal
participation in this project,
The Agency shall bill the state for federal aid project costs incurred in conformity
with applicable federal and state laws. The agency shall mimimizc the time elapsed
between receipt of federal aid funds and subsequent payment of incurred costs_
Expenditures by the Local Agency for maintenance, general administration,
supervision, and other overhead shall not be eligible for federal participation unless
an indirect cost plan has been approved by WSDOT.
The State will pay for State incurred costs on the project Following
payment, the State shall bill the Federal Government for reimhursemcnt of
those costs eligible for federal participation to die extent that such costs are
attributable and properly allocable to this project. The State shall bill the
Agency for that portion of State costs which were not reimbursed by the
Federal Government (see Section IX).
1. Project Construction Costs
Project construction financing will be accomplished by one of the three
methods as indicated in this agreement,
Method A — The Agency will place with the r';. _ ,tswithin (20) days after the
execution of the construction contrect, an advance in the amount of the
Agency's share of the total construction cost based on the contract award. Tire
State will notify the Agency of the exact amuunt to be deposited with the State.
The State will pay all costs incurred under the contract upon presentation of
progress billings from the contractor, Following such payments, die State will
submit a billing to the Federal Government fbr the federal aid participation
share of the cost. When the project is substantially completed and final actual
costs of the project can be determined, the State will present the Agency with a
final billing showing the amount due the State or die amount due the Agency.
This billing will he cleared by either a payment from the Agency to the State of
by a refund from ttie State to the Agency.
Method B — The Agency's share of the total construction cost as shown on
the foe of this agreement shall be withheld from its monthly fuel tax
allotments. The face of this agrixment establishes the months in which the
withholding shall take place and the exact amount to be withheld each month.
The extent of withholding will be confirmed by letter from the State at the time
of contract awtird. Upon receipt of progress billings horn the contractor, the
State will submit such billings to the Federal Government for payment of its
participating portion of such billings.
Method C —The Agency tray submit vouchers to the State in the format
prescribed by the State, in duplicate; not more than once per month for those
costs eligible for Federal participation to the extent that such costs are directly
attributable and properly allocable to this project Exp rldhures by the Local
Agency for maintenance, general administration, supervision, and other
overhead shall not be eligible for Federal participation unless claimed under a
previously approved indirect cost plan.
The State shall reimburse the Agency for the Federal share of eligible project
costs up to the amount shown on the face of this agreement. At the time of
audit, the Agency will provide documentation of ail costs incurred on the
project
The State shall bill the Agency for all costs incurred by the State relative to
the project. The State shall also bill the Agency for the federal funds paid by
the State to the Agency for project cost which are subsequently determined to
be ineligible for federal participation (see Section 1X).
VII. Audit of Federal Consultant Contracts
The Agency, if services of a consultant are required, shall be responsible for
audit of the consultant's records to determine eligible federal aid costs on the
project. The report of said audit shall be in the Agency's files and made
available to the State and die Federal Government.
An audit shall be conducted by the WSDOT Internal Audit Office in
accordance with generally accepted governmental auditing standards as
issued by the United States General Accounting Office by the Comptroller
General of the United States; WSDOT Manual M 27 -50, Consultant
Authoriastion, Selection, and Agreement Administration; memoranda of
understanding between WSDOT and F'HWA; and Office of Management
and Budget Circular A -133.
if upon audit it is found that overpayment or participation of federal
money in ineligible iienns of cost has occurred, the Agency shall reimburse
the State for the amount of such overpayment or excess participation (see
Section IX).
VIII. Single Audit Act
The Agency, as a subrecipieat of federal funds, shall adhere to the federal
Office of Management and Budget (OMB) Circular A -133 as well as all
applicable federal and state statutes and regulations. A subrecipient who
expends S300,000 or more in federal awards from all sources during a given
fiscal year shall have a single or program- spetific audit performed for that
year in accordance with the provisions of OMB Circular A -133. Upon
conclusion of the A -133 audit, the Agency shall be responsible for ensuring
that a copy of the report is transmitted promptly to the State.
IX. Payment of Billing
The Agency agrees that if payment or arrangement for payrnent of any of
the State's billing relative to the project (e.g.. State force work, project
cancellation, overpayment, cost ineligible for federal participation, cue.) is not
made to the State within 45 days after the Agency has been billed, the State
shall effect reimbursement of the total sum due from the regular monthly fuel
tax allotments to the Agency from the Motor Vehicle Fund. No additional
Federal project funding will be approved until full payment is received unless
otherwise directed the Assistant Secretary for Highways and Local Programs.
DOT Form 140.039 EF
Revised 10102
X. Traffic Control N, ding, Marking, and Roadway
Maintenance
The A eency will not permit any changes to be made in the provisions for parking
regulations and uafiic control on this project without prior approval of the State and
Federal Highway Administration. The Agency will not ins tall or permit to be
installed any signs, signals, or markings not In conformance with the standards
approved by the Federal Highway Administration and MUfCD. The Agency will,
Eli its own expense, maintain the improvement covered by this agreement.
XI. Indemnity
The Agency shall hold the Federal Government and the State harmless from and
shall process and defend at its own expense all claims, demands, or suits, whether at
lain or equity brought against the Agency. State, or Federal C.rovemment, arising
from the Agency's execution, performance, or failure to perform any of the
provisions of this agreement, or of any other agreement or contract connected with
this agrertnent, or arising by reason of the participation of the State or Federal
Government in the project, PROVIDED, nothing herein shall require the Agency to
reimburse the State or the Federal Govcmment for damages arising out of bodily
injury to persons or damage to property caused by or resulting from the sole
negligence of the Federal Government or the State.
No liability shall attach to the State or Federal Government except as expressly
provided herebi.
Xll. Nondiscrimination Provision
The Agency shall not discriminate on the basis of race, color, national origin, or
sex in the award and performance of any USDOT- assisted contract and/or
agreement or in the administration of its DBE program or the requirements of 49
CFR Part 26. The Agency shall take all necessary and reasonable steps under 49
CFR Pan 26 to ensure nondiscrimination in the award and administration of
USDOT- assisted contra: -ts and agreements. The WSDOT's DBE program, as
required by 49 CFR Part 26 and as approved by US Dar, is incorporated by
ref ntim in this agreement Implementation of this program is a legal obligation
and failure to carry out its terms shall be treated as a violatinn of this agreement
Upon notification to the Agency of its failure to carry out its approved program, tlue
Department may impose sanctions as provided for under Part 26 and may, in
appropriate cases, refer the matter for enforcement under 18 U.S.C. 1001 and/or the
Program Fraud Civil Remedies Act of 1986 (31 U.S.C. 3801 et scq.).
The .Agency hereby agrees that it will incorporate or cause to be incorporated 'unto
any contract for construction work, or modification thereof, as defined in the rules
and regulations of the Secaetany of Labor in 41 CFR Chapter 60, which is paid for in
whole or in part with funds obtained from the Federal Government or borrowed on
the credit of the Federal Government pursuant to a grant, contract, loan, insurance,
or guarantee or understanding pursuant to any federal program bivohing such grant,
contract, loan, insurance, or guarantee, the required contract provisions for
Federal -.Aid Contracts (FHWA 1273), loccted in Chapter 44 of the Local Agency
Guidelines.
The Agency further agrees that it will be bound by the above equal opportunity
clause with respect to its cmm employment practices when it participates in
federally assisted construction work: Provided, that if the applicant so
participating is a State or Local Goverttment,.the above equal opportunity clause
is not applicable to any agency, insmimcnteliry. or subdivision of such
goverunem which does not participate in work on or under the contract.
The Agency also agrees:
(1) To assist and cooperate actively with the State in obtaining the compliance of
contractors and subcontractors with the equal opportunity clause and rules,
regulations, and relevant orders of the Secretary of Labor.
(2) To furnish the State such information as it may require for the supenision of
such compliance and that it will otherwise assist the State in the discharge of its
primary responsibility for securing compliance.
(3) To refrain from entering into any contract or contract modification subject to
Executive Order 11246 of September 24, 1965, with a contractor debarred from, or
who has not demonstrated eligibility for, government contracts and federally
assisted construction contracts pursuant to the Executive Order.
(4) To carry out such sanctions and penalties for violation of the equal
opportunity clause as may be imposed upon contractors and subcontractors by the
State, Federal Highway Administration, or the Secretary of Labor pursuant to Pan
If, subpart D of the Executive Order.
• I - I
In addition, the Agency agrees that if it fails or rm6ses to comply with these
undertakings: the State may take any or all of the fnllowing actions:
(a) Cancel, terminate, or suspend this agreement in whole or in part;
(b) Refrain from extending any further assistance to the Agency under the
progrtun w'itt respect to which the failure or refusal occurred until satisfactot)-
assurance of future compliance has been received from the Agency, and
(c) Refer the case to die Department oflustiee for appropriate legal proceedings.
XIII. Liquidated Damages
The Agency hereby agrees that the liquidated damages provisions of 23 CFR
Part 635, Subpart 127, as supplemented, relative to the amount of Federal
participation in the project cost, shall be applicable in the event the contractor
fails to complete the contract within the arrntract tittle_ Failure to include
liquidated damages provision will not relieve the Agency from reduction of
federal participation in accordance with this paragraph.
XIV. Termination for Public Convenience
The Secretary of the Washington State Department of Transportation may
terminate the contract in whole, or from time to time in part, whenever:
(1) The requisite federal funding becomes unavailable through failure of
appropriation or otherwise.
(2) The contractor is prevented from proceeding with the work Eu a direct
result of an Executive Order of the President with respect to the prosecution of
war or in the interest of national defense, or an Executive Order of the
President or Governor of the State with respect to the preservation of energy
resources.
(3) The contractor is prevented from proceeding with the work by reason of
a preliminary, special, or permanent restraining order of a court of competent
jurisdiction when the issuance of sash order is primarily caused by the acts or
omissions of persons or agencies other then the contractor.
(4) The Secretary determines that such termination is in the best interests of
the State.
DOT Form sag -age EF
Revised 10102
XV. Venue for Ch ._. ! and/or Causes of Action
For the convenience of the parties to this contract, it is agreed that any claims
and/or causes of action which the Local Agency has against the State of
Washington, growing nut of this contract or the project with which it is
concerned, shall be brought ml �- in the Superior Court for Thurston County.
XVI. Certification Regarding the Restrictions of the Use
of Federal Funds for Lobbying
The approving authority oertifies, to die best of his or her knowledge and belief,
char
(1) No federal appropriatod bands have been paid or will be paid, by or on behalf
Of the undersigned, to any person for influencing or attempting to influence an
officer or employee of any federal agency, a member of Congress, an officer or
employee of Congress, or an emplc}.e of a member of Congress in connection with
the awarding of any federal contract, the making of any federal grant, the making of
any federal loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of any federal contract, grant,
loan, or cooperative agreement
(2) If any funds other than federal appropriated funds have been paid or will be
paid to any person for influencing or attempting to influence an officer or employee
of any federal agency, a member of Congress, an officer or employee of Congress,
or an employee of a member of Congress in connection with this federal contract,
grant, loan, or cooperative agreement, tie undersigned sisal] complete and submit
the Standard Form - LLL, "Disclosure Form to Report Lobbying," in accordance
with its instructions.
(3) The undersigned shall require that the language of this certification be
included in the award documents for all subawards at all tiers (including subgrtuits,
and contracts and subcontracts under grants, subgrants, loans, and cooperative
agreements) which exceed SID0,000, and that all such subrecipients shall certify
and disclose accorduhgly.
This certification is a material representation of fact upon which reliance was
placed when this transaction was made or entered into. Submission of this
certification as a prerequisite for making or entering into this transaction imposed
by Suction 1352, Tide 31, U.S. Code. Any person who fails to file the required
ceni.ficadon shall be subject to a civil penalty of not less than S 10,000 and not more
than S 100,000 fur each such failure.
Additional Provisions