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06-079.00 WSDOT: 44th Avenue Pathwayc_ ~ -~~ ~~-~ ~ ~~~R~~ Washington State ~~ Transportation Building Department of Transportation ~ ~.Jr~ 310 Maple Pzrk Avenue S.E. Douglas B. MacDonald ~' ~~~ `' P.O. Box 47300 Secretary of Transportation Olympia. WA 9850E-7308 Y~ Scptember_27 _2006 3sa7a5.7oo0 rrY: ~-eoas3a-s3sa Mr. Steve 1Vorley v.~N,.,~tol.w~a.gov Senior City Engineer City of Spokane Valley 1 1707 East Sprague Ave., Suite 106 Spokane Valley, V1'A. 99206-61 l0 City of Spokane Valley 44th Avenue Pathway STPE-401.0(()0]) l.3ale~ FUND AUTHOR.[ZATIOi\` Dear Mr r ey: «'e have received Ff-1tiVA fund authorization, effective September 21, 2006, for this project as follows: PHASE TOTAL FEllEItAL S~[ART Preliminary Engineering $16,500 $16,500 Enclosed for your information and file is a fully executed copy of Local Agency Agreement LA-6223 between the state and your agency. All costs exceeding those shown on this agreement are the sole responsibility of your agency. 1'~'SDOT authorization to proceed with right of way and/or construction is contingent upon receipt and approval of your environmental documents. ~~1'SDOT authorization to proceed with construction is contingent upon receipt of your Right of Way Certification. All future correspondence relating to the project is to be submitted to your Region Local Programs Engineer, Keith Martin, who can be reached at (509) 324-60$0. Sincerely, Stephanie Tax Manager, Program Management Highways R Local Programs Division ST:dk:ac Enclosure cc: Ivlr. Keith Martin, Eastern Region Local Programs Engineer C06-79 ~. •e ® ~l~T Waslllington State Department of Transportation Agency Cit}~ ©i' Spokane Valley Address 11707 E, Sprtigue .eve. Suite ] 06 Spokane ~~aljey, 1~1~A 99206 Local Agency Agreement CFDA No. 20.205 (Catalog of Federal Domestic Assistance) Project No. ~~~G^~ ~ O ~ (~ Agreement No. ~~' For OSC WSDOT Uso Only The Local Agency having complied, or hereby rrgreein~ to comply, with d1e terms and conditions set forth in (1) Title 23, 13.S. Cede Highways, (2) the regulations issued pursuant thereto, (3) Office of 1`4smabeme.nt and Budget Circulars A-102, A-87 and A-133, (4) the policies xnd prUCedures promulgated by the Washington State I>epartment of 'Transportation, and (5) the feticral riid project a~ment entered into between the State and Federal Govea•runsnt, relative ip the alwve project, the Washington State L7cpartment ofTransportation wilt authorize the t,ocal Abency to proceed on the project by u separate notification. Federal funds which arc to lye obligated for the project miry not excceri the amount sllo«m herein oo Line r, colurnn 3, without written authority by the Srntc, subject to the approval of the Feder~rl Highway Administration. All project casts not rrirnbursed by the Federal Govamrnent shall be the responsibilit~• of the Local Agency. Project Description Name 44th .Avenue Pathway (Design) Length 5600 L.F. Termini ~'Voodruf~'Road to.Sands Road Description of Work The project consists Uf consttltcting ri 10' wide multi-use asphalt pad~way on the north side of 44th Avenue from the east side of'luoodrufrRoad to the west side of Stuids Road. '1"he project will also require clewing and grubbing, regrading of the existing shoulder, and some minor revisions to the existing roadway drainage system. NOTE: Project selected for design only. Estimate of Funding Type of Work (~) Estimated Total Project Funds I (2) ~ Estirated Agency Funds (a) Estimated Federal Funds PE ~ Agency a 3,300.00 ~ 0.00 i 3,30_0.00 100 % _ . ~ h 9iher (Surveying, Consultant) 12,?00.00; O.OU'1 12,700A0 Feoeral Aid Participation Ratio for PE _ _ c. Other __ _ ~ _ ~ d. State _ _, _ e. Total PE Cost Estimate a+b+c+d ~ _ _ ____ __ 1 500.00 ` __ _ r 16,SOO.OU • - _ 500.00 16,500.00 Right of Way f Agency _ I -. % _ _ Other _. - _g, -_ - - - h. Other - Federal Aid P ti i ti i ^State - - ~_~~- ar c pa on Ratio far RbV ~- '. Total 121VJ Cost Estimate f+ +h+i i Construction ~ k. Contract -__ _~ ._ fi _ _~ I, Other ~ - Other m. --~_ _ ~ n. Other _ _ % -_ - o, Agency ~ Federal Aid a_ p State Participation Ratio for CN _ . -- -- _ .Total CN Cost Estimate k+I+m+n+p+ T~ ~ r. Total Project Cost Estimate a+j+q) ~ 16 X00.00 ~ j 16,500.00 Agenc - icial By Title s ~ ~~~ Washington State Department of Transportation By Assistant Secretary for Highv~ays and t_oeal Progra,7ls ~~ i ~ 2006 Date Executed DOT Form 140.439 iF R°virecf 0112D04 . 1 • Construction IV9ethod of Financing (Ch°cJt~tfedhorrsefecterl) State Ad and Award ^ Method A -Advance Payment = Agency Share of total construction oust {based an contract at~~ard) ^ A4eihod B - SNithhoia from gas tax the Agency's share of total construction cost {line 4, column 2) in the amount of Local Force or Local Ad and Award at $ ~ h.9ethod C -Agency cast incurred with partial reimbursement per month for months. The Local Agency further stipulates that pursuant to Bald 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 ore Provisions I. Scope of Work ResoluUonlOrdinance No. The Agency s1m11 provide all Fhc work, labor, rntRerisls, and scn'ices nar:essary to perform the project which is describe) anJ Set forth in detail in the "Projtxt I]~ccription" and "Type of 1Vork." When the Sutte acts for and on b:half of the Agency, the Swtc shall be dcemed aft agent of the Agency and shall perform ttw_ scrvicc4 described and indicated in "Type of Wort:" on the L•tce of this sgrccmrnt, in accordance with plans snE! specificrtions as proposed h}' the Agency and approved by the Stue and the Federal 1•tighu'ay Administration. When il-r State acts for the Agency but is not subject to the right of control by the Agency, the State shall trove [Me right to perform the work subject to the ordinan' procedures of the State oral Federal Highway Adminisfrntion. II. Delegation of Authority Thr_ State is willing to fulfill the responsibilities to the Federal Go~•ernntent by the administration of this project. The Agency agrees fluff the Stott shall have the full atithoriry to carry out this administration. 'nee Swte s}ttrll review, process, and approve docuntrnts required for Cederal aid reimbursement in aecorclance with fodcr.tl requirements. !f the State advertises and awards Fhc cnntrttt, the State will further act fee the Agency in all matters conocrning the project ac rcgtr_sted by the Agency. If the Lrx:nl Agency ndvcrtises and awards the project, the State shall review the u'Crrl: to crisurc conformity with the approved plans and sptxifications. III. Project Administration Certain types of work and services shall be provided by the Sure on this project as requested by the Agency and described in the Type oC Work rrbovc. In addition. the St'tte will famish qualified personnel Cor the Supervision and inspection of the work in progress. ()tt Local Agency advertised and awarded projects, the supervision and inspection shall be limited to ensuring all u'nrk is in confom>5rtee with appro+~ed plans, specifications, oral federal aid requirements.. The salary of auelr engineer or other Supervisor and all other sslttrics and costs incurrrtt b}' State forces upon the project will be considered a cq;:t thereof. All ~stR rcla[cd to this project incurred by employees of the State in flee crrsrontary rtfrrnner ore highway payrolls once vouchers Shall be charged as costs of the project IV. Availability of Records All project records in support of all cysts incurred and actual cxpcnditurcs kepi by the Agency are ro bt: rnainu,ined in aocordanec with local government :u:caunting p-r>cedures presc:ribcd by the tashington State Auditor's Office, the ILS. pepartment of"Cransportation, and the Washington State Dgmnment of 'transportation. 7'hc rccortis shall be open to inspection by the $iriCC oral 1=edernJ Govenu+knt at all rcssonablc times and shall be rc4tined and mule available for such inspection for a period of not less than three years from the final ps}~mcnt of any federal and farxis tr.. the Agenc}•. Copies of said rccorcls shall be finnishcd to the State andlor Itedenl Governrnettt upon request. V. Compliance with Provisions The Agency s7tall toot incur nn}' federal aid participatirn vests on any classification of urir4: on this projt:ct until authorir~ed in writing b}• the Slate for each classification. The etassificatiorts of work for pmjcete arc: 1. Pr,rliminrry engineering. 2. Right of way acquisition. 3. Project constructicut. In the event that right of way acquisition, or actual construction of the road. for which preliminary engineering is tutdcriakcn is not started b}' the closing of the tenth fiscal year follo+~~ng the fiscal year in which the agreement is eSecu[ed, the Agcnc}• will repay to the Stott the sum or corns of federal funds paid m the Agcnc}• under the amts of this agreerne,u (see Section lX). The Agency a~mers that ell stages of oons[rurtion necessary to provide the initislty planned complete Grcility within the limits of this project will conform to at least the minimum valti_s set by approved statcuide design sta,-tdtuds applicable to this class of highunvs, rvrn though such additional work is financed without federnl aid participation. Tht Agency agrees tltaE cm federal aid higJt'.tat' construction projects, the curtent feduul aid regulations which apply to liquidated damaees relative [o the basis of frdernl particiltalion in the projtxt cost shall be applicable in the event the eontrac[or fails to complete the contract within the contract time. VI. Payment and Partial Reimbursement The total cost of the project, including all review oral et~ineering costs ar-d other expenses of the $tatc, is to be paid by the Agetrcy and by Qte Federal Governniatt. Federal funding shall be in acwrdance with feet TrnctsportaFiw- ~quiq' Act for the Ztst Century (TEA 21), as amended, and Ufiicc of ,~tanagcment and liudgct raroulars A-102, M87 and A-133. Thr State shall not be ultimately responsible [or ten}' of the costs of the project. The Agency shall be uhimateh• responsible for all costs associated with the project which arc not reimbursed by the Federal Government. Nothing in this agreement shall be construed tts a promise b}' the S><•tte as to the amrrtmt or nature of federal participation in this project. "17rr Agency shall bill the stare for fbdenl aid prnjed coal ncurred in conformity with applicable federal and slate taus- "ITrae a{,*rnry shall rrtimirni2e the tirrfe elapsed bct~vecn rxeipt of fedtrnl aid funds and suhsequent payment of ittcurtrcd costs. Expenditures by the Local Agency for rnaintcnancc, general administration, supervision, and other overhead shall not fie clieible for fatertd participation unless an indirect cost plan has been approved by eVSL~U"I'. The State will ptry fur State Incur7cd costs on the projtxt. Following payment, the State chart bill the Fcdersl Government for reimhur.:errrnt of those costs eligible for federal participation Io tlw_ extent that such costs arc attributable and properly allitablc to this projtxE_ The Stale shall bill the Agency for that portion of Su,te costs ultich were not reimbursed by flat Federal Govcmment (set Sectiart iX). 1, Project Construerion Costs Project construction financing will he acrnrnplished by one of the three methods as indicated in this ttgreeinenc. DOT Form t .0-039 EF Rrviscd 0 il200t . •.~ 07ethod A - llrc Agency will place +vith chc State, within (20) days after t!>Q execution of the construction a,ntruct, sn advance in the runount of the Agency's share of the total oonsuuciion cost based on the contract award. "ll,r State will notify, the Agenc}' of the exact amount to bt deposited with the State. The State will pay all costs incurrod under the eorttntct upon presentation of paogress billings from the conuador. lrollou'irrg such payments, the State will submit a billing to the Federal Gvverrrment for the federal aid pariicipation sharp of the cost. 1Vlten the project is substantially wcnpleted and final actual coats of the project um I?e determined, the Stale N'III present the Agency ~+•ith a final billine showing the amount due the State or the amount due the Agrncy. '1'ktis billing vrtll be cleared by either a pa}•mcnt from the Agency to the State or by a refund from the Stan to the Agency. Herbed Lt - 'f}te Agency's Share of the total corstnxtion e[rst s shown on the fate of this agrecrnent shall be withheld front its monthly fuel tax allotments. Tltc face of thCs agrmnent es4~blishes chc months in which the withholding shall take place and the exact tunovnt to be cvithhcld each month. The extent of withholding will )x confirmed by' letter from the State at the tin. of wntrnct award. Upon receipt of progress billings from the contractor, the State will submit such billings to the Frxlerrl Goverrtn,ent for psyment oC its participating portion of such billings. J9ethod C -The Agravy pray sulamit vouchers to the Suue in the format prescribed by the Suue, in duplicate, not more than once per month for those cirsts eligilrlc for Fcdcaal participation tr:. tltc extent that such vests are dirrctl}' attributable and properly alloaible u? this projcet_ }iependiturrs by llre LC.cal Agency 1'or maIRICILilrlee, general administration, supervision, and other overhead shall not be eligible fur Federal part'tcipiniun unless claimed utufer a previously approved indirect nos! plan. The Sutte shall reimburse the Agency fw the Federal Shsrc of elieible project costs up to the amount shown on the face of this agrccment_ .4t the time of audit, the Agency will provide doetuncatation of all costs incurred on Ilte project.. The State 5ltall bill the Agency for all casts incurred b}• tlt` State. relative to the project. The Su+tc shat l also bill the Agenc}' for ehe• fedcrsl funds paid by the State to the Agenc}' for projoct ousts which are subsequently determined to be ineligible Cor federal participation (sm Section 117. VII. Audit of Fodoral Consultant Contracts Tl,e Agency; if services of a consuluutt arc required, shall be responsible for audit of the consultant's ra:ords to detcrrnine eligible. federal aid costs an the projecx. The report oC said audi[ shall be in the Agency's files and made nvailable to the State anti the Federal Croverrtrrtent. An audit sha!] be conducted by the ~VSDOT Internal Audit 0[T'ice in accordance with generally accepted govenu,tr_ntal auditing standards as issued by the Itnited Slates General Accounting Office by the (:omptroller General of the United Sates; 1VSDOT btanual ii9 27-SU, Corsultnnt Authnrirstion, Selection, tool Agreement ,4dministration; mrntortnds of understanding between V.r$DOT and FIi1\rA; and Ofiice of IvL•intrgenrent and Budget Circulnr :1-133. If upon audit it is found that overyu+yrncnt or participation of Cederir] money in ineligible items of post bus occurn:d, the Agency shall reimbursV the Suite fur the amotim of stch overpcq'rnent or escrss participation (see $ettion I,l'). VIII. Single Audit Act 7'hc Agency, as a subrtxipierN of federal funds, shall adhere to the fedcrsl Office of Munngernettt and Badge? (CJh•1l3) Circular A-133 as well as all ;rpplic:rble federal and state statutes and regulations. .4 subrecipicnt who expends 5500;000 or more in fuler<d awards from all soarers during a given fiscal year shall h;rve a sir~nle ar program-specific audit performed fur that year in oecordnnce with the provisions of t7nt11 Cirrulrrr A• 133. lJpon conclusion of the A• 133 audit, the Agency shell be responsible for ensuring that a copy of the repr:rrt is transmitted prompay to ter Suite. IX. Payment of Billing "lire Agency agrees that if paymcrt or arrangement for psyment of any of the State's billing relative to the project (e_g., State force work, project cancellation, overpayment, cost ineligible for federal participation, etc.) is not made to the State >,vithin 45 days after the Agency has bren billed, the Stnte shall cfTect reimbursement of the total stem due Gum the regular monthly fuel tax alloRrrents to the Agency from the A9ator Vehicle Fund. No additional Federal project funding will lee approved until full p:ryrnent is received unless otherwise directed the Assistant Secretary for Highways and lgcal Programs. X. Traffic Control, Signing, Marking, and Roadway Maintenance The Agency will not permit arc}• changes to be made in the provisions for parAing regulations and traffic control on this project without prior approti~rl of the State and Federal I~Iighw'ay Administration. The Ager>+y will not insurJl or permit to be inst:rllerl :my Signs, signals, or msdtings not in wok+rmtrnce wiAt Ute standards approvod h}' the Federal Highway Adn,iniscratinn and >utlrrcD_ 'Ihe Agenc}' will, at its own expenx, maintain the irnprovcrnrnt covered b}' this agre~nent. XI. Indemnity The Agency shall hold the Fcdera! Govetttmenl and cite State hsrmles; from nt,rt shall process and defend at its own expense all claims, demands, or suits, ,vltettucr at law or equity brought against [he Agency, State, or Federal Government, arising from the Agency's execution, perfotmancc, or faihtrr to perform an}' of the provisions of this ogreernettt, or of any other agreement or contract connected with this agreernertt, or arising by reason of the participation of the State or Federal Go,'errunent in the project, PROVID);D, nothing herein shall roquire the Agency to reimburse the State or the. Federal Goti•rmment for damages arising out of bodily injury to persons oa damage to ProPcrt}' causod by or resulting from the sole negligence of the Federal Govemmcnt or the Stte. XII. Nondiscrimination Provision \b liability shell tutaett to chc $?ste or Federal Goverrrmem esr:ept :>s exprcssl}' provided herein. The Agency shall nut discriminate oat the basis of race, Dolor, national origin, w sex in the n+v:rrd and perfnrrnatcce o£ any USDOT-rassisted contract sndhtir agreement or in the adminisuatinn of its DBl prt?g;um r:.r the nequirenvnts of 49 CFR Prrt 2fi. The Agenc}' shall Sake all neCrS.Crr}' and reasonable steps under 49 CFR Part 26 w ensure rtondiscriminr,tion in the award and odntinistrotina, of USDO'f-assisted contra US utuJ agrcementa. The WSDOT's DRE program, as required by 49 CFR Part 16 trod to approved by USDOT; is incorl,crraud by reference in this ogreement. Irnplentcntatinn of this program is s legal obligation and failure to carry out its teens shall be treated as a violation of this agre^_mcnt. Upon notification to the Agenc}' of its failure to cstry out its nppriwed program, the Department may impose saercdons as provided for roofer Pitt 26 tad may, in appropriate cazcs. refer the rnauer for enforcement under 18 1).S.C• 1001 antUor the 1'rogtam Froud Civil Rcmcdia Ac? of 1986 (31 U.S.C. 3801 et seq.). Tl,e Agency hereby agrees that it will inoorporte or cause to be incorporated in[o any contract for conswction work, or modification thcecof, ss defined in the rules and regulations of the Secretat}' of labor in 41 CFR Chapter 6U. which is pnid for in whole or in pact with funds obtained from the Federal Govcnttncnt ar borrowed on the credit of chc Fcdemf Govenunrnt pursuant to u grant, contrast, lotus, insurame, nr guarantcr or understanding pursuant to an}' federal prvgrrm involving such grant. contract. loan, insuntnce, or guarantee, the required oentract provisions for Federal-rlid Contacts (FIfiVA 1273), IoGAed in Chapter 44 of the Local Agency Guidelines. The Agetucy further agrees that it will be bound by the above equal opportunity clmrse with respect to its own employmem prrctices when it part;cipateet in federally assisted construction uori;: F'rnvicled, that if the applignt sn p¢iriicipatittg is a Stoic or Local Govettttrr..nt, the above equal opportunity clause is root applicable to any agency, ins!rurnentalit}', or subdivision of such govcmmcnt which does nod participgtc in work nn or under tltc contract. 'fhe Agerx:y nLro agrees: (I) "I'o :resist and cooperate actively w'it)t the State in obtaining chc. crnnpliancc o1'contractors and suboc+ntraeton with the oqual opportunity clause and rubs, regulatitratS, and relevan[ orders of iluc Secreurr}' of I.abor• (2) 'I'o famish the Sptle Such infomtation ss it may require for the supervision of such compliam:e and that it will ott,erw•ise assist t}w- State in the discharge of its primary, respottsibility for sceuring compliance. (3) To refrain from entering into any contract or contract modification suf>jcet to lixtxutivc Order 11246 of September 24, 1965, with a contrnctor debarred from, or who has cwt Jernotrstrated eligibilit}• for, government eontmgs and federally assisted conswetion contrncts pursuant to the Executive Order. (4) '1'o carry 0711 such sarxtiwts and penalties for violation oC the equal opportunity clause as may be imposed upon con•.ractors and subconlrrtGors b}' the State, Federal Flighway Adrninistratinn, or the Scrrciar}' of Labor pursuant to Pan 11, subpart D of the F.xeewive Order. D~07 form 140.039 EF F'tevisad Oil2004 3 - 7 Jn addition, ihv p~,ency' agars shat iF iL fails or refuses Io cninpi}' u'ilh ih~e ~mderlakiggs, She Sta[c may uakc anx' or al I of Ih^- fol Ipwing ecuons: (a} Cancel, terrni ia:~1e, or Ru~jscnd [his agreern:a[i in ++'hole qr in part: (h) Refrain ii-aun extending any fuy[hcr assislsnee Lo Lhe Rgcnty under the progren~ with respeG io wlLich [Ire failure or refusal occurred ia~uil sstisCaclm j' ~gsu~~nce of fiuurr rompliance has bnra~ ref°°-i~d frnm the Age~ucy; and - {cj Refer the case. Lu Lhe I~cpaRnlent ofJ ussice feu appropri, IC legal pfocecdings. dill, Lic~uid~ted damages T}~ }sgc~ueyhcrchy ae~tes 4haL IJse liq}sidau:d dam~gesprovisiouS bf~3 CFR P,[t b35, Sukfpp~t 12+, as supplemented, rel~4lvc [~ the amount of Federal participati0u in [he prnjcct cos[. shaCl I'ie apptit~blc in the r4+rnL [he coa<1r.~nSOr f~iks to aDmpl~[e sire con[ract within the S74isSr5cL dmc. Failure Lo include Iic~uifltiSed rlansagcs provision u•i!I nut rekievc the Agcnay fino[s reducSion of fcdcnl I}arl icipa[ion in acoarda~[ce x~i~h 4~ is parae~aph- 7CIIl. Tenninakion for Public Convenien4:e 'lire `dccrctary of ihv klr,5~ling[nn .iESLe l)epartmem of T~3~}gportaLion may [arms Hate the conSrflu'I in ~w~l e, nr Frorn time Lo-time ii1 p1YS, whenever {1) The rcg4isiu foderat fS~nding becomes unavailable Shrouglt Failurt oC .[ppropriati on ur 411ser'h"i5e- {2) -lire contractor is prexrruSed frnin proc€ading wi4h [ku; work as ~ direct rcsul L of an lixocuti3~e Qrder of i he PrccidcnL wish respetL [0 4~W p~ oyecution oC war nr i>S tiro inures of m[ticur~ I riefc~}se, or an Exccwive Order o f iLc PreRidcn[ or Go4~rnor of the Slane u~Lh reSpn4S i~ Inc prescrva[ion of en~~y reSOlUCCS- [3) The oontrr.~4ur is pro+'c~sucd from pnxeoding with iNe V.•ru k h}• reason of a prelimin~u}', special, of pcimanem restraining order of ^ roust nfi corripetrnL ju risd icliun u'lse~~c d7e issuar[co of such enter is pri,nr~ril}' caused b}• the ac4s uu Wnissioru of pars~~kR nr ~gcrrcies other 4h:hn She Couira^_[or- (4] "J'k[e SacreS^ ry de[crnsines That such 4ermiu~4ioiL is In d7e hest intervals of [he Slate. .- ~, ?CV- VL:nue for claims andfor CarLSes of Action J=or the eon+'enibnze of tlsc Jfareics Lo this eonirat:~ ii is ~rte~ 1147[ any claims nnfllur ~ssseR o f ac~ian whi€.h Lhe L+,c:~] rl~nt~' h;sg ,gains[ d7e Stan of ~lr.~sllinglD~s, grox~ng ou; of 4his co~1[n]Cl of [he pQOjcc[ wi[h which it is conacmcd, shall be bruu~lu only In [hc Superior Court for Thurston Coua4y, XVI. ~ertifi~a#lon Regarding t#te Restrictions of the Use of Federal Krtnds fir LobbyEng T71~ $µ~ipving a~tharity ocatifies, So t1FC bcs[ of hLR or her knau'ied[~'e end bvlieL, iltilt; [I l No frd9rpl al7propriatad fu~[ds >-.a~ he°,-n p~~iJ or will ~ lsaid, h]' ar orgy brhalf of ihv uatdersigncd, io an}• person for inlluentin@ or A[SeirillLi~ 30 influence an officer oe cmplopcr of an}• fe~eraJ aoer[c:p, . melnb:Y of C'pngress, an offieer ar emplb}'ev of Cp[tgress, or an emplo}'ee of a member of fioisgl+css in oanneotkon 5ri11t 4i[: Rwarding of an4' Cedcn[I conirac[, Lhe makLlg of any fadcrsl 6ranL, Lhe Ri,ki~s$ ni an}' federal Eoan, 4~[e entering inro of any cooperati1~e agrne~neul, and [tie extension, oantinuation, renex-.~l, , [neisdmc~st, or mod i C~w«rtion pFan}' federal aan[rac[, iRrnnL, lu:~n, ur wupem[i vc agrce~sttnt (2) I f any funds other Than federal appropriA[td fi,~sds have been poi d or u~i I I be paid [q aay person for in[luentin~ 4r ~~e~7spting to in lluence an officer or emplo]ISC of any federal :~ency, ~ m'-'mis^-r of C~rusgress, an affioer or rmployne of CoggFCSS, or an crnplbyee of ~ rrlC~ isticr of Conr~ress in eon[ueotion with [his fedriSl contract, RrAFlt, l~u, fa cory,e~ativc agiremcu; Osc undorsign~l ~~II comple[e and subzsi4 lire Standard Form - LLL, "Disclosure f urm to Repn~1 Lobbying," in accrxrlA[ucc wi[h its insiru:~iorrs. (~1 life undcrsicned sh:d! re{luiie Drat [hc langua_~e of this ocatificatioa he i[[^-lud<,d in Lhc au'anJ do::wr[aris for all suhawai>~ at all Licrs (including Suk}C~nt3, and contrac4s fSnd Su6con~racts under granES, suhgranLS, ]awns, and coU]Je~tiVC agreements) 'Nhich excead ~1411,04d, and that all such s~rl~recipicrrts shall ocr[if}' and did=lc~3°- acenrdingl}'. 'J'his cer+ifiG~linn iR a material remresentation of foes upon ti+'1Sic~L rcGa~scc was plaoexl when 4hi3 q•a~ssaetinn was made or eertered in1b, Sobnsission of this turtificaiioM a~ a prcrcquisiu for m~[king or ciL[cri~sg i,ttn dhis transaction imp.4s~1 bl' Scc[ion 135, -l-isle 3 I, U.S. Cod°. 1kaLy t'cro~s who i'sils Lo fake the rx~iuin'-d eeniiication shall Fie subj eC4 Su a c ivi I penalty of not Icss than S ] Q,OOiS and not n7nrc dt[srr sioo,uuo I}rra;~cl~ Much failure. ~1{~(~I~iUF1Rl P1rUV~S~Or?$ I]pF Fnrm i-0U-L139 EF Revisad o i~2444