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DocuSign Envelope ID:07C464C4-FDB6-434A-A0lB-558064E4E858 <br /> PO#:461001815 <br /> Routing#:22-14A3-ZG-00070 <br /> participation in this transaction,in addition to other remedies available to the Federal Government,the department or agency <br /> with which this transaction originated may pursue available remedies,including suspension and/or debarment <br /> Certification Regarding Debarment,Suspension,Ineligibility and Voluntary Exclusion--Lower Tier Participants: <br /> 1 The prospective lower tier participant certifies,by submission of this proposal, that neither it nor its principals is presently <br /> debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in covered <br /> transactions by any Federal department or agency. <br /> 2. Where the prospective lower tier participant is unable to certify to any of the statements in this certification,such prospective <br /> participant shall attach an explanation to this proposal. <br /> XI CERTIFICATION REGARDING USE OF CONTRACT FUNDS FOR LOBBYING <br /> This provision is applicable to all Federal-aid construction contracts and to all related subcontracts which exceed$100,000(49 CFR <br /> 20) <br /> 1. The prospective participant certifies,by signing and submitting this bid or proposal,to the best of his or her knowledge and <br /> belief,that: <br /> a. No Federal appropriated funds have been paid or will be paid,by or on behalf of the undersigned,to any person for influencing <br /> or attempting to influence an officer or employee of any Federal agency,a Member of Congress,an officer or employee of <br /> Congress,or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of <br /> any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, <br /> continuation,renewal,amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. <br /> b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting <br /> to influence an officer or employee of any Federal agency,a Member of Congress,an officer or employee of Congress,or <br /> an employee of a Member of Congress in connection with this Federal contract,grant,loan,or cooperative agreement,the <br /> undersigned shall complete and submit Standard Form-LLL,"Disclosure Form to Report Lobbying,"in accordance with its <br /> instructions. <br /> 2. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered <br /> into.Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31 U.S.C.1352.Any <br /> person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than <br /> $100,000 for each such failure. <br /> 3. The prospective participant also agrees by submitting its bid or proposal that the participant shall require that the language of this <br /> certification be included in all lower tier subcontracts,which exceed$100,000 and that all such recipients shall certify and disclose <br /> accordingly <br /> ATTACHMENT A - EMPLOYMENT AND MATERIALS PREFERENCE FOR APPALACHIAN DEVELOPMENT <br /> HIGHWAY SYSTEM OR APPALACHIAN LOCAL ACCESS ROAD CONTRACTS <br /> This provision is applicable to all Federal-aid projects funded under the Appalachian Regional Development Act of 1965. <br /> 1. During the performance of this contract,the contractor undertaking to do work which is,or reasonably may be,done as on-site <br /> work,shall give preference to qualified persons who regularly reside in the labor area as designated by the DOL wherein the <br /> contract work is situated,or the subregion,or the Appalachian counties of the State wherein the contract work is situated,except <br /> a. To the extent that qualified persons regularly residing in the area are not available. <br /> b. For the reasonable needs of the contractor to employ supervisory or specially experienced personnel necessary to assure an <br /> efficient execution of the contract work. <br /> c For the obligation of the contractor to offer employment to present or former employees as the result of a lawful collective <br /> bargaining contract,provided that the number of nonresident persons employed under this subparagraph(Ic)shall not exceed <br /> 20 percent of the total number of employees employed by the contractor on the contract work, except as provided in <br /> subparagraph(4)below <br /> 2. The contractor shall place a job order with the State Employment Service indicating (a) the classifications of the laborers, <br /> mechanics and other employees required to perform the contract work,(b)the number of employees required in each classification, <br /> (c)the date on which the participant estimates such employees will be required,and(d)any other pertinent information required <br /> by the State Employment Service to complete the job order form. The job order may be placed with the State Employment Service <br /> in writing or by telephone. If during the course of the contract work,the information submitted by the contractor in the original <br /> job order is substantially modified,the participant shall promptly notify the State Employment Service. <br /> 3 The contractor shall give full consideration to all qualified job applicants referred to him by the State Employment Service The <br /> contractor is not required to grant employment to any job applicants who, in his opinion, are not qualified to perform the <br /> classification of work required. <br /> 4. If, within one week following the placing of a job order by the contractor with the State Employment Service, the State <br /> Employment Service is unable to refer any qualified job applicants to the contractor,or less than the number requested,the State <br /> Document Builder Generated Page 58 of 59 Version 0819 <br />