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
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