HomeMy WebLinkAboutRES.2160.03-20-2006 . �
SPONSOR: The Citv of Caae Girardeau,Missouri
CART ROAD NO./STREET: N/A
PROJECT BRO/STP: STP-1500(015)
PROJECT NAME: Caae Girardeau River Walk Phase III
THIS CONTRACT is between the City of Cape Girardeau, Missouri, hereinafter referred to as the
"�,ocal Agency", and Koehler Engineering and Land Surveying, Inc., 194 Coker Lane, Cape
C"iirardeau, Missouri, hereinafter referred to as the 'Bngineer".
INASMUCH as funds have been made available by the Federal Highway Administration through its
Surface Transportation Enhancement Pro r�STPLoordinated through the Missouri Department
of Transportation, the Local Agency intends to construct a multi-modal recreational trail facilitv, and
requires professional engineering services. The Engineer will provide the Local Agency with
professional services hereinafter detailed for the planning, design and construction inspection of the
desired improvements and the Local Agency will pay the Engineer as provided in this contract. It is
mutually agreed as follows:
ARTICLE I- SCOPE OF SERVICES
A. DESIGN PHASE -The Engineer will:
1. determine the needs of the Local Agency for the project;
2. conduct topographic, property and utility surveys sufficient to develop plans for the
project;
3. arrange for subsurface investigations if needed;
4. conduct hydraulic studies, prepare alternative designs and cost estimates, develop
preliminary plans, and recommend to the Local Agency the best overall general design
based on these studies;
5. Submit four copies of preliminary plans, estimates and studies for review by the Local
Agency and the Missouri Department of Transportation(MoDOT);
6. Prepare detailed construction plans, cost estimates, specifications and related documents
as necessary for the purpose of soliciting bids for constructing the project. Provision
will be made in the contract documents for that portion of the work that will be
performed by Local Agency's forces;
7. secure adequate property title information, determine right-of-way requirements, prepare
right-of-way plans, and assist the Local Agency in acquiring the right-of-way deeds
needed for the project;
FIG. VI- 1 - 1
Revised Ol-01-06
8. ensure compliance with water quality requirements by coordinating with the Missouri
Department ofNatural Resources and the U.S. Army Corps of Engineers and also insure
compliance with the requirements of the Federal Emergency Management Agency
(FEMA);
9. ensure compliance with historic preservation requirements through coordination with
the Missouri Department of Natural Resources, and if deemed necessary, arrange to
have the site examined by a qualified archaeologist on a subcontract basis;
10. ensure compliance with all regulations in regards to noise abatement and air quality, if
necessary; and
11. provide the Local Agency with five sets of completed plans, specifications and cost
estimates for the purpose of obtaining construction authorization from the Missouri
Department of Transportation.
B. BIDDING PHASE -The Engineer will:
1. upon receipt of construction authorization from MoDOT, make final corrections
resulting from reviews by agencies involved, and provide an adequate number of
plans, specifications, and bid documents to the Local Agency;
2. provide the Local Agency with a list of qualified area bidders and assist Local Agency
in advertising for bids; and
3. assist the Local Agency in evaluating bids and requesting concurrence in award from
MoDOT;
C. CONSTRUCTION PHASE - The Engineer will assist the Local Agency's representative in
administering the terms of the construction contract between Local Agency and their
Contractor. The predominant responsibility for the administration of the construction phase
will be that of the Local Agency, and carried out by their forces. When requested to provide
supplemental construction phase services, the Engineer will endeavor to protect the Local
Agency against defects and deficiencies in workmanship and materials in work by the
Contractor. However, the furnishing of such project representation will not make Engineer
responsible for the construction methods and procedures used by the Contractor or for the
Contractor's failure to perform work in accordance with the contract documents. Local
Agency and the Engineer's services will include more specifically as follows:
1. assist with a preconstruction conference to discuss project details with the Contractor;
2. make periodic site visits,to observe the Contractor's progress and quality of work, and
to determine if the work conforms to the contract documents. It is contemplated that
survey staking and layout will be accomplished by the contractor's / consultant's
forces. The Engineer will accompany MoDOT and FHWA representatives on visits of
the project site as requested;
FIG.VI- 1 -2
Revised 01-01-06
3. review and checking shop drawings and review schedules and drawings submitted by
the Contractor;
4. reject work not conforming to the project documents;
5. Prepare change orders for issuance by the Local Agency as necessary and assure that
proper approvals are made prior to work being performed;
6. review wage rates, postings, equal employment opportunity and other related items
called for in the contract documents;
7. inspect materials, review material certifications furnished by Contractor, sample
concrete and other materials as required, and arrange for laboratory testing of samples
by others on a subcontract basis. Independent assurance samples and tests will be
performed by MoDOT personnel and such sampling and testing is excluded from the
work to be performed by the Engineer under this contract;
8. maintain progress diary and other project records, measure and document quantities,
and prepare monthly estimates for payments due the Contractor;
9. be present during critical construction operations, including but not limited to the
following:
a. structure layout;
b. excavation and backfilling;
c. driving of piles;
d. checking of reinforcing steel prior to concrete placement;
e. concrete batching and pouring;
f. placement of girders; and
g. placement of surfacing materials; and
10. participate in final inspection, provide the Local Agency with project documentation
(diaries, test results, certifications, etc.), and provide as-built plans for the Local
Agency's records.
ARTICLE II-ADDITIONAL 5ERVICES
The Local Agency reserves the right to request additional work, and changed or unforeseen
conditions may require changes and work beyond the scope of this contract. In this event, a
supplement to this agreement shall be executed and submitted for the approval of MoDOT prior to
performing the additional or changed work or incurring any additional cost thereof. Any change in
compensation will be covered in the supplement.
FIG. VI- 1 -3
Revised O1-01-06
ARTICLE III-RESPONSIBILITIES OF LOCAL AGENCY
The Local Agency will cooperate fully with the Engineer in the development of the project, including
the following:
A. make available all information pertaining to the project which may be in the possession of the
Local Agency;
B. provide the Engineer with the Local Agency's requirements for the project;
C. make provisions for the Engineer to enter upon property at the project site for the performance
of his duties;
D. examine all studies and layouts developed by the Engineer, obtain reviews by MoDOT, and
render decisions thereon in a prompt manner so as not to delay the Engineer;
E. designate a person in the Local Agency's employ to act as Local Agency's representative
under this contract, such person to have authority to transmit instructions, interpret the Local
Agency's policies and render decisions with respect to matters covered by this agreement;
F. perform appraisals and appraisal review, negotiate with property owners and otherwise
provide all services in connection with acquiring all right-of-way needed to construct this
project; and
G. furnish an inspector to periodically observe the contractor's day-to-day operations.
ARTICLE IV-PERIOD OF SERVICE
The Engineer will commence work within two weeks after receiving notice to proceed from the Local
Agency. The general phases of work will be completed in accordance with the following schedule:
A. Preliminary Design Phase - Within 75 calendar days after receipt of notice to proceed;
B. Final Design Phase - With 75 calendar days after completion of review of preliminary plans
by Local Agency and MoDOT;and
C. Construction Phase - As desired by the Local Agency and on a schedule so as not to delay the
Contractor. All services under this contract will be completed 30 days after final acceptance
of construction work.
The above times are exclusive of review time by other agencies and exclusive of time needed to
acquire right-of-way. The Local Agency will grant time extensions for unavoidable delays beyond
the control of the Engineer. Requests for extensions of time should be requested in writing by the
Engineer, stating fully the reasons for the request.
FIG.VI- 1-4
Revised Ol Al-06
ARTICLE V- STANDARDS
The Engineer shall be responsible for working with the Local Agency in determining the appropriate
design parameters and construction specifications for the project using good engineering judgment
based on the specific site conditions, Local Agency needs, and guidance provided in the most current
version of Section VIII of the Local Public Agency Manual. If the project is on MoDOT Right of
Way, then the latest version of PDM and Missouri Standard Specifications for Highway Construction
shall be used.
ARTICLE VI- COMPENSATION
For services provided under this contract, the Local Agency will compensate the Engineer as follows:
A. For design services, including work through the construction contract award stage, the Local
Agency will pay the Engineer the actual costs incurred plus a predetermined fixed fee of
$ 4 519.56 , with a ceiling established for said design services in the amount of
$ 34.650.00 , which amount shall not be exceeded.
B. For construction inspection services,the Local Agency will pay the Engineer the
actual costs incurred plus a predetermined fixed fee of$_652.17 , with a ceiling
established for said inspection services in the amount of$_5000.00 , which
amount shall not be exceeded.
C. The compensation outlined above has been derived from estimates of cost which are detailed
in Attachment A. Any major changes in work, eatra work, exceeding of the contract ceiling,
or change in the predetermined fixed fee will require a supplement to this contract, as covered
in Article II -ADDITIONAL SERVICES.
D. Actual costs in Sections A and B above are defined as:
1. Actual payroll salaries paid to employees for time that they are productively
engaged in work covered by this contract, plus
2. An amount estimated at 25.35 % of actual salaries in Item 1 above for payroll
additives, including payroll taxes, holiday and vacation pay, sick leave pay,
insurance benefits, retirement and incentive pay, plus
3. An amount estimated at 155.67%of actual salaries in Item 1 above for general
administrative overhead, based on the Engineer's system for allocating indirect
costs in accordance with sound accounting principles and business practice,
plus
4. Other costs directly attributable to the project but not included in the above
overhead, such as vehicle mileage, meals and lodging, printing, surveying
expendables, and computer time, plus
FIG. VI- 1 - 5
Revised O 1-O l-06
5. Project costs incurred by others on a subcontract basis, said costs to be passed
through the Engineer on the basis of reasonable and actual cost as invoiced by
the subcontractors.
E. The rates shown for additives and overhead in Sections VI. D.2 and VI. D.3 above are
approximate and will be used for interim billing purposes. Final payment will be based on the
actual rates experienced during the period of performance, as indicated by the Engineer's
accounting records, and as determined by final audit of the Engineer's records by MoDOT.
F. The payment of costs under this contract will be limited to costs which are allowable under 23
CFR 172 and 48 CFR 31.
G. METAOD OF PAYMENT -Partial payments for wark satisfactorily completed will be
made to the Engineer upon receipt of itemized invoices by the Local Agency. Invoices will
be submitted no more frequently than one invoice per month. A pro-rated portion of the fixed
fee will be paid with each invoice.
H. PROPERTY ACCOUNTABILITY- If it becomes necessary to acquire any specialized
equipment for the performance of this contract, appropriate credit will be given for any
residual value of said equipment after completion of usage of the equipment.
ARTICLE VII- COVENANT AGAINST CONTINGENT FEES
The Engineer warrants that he has not employed or retained any company or person, other than a
bona fide employee working for the Engineer, to solicit or secure this agreement, and that he has not
paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission,
percentage, brokerage fee, gifts, or any other consideration, contingent upon or resulting from the
award or making of this contract. For breach or violation of this warranty, the Local Agency shall
have the right to annul this agreement without liability, or in its discretion to deduct from the contract
price or consideration, or otherwise recover, the full amount of such fee, commission, percentage,
brokerage fee, gift, or contingent fee, plus reasonable attorney's fees.
ARTICLE VIII- SUBLETTING,ASSIGNMENT OR TRANSFER
No portion of the work covered by this contract, except as provided herein, shall be sublet or
transferred without the written consent of the Local Agency. The subletting of the work shall in no
way relieve the Engineer of his primary responsibility for the yuality and performance of the work. It
is the intention of the Engineer to engage subcontractors for the purposes of: (list services, such as
surveying, foundation borings and tests, abstracts of title, archaeological studies, material testing).
ARTICLE IX-PROFESSIONAL ENDORSEMENT
All plans, specifications and other documents shall be endorsed by the Engineer and shall reflect the
name and seal of the Professional Engineer endorsing the work. By signing and sealing the PS&E
FIG. VI- 1 - 6
Revised O]-01-06
submittals the Engineer of Record will be representing to MoDOT that the design is meeting the
intent of the federal aid programs.
ARTICLE X-RETENTION OF RECORDS
The Engineer shall maintain all records, survey notes, design documents, cost and accounting
records, construction records and other records pertaining to this contract and to the project covered
by this contract, for a period of not less than three years following final payment by FHWA. Said
records shall be made available for inspection by authorized representatives of the Local Agency,
MoDOT or the federal government during regular working hours at the Engineer's place of business.
ARTICLE XI- OWNERSHIP OF DOCUMENTS
Plans, tracings, maps and specifications prepared under this contract shall be delivered to and become
the property of the Local Agency upon termination or completion of wark. Basic survey notes,
design computations and other data prepared under this contract shall be made available to the Local
Agency upon request. All such information produced under this contract shall be available for use by
the Local Agency without restriction or limitation on its use. If the Local Agency incorporates any
portion of the work into a project other than that for which it was performed, the Local Agency shall
save the Engineer harmless from any claims and liabilities resulting from such use.
ARTICLE XII- TERMINATION
The Local Agency may terminate the contract at any time by giving written notice. If the contract is
terminated because the project is abandoned or postponed by the Local Agency, the Engineer will be
paid for actual expenses incurred up to the date of termination, plus a pro-rated portion of the fixed
fee.
If the contract is terminated due to the Engineer's services being unsatisfactory in the judgment of the
Local Agency, or if the Engineer fails to prosecute the work with due diligence, the Local Agency
may procure completion ofthe work in such manner as it deems to be in the best interest ofthe Local
Agency. The Engineer will be responsible for any excess cost in addition to that provided for in this
contract or any damages the Local Agency may sustain by reason of the termination of this contract
due to unsatisfactory performances or prosecution.
ARTICLE XIII-DECISIONS UNDER THIS CONTRACT
The Local Agency will determine the acceptability of work performed under this contract, and will
decide all questions which may arise concerning the project. The Local Agency's decision shall be
final and conclusive.
ARTICLE XIV- SUCCESSORS AND A5SIGNS
The Local Agency and the Engineer agree that this contract and all contracts entered into under the
provisions of this contract shall be binding upon the parties hereto and their successors and assigns.
FIG. VI- 1 - 7
Revised O1-01-06
ARTICLE XV- COMPLIANCE WITH LAWS
The Engineer shall comply with all federal, state, and local laws, ordinances, and regulations
applicable to the work, including Title VI of the Civil Rights Act of 1964 and non-discrimination
clauses incorporated herein, and shall procure all licenses and permits necessary for the fulfillment of
obligations under this contract.
ARTICLE XVI-RESPONSIBILITY FOR CLAIMS AND LIABILITY
The Engineer agrees to save harmless the Local Agency, MoDOT and FHWA from all claims and
liability due to his negligent acts or the negligent acts of his employees, agents or subcontractors.
ARTICLE XVII-NONDISCRIMINATION
The Engineer, with regard to the work performed by it after award and prior to completion of the
contract work, will not discriminate on the ground of race, color or national origin in the selection
and retention of subcontractors. The Engineer will comply with Title VI of the Civil Rights Act of
1964, as amended. More specifically, the Engineer will comply with the regulations of the
Department of Transportation relative to nondiscrimination in federally assisted programs of the
Department of Transportation, as contained in 49 CFR 21 through Appendix H and 23 CFR 710.405
which are herein incorporated by reference and made a part of this contract. In all solicitations either
by competitive bidding or negotiation made by the Engineer for work to be performed under a
subcontract, including procurements of materials or equipment, each potential subcontractor or
supplier shall be notified by the Engineer's obligations under this contract and the regulations relative
to non-discrimination on the ground of color, race or national origin.
ARTICLE XIX-ATTACHMENTS
The following exhibits are attached hereto and are hereby made part of this contract:
Attachment A- Estimate of Cost
Attachment B -Breakdown of Overhead Rates
Attachment C - Certification Regarding Debarment, Suspension, and Other
Responsibility Matters- Primary Covered Transactions.
Attachment D -Certification Regarding Debarment, Suspension, and Other
Responsibility Matters- Lower Tier Covered Transactions.
FIG.VI- 1- 8
Revised 01-01-06
Executed by the Engineer this Z S day of �`z�. , 2007.
...--��ce�uted by the County/City this "-�7day of ���r�('C �1 , 2007.
�� � �_�`�
;�� �;��FOR: The Citv of Girardeau.Missouri
� � - '� ,�,
��� ; ����%�
�", '�- ' BY:
� r
\�,'nt J��.. _.. .. /
��"�� . .., , i. . .
� ,�b.i .. ' .. . % i
��``--:-____ r.
ATTEST: . � Ld��t.0�
Cit lerk
FOR: Koehle En ineerin and Land Surve in Inc.
BY: -
Chris Koehler, PE, PLS, President
ATTEST��,� ��Z'U.e:���J
Lois Koehler, Secretary
I hereby certify under Section 50.660 RSMo there is either: (1) a balance of funds, otherwise
unencumbered, to the credit of the appropriation to which the obligation contained herein is
chargeable, and a cash balance otherwise unencumbered, in the Treasury, to the credit of the fund
from which payment is to be made, each sufficient to meet the obligation contained herein; or (2)
bonds or taxes have been authorized by vote of the people and there is a sufficient unencumbered
amount ofthe bonds yet to be sold or ofthe taxes levied and yet to be collected to meet the obligation
in case there is not a sufficient unencumbered cash balance in the treasury.
C�, , ���..Y�X���
CITY ACCOUNTING OFFICER
COLJNTY AUDITOR- 1 st and 2nd Class Counties
COLJNTY CLERK- 3rd and 4th Class Counties
FIG. VI- 1-9
Revised 01-01-06
ATTACHMENT A1
ENGINEERING SERVICES FEE SCHEDULE(DESIGN)
COST&PRICE SUMMARY FORMAT
DATE FEB.2007
PROJECT NAME: CITY OF CAPE GIRARDEAU;RIVER WALK TRAIL PHASE III
PROJECT LOCATION: CAPE GIRARDEAU,MISSOURI
PROJECT NUMBER: STP-1500(015)
DIRECTLABOR HOURS RATE COST TOTALS
Principal Engineer 80 $ 30.00 $ 2,400.00
Engineer I 50 $ 26.92 $ 1,346.00
Engineer II 120 $ 25.48 $ 3,057.60
Draftsman I 120 $ 15.50 $ 1,860.00
Secretarial 29 $ 11.00 $ 319.00
Registered Land Surveyor 16 $ 27.50 $ 440.00
Survey Party Chief 32 $ 26.25 $ 840.00
Survey Rodman 32 $ 10.00 $ 320.00
Direct Labor TotaL $.:-7 9t3,��,6t11=
INDIRECT COST(OVERHEAD)
DIRECT LABOR DISTRIBUTION BASE
181.02 x Direct Labor Total
INDIRECT COST: $ e '.1�1�>$�>
OTHER DIRECT COST
Postage&Telephone: $ 94.22
Mileage 200 0.485 $ 97.00
Copies and Reproduction(Excluding Bid Sets) $ 200.00
OTHER DIRECT COST TOTAL: $ �,' �r`39'E�
SUBTOTAL EXCLUSIVE OF FIXED FEE: `���_.� �c�'�tf.4F`�:
FIXED FEE 15%*SUBTOTAL '��.� _+���..��
Geotechnical Investi ation Not Re uired;no fee $ -
TOTAL ENGINEERING FEE FOR DESIGN PHASE SERVICES: � �QQ-
ATTACHMENT A2
ENGINEERING SERVICES FEE SCHEDULE(CONSTRUCTION PHASE SERVIES)
COST&PRICE SUMMARY FORMAT
DATE FE6.2006
PROJECT NAME: CAPE GIRARDEAU COUNTY,MISSOURI; COUNTY ROAD#239 BRIDGE
PROJECT LOCATION: CAPE GIRARDEAU COUNTY,MISSOURI
PROJECT NUMBER: BRO#
DIRECTLABOR HOURS RATE COST TOTALS
Principal Engineer 15 $ 30.00 $ 450.00
Engineer II 16 $ 25.48 $ 407.68
Inspector 1 16 $ 19.23 $ 307.68
Inspector 2 16 $ 14.50 $ 232.00
Laboratory Technician 8 $ 12.50 $ 100.00
Secretarial 8 $ 10.00 $ 80.00
DirectLaborTotal: $ �.F, ���1 Z,��
INDIRECT COST(OVERHEAD)
DIRECT LABOR DISTRIBUTION BASE
181.02 x Direct Labor Total
INDIRECTCOST: �,<z�� �,�Q�.3�'
OTHER DIRECT COST
Postage&Telephone: $ 25.00
Mileage 200 0.485 $ 97.00
Materials $ 43.14
OTHER DIRECT COST TOTAL: �r ' ' 165.14:
SUBTOTAL EXCLUSIVE OF FIXED FEE: $ a. 3d�'$;t
FIXED FEE 15%"SUBTOTAL $�``�*��� �'��'�"
Geotechnical Investi ation Previousl a uired,no fee Normal Direct Pass-throu h $ -
TOTAL ENGINEERING FEE FOR CONSTRUCTION PHASE SERVICES: ���," � '._, ��
EXHIBIT'B'
OVERHEAD RATE DEVELOPMENT(MoDot Method)
KOEHLER ENGINEERING 8�LAND SURVEYING, INC.
2006 OVERHEAD SUMMARY
Percenta e o
Direct Labo
OVERHEAD TI'EM
PAYROLL ADDITIVES
VACATIONS 1.37%
HOLIDAYS 3.59%
SICK PAY 0.03%
HEALTH INSURANCE 7.60%
PAYROLL TAXES 11.60%
RETIREMENI' 1.7 6%
TOTAL DIRECI'OVERHEAD 25.35%
GENERAL AND ADNIIl�TISTRATIVE OVERHEAD
ADVERTISING 0.00%
UTILITIES 1.64%
BANK CHARGES 0.06%
BOOKS AND MANUAIS 0.25°/u
COMPUTER SOFPWARE 4.19%
CONTRACI'UAL SERVICES 25.35%
COUNTY COLLECI'OR 1.67%
DEPRECIATION 23.36%
DiJES AND SUBSCRIPTIONS 0.30%
EOiTIPMENT RENTAL 0.50°k
INSURANCE EXPENSE 15.17%
INTEREST EXPENSE 0.00%
LAUNDRY-i1NIFORMS 0.45%
LEGAL AND ACCOUNTING FEES 0.44%
LICENSES 0.42°o
MISC TAXES AND LICENSES 0.27%
MLSCELLANEOUs 0.13°k
OFFICE SUPPLIES 4.65°k
SURVEYING SUPPLIES 13.81%
POSTAGE AND SI�PPING 1.02%
PROFESSIONAL FEES 5.76%
RENTAL EXPENSES 7.88%
REPAIRS AND MAIN1'ENANCE 0.37%
ADMINISTRATION WAGES 33.36°k
SEMIlVARS 1.22°k
TELEPHONE 2.55%
VEHICLE EXPENSES 10.86%
TOTAL GENERAL AND ADMIlNiLSTRATIVE OVERHEAD 155.67%
TOTAL OVERHEAD RATE: 181.02%
ATTACHMENT C
CERTIFICATION REGARDING DEBARMENT,
SUSPENSION,AND OTHER RESPONSIBILITY MATTERS-
PRIMARY COVERED TRANSACTIONS
INSTRUCTIONS FOR CERTIFICATION
1. By signing and submitting this proposal, the prospective primary participant is providing the
certification set out below.
2. The inability of a person to provide the certification required below will not necessarily result
in denial of participation in this covered transaction. The prospective participant shall submit
an explanation of why it cannot provide the certification set out below. The certification or
explanation will be considered in connection with the department or agency's determination
whether to enter mto this transaction. However, failure of the prospective primary participant
to furnish a certification or an explanation shall disqualify such person from participation in
this transaction.
3. The certification in this clause is a material representation of fact upon which reliance was
placed when the department or agency determined to enter into this transaction. If it is later
determined that the prospective primary participant knowingly rendered an erroneous
certification in addition to other remedies available to the Federal Government, the
department or agency may terminate this transaction for cause of default.
4. The prospective primary participant shall provide immediate written notice to the department
or agency to whom this proposal is submitted if at any time the prospective primary
participant learns that its certification was erroneous when submitted or has become erroneous
by reason of changed circumstances.
5. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered
transaction," "participant," "person," "primary covered transaction," "principal," "proposal,"
and "voluntarily excluded," "proposal" and "voluntarily excluded," as used in this clause,
have the meanings set out in the Definitions and Coverage sections of the rules implementing
Executive Order 12549. You may contact the department or agency to which this proposal is
being submitted for assistance in obtaining a copy ofthose regulations.
6. The prospective primary participant agrees by submitting this proposal that, should the
proposed covered transaction be entered into, it shall not knowingly enter into any lower tier
covered transaction with a person who is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this covered transaction, unless authorized by the
department or agency entering into this transaction.
7. The prospective primary participant further agrees by submitting this proposal that it will
include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and
FIG. VI- 1 - 10
Revised 01-01-06
Voluntary Exclusion--Lower Tier Covered Transaction" provided by the department or
agency entering into this covered transaction, without modification, in all lower tier covered
transactions and in all solicitations for lower tier covered transactions.
8. A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or
voluntarily excluded from the covered transaction, unless it knows that the certification is
erroneous. A participant may decide the method and freyuency by which it determines the
eligibility of its principals. Each participant may, but is not required to check the
Nonprocurement List (Tel. #).
9. Nothing contained in the foregoing shall be construed to require establishment of a system of
records in order to render in good faith the certification required by this clause. The
knowledge and information of a participant is not required to exceed that which is normally
possessed by a prudent person in the ordinary course of business dealings.
10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a
covered transaction knowingly enters into a lower tier covered transaction with a person who
is suspended, debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal Government, the department
or agency may terminate this transaction for cause or default.
Certification Regarding Debarment, Suspension, and Other Responsibility Matters -Primary
Covered Transactions
1. The prospective primary participant certifies to the best of its knowledge and belief, that it
and its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal department or agency;
b. Have not within a three-year period preceding this proposal been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain or performing a public (Federal, State
or local) transaction or contract under a public transaction; violation of Federal or
State antitrust statutes or commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements, or receiving stolen
property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (Federal, State or local) with commission of any of the offenses
enumerated in paragraph(1)(b) of this certification; and
d. Have not within a three-year period preceding this application/proposal had one or
more public transactions(Federal, State or local) terminated for cause or default.
FIG. VI- 1 - 11
Revised O1-Ol-06
2. Where the prospective primary participant is unable to certify to any of the statements in this
certification, such prospective participant shall attach an explanation to this proposal.
FIG. VI- 1 - 12
Revised 01-01-06
ATTACHMENT D
CERTIFICATION REGARDING DEBARMENT, SUSPENSION,INELIGIBILTTY AND
VOLUNTARY EXCLUSION--LOWER TIER COVERED TRANSACTIONS
INSTRUCTIONS FOR CERTIFICATION
1. By signing and submitting this proposal, the prospective lower tier participant is providing the
certification set out below.
2. The certification in this clause is a material representation of fact upon which reliance was
placed when this transaction was entered into. If it is later determined that the prospective
lower tier participant knowingly rendered an erroneous certification, in addition to other
remedies available to the Federal Government, the department or agency with which this
transaction originated may pursue available remedies, including suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the person to
which this proposal is submitted if at any time the prospective lower tier participant learns
that its certification was erroneous when submitted or has become erroneous by reason of
changed circumstances.
4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered
transaction," "participant," "person," "primary covered transaction," "principal," "proposal,"
and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions
and Coverage sections of rules implementing Executive Order 12549. You may contact the
person to which this proposal is submitted for assistance in obtaining a copy of those
regulations.
5. The prospective lower tier participant agrees by submitting this proposal that, should the
proposed covered transaction with a person who is debarred, suspended, declared ineligible,
or voluntarily excluded from participation in this covered transaction, unless authorized by the
department or agency with which this transaction originated.
6. The prospective lower tier participant further agrees by submitting this proposal that it will
include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion--Lower Tier Covered Transaction," without modification, in all lower
tier covered transactions and in all solicitations for lower tier covered transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or
voluntarily excluded from the covered transaction, unless it knows that the certification is
erroneous. A participant may decide the method and frequency by which it determines the
eligibility of its principals. Each participant may, but is not required to, check the
Nonprocurement List (Tel. #).
FIG. VI- 1 - 13
Revised 01-01-06
8. Nothing contained in the foregoing shall be construed to require establishment of a system of
records in order to render in good faith the certification required by this clause. The
knowledge and information of a participant is not required to exceed that which normally
possessed by a prudent person in the ordinary course of business dealings.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a
covered transaction knowingly enters into a lower tier covered transaction with a person who
is suspended, debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal Government, the department
or agency with which this transaction originated may pursue available remedies, including
suspension and/or debarment.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION--LOWER TIER COVERED TRANSACTIONS
1. The prospective lower tier participant certifies, by submission of this proposal, that neither it
nor its principals is presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any Federal
department or agency.
2. Where the prospective lower tier participant is unable to certify to any of the statements in
this certification, such prospective participant shall attach an explanation to this proposal.
FIG. VI- 1 - 14
Revised 01-01-06