HomeMy WebLinkAboutRes.3546.04-17-2023BILL NO. 23-52
RESOLUTION NO.
A RESOLUTION AUTHORIZING THE CITY MANAGER TO
EXECUTE AN AGREEMENT WITH STANTEC CONSULTING
SERVICES, INC., FOR THE PRS2/ARPA STORMWATER
PROJECT, IN THE CITY OF CAPE GIRARDEAU,
MISSOURI
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF CAPE
GIRARDEAU, MISSOURI, AS FOLLOWS:
ARTICLE 1. The City Manager, for and on behalf of the City
of Cape Girardeau, Missouri, is hereby authorized to execute an
Agreement with Stantec Consulting Services, Inc., for the
PRS2/ARPA Stormwater Project, in the City of Cape Girardeau,
Missouri. The Agreement shall be in substantially the form
attached hereto, which document is hereby approved by the City
Council, and incorporated herein by reference, with such changes
and amendments as shall be approved by the officers of the City
executing the same.
PASSED AND ADOPTED THIS
ATTEST:
Gayl• onrad, City Clerk
17th DAY OF April 2023.
a
Stacy Kinde o
CITY Of CAPE GIRARDEAU
PUBLIC WORKS DEPARTMENT
General Services Agreement
For
PRS2/ARPA Stormwater Projects
CONSULTANT NAME: Stantec Consulting Services Inc.
THIS CONTRACT is between City of Cape Girardeau, Missouri, hereinafter referred to as the "City",
and Stantec Consulting Services Inc., 500 N. Broadway #1425, St. Louis, Missouri 63102, hereinafter
referred to as the "Consultant".
INASMUCH as funds have been made available by the City to complete the Parks and Recreation and
Stormwater Phase 2 (PRS2)/American Rescue Plan Act (ARPA) projects which require professional
services. The Consultant, upon the City's request through written Task Orders, will provide the City
with any and all professional services hereinafter detailed for the planning, design and/or construction
inspection of the desired improvements and the City will pay the Consultant as provided in this
contract and subsequent Task Orders. A Task Order amount shall not be exceeded except by
issuance of an additional Task Order. Costs for specific phases of work will not exceed the Task
Order. If additional work is needed, an additional Task Order will be issued. It is mutually agreed
as follows:
ARTICLE I - SCOPE OF SERVICES
A. DESIGN PHASE - The Consultant will if requested by the City:
1. determine the needs of the City for the project;
2. conduct topographic, property and utility surveys sufficient to develop plans for the
project;
3. arrange for subsurface investigations if needed, and make recommendations for
structure foundations and pavement sections;
4. perform traffic studies and/or traffic modeling if needed;
5. conduct hydraulic studies, prepare alternative designs and cost estimates, develop
preliminary plans, and recommend to the City the best overall general design based on
these studies;
6. submit appropriate copies of preliminary plans, estimates and/or studies for review by
the City;
7. prepare detailed construction plans, cost estimates, specifications and related documents
as necessary, including a Stormwater Pollution Prevention Plan (SWPPP), for the
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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 City's forces;
8. secure adequate property title information, determine right-of-way requirements, prepare
right-of-way plans, legal descriptions, and exhibits, and assist the City in acquiring the
right-of-way deeds and necessary easements needed for the project;
9. ensure compliance with water quality requirements by coordinating with the Missouri
Department _of Natural _Resources_ and the U.S. Army_ Corps of Engineers _and also
ensure compliance with the requirements of the Federal Emergency Management
Agency (FEMA);
10. 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;
11. ensure compliance with all regulations in regards to noise abatement and air quality, if
necessary; and
12. after making final corrections resulting from reviews by agencies involved, provide the
City with the appropriate sets of completed plans, specifications, studies and/or cost
estimates for the purpose of obtaining construction authorization from the City.
B. BIDDING PHASE - If requested by the City, the Consultant will assist the City in
advertising for bids and evaluating bids.
Bids Exceeding Cost Estimate: If all bids exceed Consultant's Estimate, due to error or
negligence on the Consultant, the Consultant shall, at the request of City and for no additional
cost, prepare a report for City identifying why all the bids exceed the estimate. The City has
four (4) options if all bids exceed Consultant's Estimate. The City may: (1) give written
approval of an increase in the Project cost; (2) authorize rebidding of the Project, (3)
terminate the Project and this Agreement, or (4) cooperate in revising the Project scope, plans,
or specifications, or all as necessary to reduce the construction cost. In the case of (4),
Consultant, without additional charge to City, shall consult with City and shall revise and
modify the scope, plans, or specifications as necessary to achieve compliance with the
Consultant's Estimate.
C. CONSTRUCTION PHASE - If requested by the City, the Consultant will serve as the City's
representative for administering the terms of the construction contract between City and their
Contractor. Consultant will endeavor to protect the City against defects and deficiencies in
workmanship and materials in work by the Contractor. However, the furnishing of such
project representation will not make Consultant 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. Consultant's services will include more specifically
as follows if needed:
1. assist the City with a preconstruction conference to discuss project details with the
Contractor;
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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. The Consultant will
accompany City representatives on visits of the project site as requested;
check 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 City as necessary and assure that proper
approvals are made prior to work being performed. All change orders shall be
submitted to the Missouri Department of Natural Resources for approval;
review wage rates, postings, equal employment opportunity and other related items
called for in the contract documents;
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 City personnel and such sampling and testing is excluded from the work
to be performed by the Consultant under this contract;
maintain progress diary and other project records, measure and document quantities,
and review 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. installation of piping;
d. driving of piles;
e. checking of reinforcing steel prior to concrete placement;
f. concrete batching and pouring;
g. placement of girders; and
h. placement of surfacing materials; and
10. participate in final inspection, provide the City with project documentation (diaries,
test results, certifications, etc.), and provide as -built plans for the City's records.
ARTICLE II - ADDITI®NAL SERVICES
The City reserves the right to request additional work; 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 City prior to performing the additional or
changed work or incurring any additional cost thereof. Any change in compensation will be covered
in the supplement.
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ARTICLE III - RESPONSIBILITIES OF CITY
The City will cooperate fully with the Consultant 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
City;
B. provide the Consultant with the City's requirements for the project;
C. make provisions for the Consultant to enter upon property at the project site for the
performance of his duties;
D. examine all studies and layouts developed by the Consultant and render decisions thereon in a
prompt manner so as not to delay the Consultant;
E. designate a City employee to act as City's representative under this contract, such person shall
have authority to transmit instructions, interpret the City'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 and easements needed to
construct this project.
ARTICLE IV - PERIOD OF SERVICE
The Consultant will commence work within two weeks after receiving signed a Task Order and
notice to proceed from the City. The phases of work shall be completed in accordance with the
associated Task Order.
The times are exclusive of review time by other agencies and exclusive of time needed to acquire
right-of-way. The City will grant time extensions for unavoidable delays beyond the control of the
Consultant. Requests for extensions of time should be requested in writing by the Consultant, stating
fully the reasons for the request.
This contract shall remain in effect for five years from the date executed by the City of Cape
Girardeau City Manager.
ARTICLE V - STANDARDS
The Consultant shall be responsible for working with the City in determining the appropriate design
parameters and construction specifications for the project using good engineering judgment based on
the specific site conditions, City needs, and guidance provided in the most current version of the City
of Cape Girardeau's Standard Specifications and Drawings. If the project is on MoDOT Right -of -
Way, then the latest version of the Engineering Policy Guide (EPG) and Missouri Standard
Specifications for Highway Construction shall be followed.
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ARTICLE VI - COMPENSATION
For services provided under this contract, the City will compensate the Consultant as determined in
the Task Order based on Consultant's Charge Out Rates as determined below:
Charge Out rates shall include all direct payroll, general and administrative overhead,
specialized equipment costs, payroll taxes, holiday and vacation pay, sick leave pay,
insurance benefits, retirement and incentive pay.
2. Additional work incurred by others on a subcontract basis, said costs are to be passed through
the Consultant on the basis of reasonable and actual cost as invoiced by the subcontractors,
only if required and approved by the City.
METHOD OF PAYMENT — Unless otherwise stated in the Task Order, partial payments will be
made to the Consultant for work satisfactorily completed upon receipt of itemized invoices by the
City.
The City shall make payments to the Consultant in accordance with section
8.960, RSMo.
Invoices will be submitted monthly. Invoices submitted on or before the 20th
day of any month shall become due and payable on the 10th day of the
following month. Invoices for each Task Order shall be submitted separately.
City's Right to Withhold Pam In the event the City becomes informed
that any representations of the Consultant provided in its monthly billing, are
wholly or partially inaccurate, City may withhold payment of sums then or in
the future otherwise due to the Consultant until the inaccuracy and the cause
thereof, is corrected to the City's reasonable satisfaction. The Consultant shall
correct or revise any errors or deficiencies in its designs, drawings or
specifications without additional compensation when due solely to
Consultant's negligent acts, errors, or omissions.
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 Consultant warrants that he has not employed or retained any company or person, other than a
bona fide employee working for the Consultant, 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 City 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.
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ARTICLE VIII - SUBLETTING, ASSIGNMENT OR TRANSFER
No portion of the work covered by this contract, the contract itself, or any Task Order, except as
provided herein, shall be assigned, sublet or transferred without the written consent of the City. The
subletting of the work shall not relieve the Consultant of his primary responsibility for the quality and
performance of the work. The Consultant may engage subcontractors for the purposes of: foundation
and/or geotechnical borings and tests, abstracts of title, archaeological studies, traffic studies, and
environmental studies, if required and approved by the City.
ARTICLE IX - PROFESSIONAL ENDORSEMENT
All plans, specifications and other documents shall be endorsed by the Consultant and shall reflect
the name and seal of the Professional Engineer endorsing the work. By signing and sealing the Plans,
Specifications, and Estimate submittals the Engineer of Record will be representing to the City that
the design is meeting the intent of the program. Any review or approval by the City of any
documents prepared by the Consultant and/or its subconsultants including but not limited to the plans
and specifications, shall be solely for the purpose of determining whether such documents are
consistent with City's construction program and intent and shall not be construed as approval of same
by City. No review of such documents shall relieve Consultant of its responsibility for the accuracy,
adequacy, fitness, suitability, and coordination of its work product.
Consultant shall assign only qualified personnel to perform any service concerning the Project. At
the time of execution of the Task Order, the parties will agree on the Project Manager for the Task.
This person shall be the primary contact with the City's Project Manager and shall have authority to
bind Consultant.
ARTICLE X - RETENTION OF RECORDS
The Consultant 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 City. Said
records shall be made available for inspection by authorized representatives of the City during regular
working hours at the Consultant'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 City upon termination or completion of work. Basic survey notes, design
computations, and other data prepared under this contract shall be made available to the City upon
request. All such information produced under this contract shall be available for use by the City
without restriction or limitation on its use. If the City incorporates any portion of the work into a
project other than that for which it was performed, the City shall save the Consultant harmless from
any claims and liabilities resulting from such use.
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ARTICLE XII - TERMINATION
The City 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 City, the Consultant will be paid for actual time
and covered expenses incurred up to the date of termination, plus a pro -rated portion of any fixed fee.
If the contract is terminated due to the Consultant's services being unsatisfactory in the judgment of
the City, or if the Consultant fails to prosecute the work with due diligence, the City may procure
completion of the work in such manner as it deems to be in the best interest of the City. A Notice of
Termination will be sent to the Consultant and the Consultant shall have a period of ten (10) days to
remedy the cause for termination. The Consultant will be responsible for any excess cost in addition
to that provided for in this contract or any damages the City may sustain by reason of the termination
of this contract due to unsatisfactory performances or prosecution. When Consultant services have
been so terminated, such termination shall not affect any rights or remedies of the City against the
Consultant then existing or which may later accrue. Similarly, any retention or payment of monies
due the Consultant shall not release the Consultant from liability.
ARTICLE XIII - DECISIONS UNDER THIS CONTRACT
The City will determine the acceptability of work performed under this contract, and will decide all
questions which may arise concerning the project. The City's decision shall be final and conclusive.
ARTICLE XIV - SUCCESSORS AND ASSIGNS
Subject to the restrictions on assignments in Article VIII above, the City and the Consultant 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.
ARTICLE XV - COMPLIANCE WITH LAWS
The Consultant 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. Consultant shall further comply with the following state law
requirements:
Work Authorization Program. If the Contract is for services expected to cost more than $5,000.00,
the Consultant shall comply with of Section 285.530 RSMo., pertaining to enrollment and
participation in a federal work authorization program (as defined therein) and shall provide
verification through an affidavit (attached as Attachment C) that the Consultant (1) does not
knowingly employ any person who is an unauthorized alien in connection with the Contract and (2) is
enrolled in a federal work authorization program and provide documentary proof thereof. The
affidavit shall contain the notarized signature of the registered agent, legal representative, or
corporate officer of the Consultant including but not limited to the human resources director or their
equivalent.
Proof of Lawful Presence. Section 208.009 RSMo., requires that all applicants at the time of
application for any contract provided by a local government provide "affirmative proof that the
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applicant is a citizen or a permanent resident of the United States or is lawfully present in the United
States." Consultant's affirmative proof must be established through (i) a Missouri driver's license,
(ii) any "documentary evidence recognized by the department of revenue when processing an
application for a driver's license," or (iii) "any document issued by the federal government that
confirms an alien's lawful presence in the United States." §208.009.3
ARTICLE XVI - RESPONSIBILITY FOR CLAIMS AND LIABILITY
The Consultant agrees to save harmless the City from all claims and liability due to his negligent acts
or the negligent acts of his employees, agents, or subcontractors. The City shall be entitled to recover
its actual attorneys' fees from Consultant for the City's enforcement of this Agreement.
ARTICLE XVII - INSURANCE
The Consultant shall maintain commercial general liability, automobile liability, and worker's
compensation and employer's liability insurance in full force and effect to protect the Consultant
from claims under Worker's Compensation Acts, claims for damages for personal injury or death,
and for damages to property arising from the negligent acts, errors, or omissions of the Consultant
and its employees, agents and subconsultants in the performance of the services covered by this
Agreement, including, without limitation, risks insured against in commercial general liability
policies.
The Consultant shall also maintain professional liability insurance to protect the City against the
negligent acts, errors, or omissions, of the Consultant and those for whom it is legally responsible,
arising out of the performance of professional services under this Agreement.
Unless another amount is agreed to by the City based on the circumstances, the Consultant and his
subconsultants shall procure and maintain during the life of this Agreement insurance of the types
and minimum amounts as follows:
Insurance Type
Amount
Worker's Compensation: In full compliance with statutory requirements of
Federal and State of Missouri
Comprehensive General and Professional Liability, $488,755 each person
including: Comprehensive Automobile Liability, $3,258,368 each occurrence
Employer Liability, City's Protective Bodily Injury
Including Death, and City's Protective Property
Damage
Certificates evidencing such insurance shall be furnished to the City prior to the Consultant
commencing the work on this project. Except for Workers' Compensation and Employer's Liability,
the certificates must state, "The CITY OF CAPE GIRARDEAU is an additional insured". The City
reserves the right to adjust the limit coverage requirements in accordance with changes in the
statutory sovereign immunity limits over the life of this contract to reflect any changes in the limits as
published by the Missouri Department of Insurance in the state register pursuant to RSMo. §537.610.
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The Consultant shall, upon request at any time, provide the City with certificates of insurance
evidencing the Consultant's commercial general or professional liability policies and evidencing that
they and all other required insurance is in effect, as to the services under this Contract.
Any insurance policy required as specified in this Article shall be written by a company that is
incorporated in the United States of America or is based in the United States of America. Each
insurance policy must be issued by a company authorized to issue such insurance in the State of
Missouri.
ARTICLE XVIII - FINDINGS CONFIDENTIAL
To the fullest extent permitted by law, all reports, information, data, etc. prepared or assembled by
the Consultant under this contract are confidential, and the Consultant agrees they shall not be made
available to any individual or organization without the prior written approval of the City. The use and
disclosure of the confidential information shall not apply to information which (a) was known to the
Consultant before receipt of same from the City; or (b) becomes publicly known other than through
the Consultant; or (c) is disclosed pursuant to the requirements of a governmental authority or judicial
order.
ARTICLE XIX - NONDISCRIMINATION
The Consultant, 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 Consultant will comply with Title VI of the Civil Rights Act of
1964, as amended. More specifically, the Consultant 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 Consultant for work to be performed under a
subcontract, including procurements of materials or equipment, each potential subcontractor or
supplier shall be notified by the Consultant's obligations under this contract and the regulations
relative to non-discrimination on the ground of color, race or national origin.
The Consultant agrees to take steps to ensure that disadvantaged business enterprises (DBEs) are
utilized when possible as sources of supplies, equipment, construction, and services as required by 2
CFR 200.321.
ARTICLE XX - ATTACHMENTS
The following exhibits are attached hereto and are hereby made part of this contract:
Attachment A — Charge out rates for 2023, 2024, 2025, 2026, 2027, and 2028
Attachment B — Certification Regarding Debarment, Suspension, and Other
Responsibility Matters - Primary Covered Transactions
Attachment C — Affidavit of Participation in Federal Work Authorization Program
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Executed by the Consultant this day of , 2023.
Executed by the City this day of , 2023.
FOR: CITY OF CAPE GIRARDEAU
BY:
Dr. Kenneth Haskin, City Manager
ATTEST:
Bruce Taylor, Deputy City Clerk
FOR: STANTEC CONSULTING SERVICES INC.
ATTEST:
Matthew Hoy, Senior Principal
Robert W. Welsch, Senior Principal
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ATTACHMENT A
BREAK OUT RATES FOR YEAR
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ATTACHMENT B
CERTIFICATION REGARDING DEBARMENT,
SUSPENSION, AND OTHER RESPONSIBILITY MATTERS -
PRIMARY COVERED TRANSACTIONS
INSTRUCTIONS FOR CERTIFICATION
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 into 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.
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 of those 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
Voluntary Exclusion --Lower Tier Covered Transaction" provided by the department or
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agency entering into this covered transaction, without modification, in all lower tier covered
transactions and in all solicitations for lower tier covered transactions.
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 at the Excluded Parties List System.
https://www.epls. gov/epls/search.do?page=A&status=current&agency=69#A.
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, malting 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.
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.
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ATTACHMENT C
AFFIDAVIT OF PARTICIPATION IN
FEDERAL WORK AUTHORIZATION PROGRAM
Comes now as first being duly sworn, on my oath,
(name) (office held)
affirm ("Consultant") is enrolled and will continue to participate in a
(company name)
federal work authorization program in respect to employees that will work in connection with the
contracted services related to General Services Agreement and any incidental items
associated with this work for the duration of the contract, if awarded, in accordance with Section
28S.S30.2, Revised Statutes of Missouri. I also affirm that the Consultant does not and will not
knowingly employ a person who is an unauthorized alien in connection with the contracted services for
the duration of the contract, if awarded. Attached to this affidavit is documentation of the Consultant's
participation in a federal work authorization program.
(ATTACH DOCUMENTATION SHOWING THAT COMPANY PARTICIAPTES IN FEDERAL WORK
AUTHORIZATION PROGRAM. ALSO ATTACH PROOF OF LAWFUL PRESENCE, AS PROVIDED IN THE
GENERAL CONDITIONS)
In Affirmation thereof, the facts stated above are true and correct (The undersigned
understands that false statements made in this filing are subject to the penalties provided under
Section 575.040, RSMo).
Signature (person with authority) Printed Name
Title Date
State of Missouri )
ss.
County of )
Subscribed and sworn to before me this day of 20_.
My commission expires:
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Notary Public