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CSJ # 1452-O1-013 <br />District # Paris <br />Code Chart 64 # <br />Proj ect: <br />CFDA#: <br />Form FHWA-1589, Monthly Emplovment Report, promulgated by the Federal Highway Administration <br />(FHWA), captures the necessary monthly employment information and shall be submitted by the <br />Contractor on a regular basis to the LG (Local Government). It is the responsibility of the LG to obtain <br />this form from the prime Contractor and any subcontractors and, the LG shall verify the accuracy, <br />completeness, and reasonableness of the data contained in the form. The LG shall ensure that this <br />form is submitted by the LG to the State according to the policies and at the direction of the State. <br />In order to meet any other FHWA and ARRA reporting requirements, the LG shall provide to the <br />State all information requested by the State, including data or information in possession of <br />contractors and subcontractors for completing other necessary reporting forms, and the information <br />shall be submitted in the manner required and according to all due dates as set by the State. <br />Furthermore, the ARRA mandates that the U.S. Comptroller General's Office shall have authority to <br />examine the records of the contractor, subcontractor, or local agency relating to the project at any <br />time. <br />Article 17. Insurance <br />If this agreement authorizes the Local Government or its contractor to perform any work on State <br />right of way, before beginning work the entity performing the work shall provide the State with a fully <br />executed copy of the State's Form 1560 Certificate of Insurance verifying the existence of coverage <br />in the amounts and types specified on the Certificate of Insurance for all persons and entities working <br />on State right of way. This coverage shall be maintained until all work on the State right of way is <br />complete. If coverage is not maintained, all work on State right of way shall cease immediately, and <br />the State may recover damages and all costs of completing the work. <br />Article 18. Debarment <br />The parties are prohibited from making any award at any tier to any party that is debarred or <br />suspended or otherwise excluded from or ineligible for participation in Federal Assistance Programs <br />under Executive Order 12549, "Debarment and Suspension." By executing this agreement, the <br />[Contractor, Local Government, Engineer, or whatever] certifies that it is not currently debarred, <br />suspended, or otherwise excluded from or ineligible for participation in Federal Assistance Programs <br />under Executive Order 12549. The parties to this contract shall require any party to a subcontract or <br />purchase order awarded under this contract to certify its eligibility to receive Federal funds and, when <br />requested by the State, to furnish a copy of the certification. <br />Article 19. Signatory Warranty <br />The signatories to this agreement warrant that each has the authority to enter into this agreement on <br />behalf of the party they represent. <br />IN WITNESS WHEREOF, THE STATE AND THE LOCAL GOVERNMENT have executed duplicate <br />counterparts to effectuate this agreement. <br />THE STATE OF TEXAS <br />Executed for the Executive Director and approved for the Texas Transportation Commission for the <br />purpose and effect of activating and/or carrying out the orders, established policies or work programs <br />heretofore approved and authorized by the Texas Transportation Commission. <br />By <br />AFA_AFA VnITIP <br />Date <br />Page 6 of 8 Revised 07/10/2009 <br />