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CSJ #0901 -29 -079 Fed.# STP2014(095)TE <br />District # 01 PAR <br />Code Chart 64 #50139 <br />Project: West Paris Multi -use Trail <br />Federal Highway Administration <br />CFDA #20.205 <br />Not Research and Development <br />agreement, which may result in the termination of this agreement or such other remedy as the <br />recipient deems appropriate. <br />25. Debarment Certifications <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 <br />Programs under Executive Order 12549, "Debarment and Suspension." By executing this <br />Agreement, the Local Government certifies that it and its principals are not currently debarred, <br />suspended, or otherwise excluded from or ineligible for participation in Federal Assistance <br />Programs under Executive Order 12549, and further certifies that it will not do business with any <br />party, to include principals, that is currently debarred, suspended, or otherwise excluded from or <br />ineligible for participation in Federal Assistance Programs under Executive Order 12549. The <br />parties to this Agreement shall require any party to a contract, subcontract, or purchase order <br />awarded under this Agreement to certify its eligibility to receive federal funds and, when requested <br />by the State, to furnish a copy of the certification. <br />26. Lobbying Certification <br />In executing this Agreement, each signatory certifies to the best of that signatory's knowledge and <br />belief, that: <br />A. No federal appropriated funds have been paid or will be paid by or on behalf of the parties to <br />any person for influencing or attempting to influence an officer or employee of any federal <br />agency, a Member of Congress, an officer or employee of Congress, or an employee of a <br />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 <br />agreement, and the extension, continuation, renewal, amendment, or modification of any <br />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 <br />for influencing or attempting to influence an officer or employee of any agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in <br />connection with federal contracts, grants, loans, or cooperative agreements, the signatory for <br />the Local Government shall complete and submit the federal Standard Form -LLL, "Disclosure <br />Form to Report Lobbying," in accordance with its instructions. <br />C. The parties shall require that the language of this certification be included in the award <br />documents for all sub - awards at all tiers (including subcontracts, sub - grants, and contracts <br />under grants, loans, and cooperative agreements) and all sub - recipients shall certify and <br />disclose accordingly. Submission of this certification is a prerequisite imposed by Title 31 <br />U.S.C. §1352 for making or entering into this transaction. Any person who fails to file the <br />required certification shall be subject to a civil penalty of not less than $10,000 and not more <br />than $100,000 for each such failure. <br />27. Insurance <br />A. Should this Agreement authorize the Local Government or its contractor to perform any work <br />on State right of way, before beginning work, the entity performing the work shall provide the <br />State with a fully executed copy of the State's Form 1560 Certificate of Insurance verifying the <br />existence of coverage in the amounts and types specified on the Certificate of Insurance for all <br />AFA- AFA_EnhLF.doc Page 13 of 15 Revised 05/23/2014 <br />