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Misc. Contracts and Agreements
No. 23719
LOCAL AGENCY AGREEMENT
CONGESTION MITIGATION AND AIR QUALITY PROGRAM
Diesel Retrofit
City of Ashland
THIS AGREEMENT is made and entered into by and between the STATE OF OREGON,
acting by and through its Department of Transportation, hereinafter referred to as "State,"
and the CITY OF ASHLAND, acting by and through its elected officials, hereinafter
referred to as "Agency."
RECITALS
1. By the authority granted in ORS 190.110, 366.572 and 366.576, State may enter into
cooperative agreements with counties, cities and units of local governments for the
performance of work on certain types of improvement projects with the allocation of
costs on terms and conditions mutually agreeable to the contracting parties.
NOW THEREFORE, the premises being in general as stated in the foregoing recitals, it
is agreed by and between the parties hereto as follows:
TERMS OF AGREEMENT
1. Agency has applied for Congestion Mitigation and Air Quality (CMAQ) Program
funding to purchase and install emission control devices promoting lower
emissions through clean diesel technology on nineteen (19) vehicles within
Agency's fleet, hereafter referred to as "Project."
2. This Project shall be conducted as a part of the Congestion Mitigation and Air
Quality (CMAQ) Program under Title 23, United States Code. The total Project cost
is estimated at $114,000, which is subject to change. The CMAQ funds are limited
to $91,200. Eligible costs for the Project will be reimbursed at the full federal share
or until the $91,200 limit is reached. Agency shall be responsible for the match of
10.27 percent for any portion of the federal funds which are expended, and any
portion of the Project which is not covered by federal funding.
3. The federal funding for this Project is contingent upon approval by FHWA. Any work
performed prior to acceptance by FHWA will be considered nonparticipating and
paid for at Agency expense. The Catalog of Federal Domestic Assistance (CFDA)
number for this Project is 20.205.
4. State considers Agency a sub-recipient of the federal funds under this Agreement.
Key No. 15246
City of Ashland/State
Agreement No. 23719
5. The term of this Agreement shall begin on the date all required signatures are
obtained and shall terminate upon completion of the Project and final payment or
ten (10) calendar years following the date all required signatures are obtained,
whichever is sooner.
AGENCY OBLIGATIONS
1. Agency shall provide the following information to State prior to State's release of
payment for equipment purchases: A list of the specific vehicles to be retrofitted
with an installation plan, the specific emission control system to be installed, the cost
and the warranties associated with their products, and potential emissions
reductions with accompanying documentation.
2. Agency shall submit a copy of vendor invoices with request for reimbursement from
CMAQ program funds.
3. Agency shall, upon purchase and installation of the equipment, operate and
maintain the equipment at its own expense for the useful life of said equipment.
The useful life of the equipment is estimated to be approximately five years.
Maintenance responsibilities shall survive any termination of this Agreement.
4. All employers, including Agency, that employ subject workers who work under this
Agreement in the State of Oregon shall comply with ORS 656.017 and provide the
required Workers' Compensation coverage unless such employers are exempt
under ORS 656.126. Agency shall ensure that each of its subcontractors complies
with these requirements.
5. Agency acknowledges and agrees that State, the Secretary of State's Office of the
State of Oregon, the federal government, and their duly authorized representatives
shall have access to the books, documents, papers, and records of Agency which
are directly pertinent to the specific Agreement for the purpose of making audit,
examination, excerpts, and transcripts for a period of three years after final
payment. Copies of applicable records shall be made available upon request.
Payment for costs of copies is reimbursable by State.
6. Agency shall comply with all federal, state, and local laws, regulations, executive
orders and ordinances applicable to the work under this Agreement, including,
without limitation, the provisions of ORS 2798.220, 2798.225, 2798.230, 2798.235
and 2798.270 incorporated herein by reference and made a part hereof; Without
limiting the generality of the foregoing, Agency expressly agrees to comply with (i)
Title VI of Civil Rights Act of 1964; (ii) Title V and Section 504 of the Rehabilitation
Act of 1973; (iii) the Americans with Disabilities Act of 1990 and ORS 659A.142; (iv)
all regulations and administrative rules established pursuant to the foregoing laws;
and (v) all other applicable requirements of federal and state civil rights and
rehabilitation statutes, rules and regulations.
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City of Ashland/State
Agreement No. 23719
7. Agency's Project Manager for this project is Public Works Director, City of Ashland,
20 E. Main Street, Ashland, OR 97520,541-488-5587.
51 A IE OBLlGA liONS
1. In consideration for the services performed, State agrees to pay Agency within forty-
five (45) days of receipt by State of the Project invoice a maximum amount of
$91,200. Said maximum amount shall include reimbursement for all expenses.
Travel expenses shall not be reimbursed.
2. State certifies, at the time this Agreement is executed, that sufficient funds are
available and authorized for expenditure to finance costs of this Agreement within
State's current appropriation or limitation of the current biennial budget.
3. State's Project Manager for this Project is Local Program Coordinator, 3500 NW
Stewart Parkway, Roseburg, OR 97470, 541-957-3635.
GENERAL PROVISIONS
1. This Agreement may be terminated by either party upon thirty (30) days' notice, in
writing and delivered by certified mail or in person.
2. State may terminate this Agreement effective upon delivery of written notice to
Agency, or at such later date as may be established by State, under any of the
following conditions:
a. If Agency fails to provide services called for by this Agreement within the
time specified herein or any extension thereof.
b. If Agency fails to perform any of the other provisions of this Agreement,
or so fails to pursue the work as to endanger performance of this
Agreement in accordance with its terms, and after receipt of written
notice from State fails to correct such failures within ten (10) days or
such longer period as State may authorize.
c. If Agency fails to provide payment of its share of the cost of the Project.
d. If State fails to receive funding, appropriations, limitations or other
expenditure authority sufficient to allow State, in the exercise of its
reasonable administrative discretion, to continue to make payments for
performance of this Agreement.
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" . "
City of Ashland/State
Agreement No. 23719
e. If federal or state laws, regulations or guidelines are modified or
interpreted in such a way that either the work under this Agreement is
prohibited or State is prohibited from paying for such work from the
planned funding source.
3. Any termination of this Agreement shall not prejudice any rights or obligations
accrued to the parties prior to termination.
4. As federal funds are involved in this Agreement, Exhibits A and B are attached
hereto and by this reference made a part of this Agreement, and are hereby certified
to by Agency representative.
5. Agency, as a recipient of federal funds, pursuant to this Agreement with the State,
shall assume sole liability for Agency's breach of any federal statutes, rules,
program requirements and grant provisions applicable to the federal funds, and
shall, upon Agency's breach of any such conditions that requires the State to return
funds to the Federal Highway Administration, hold harmless and indemnify the State
for an amount equal to the funds received under this Agreement; or if legal
limitations apply to the indemnification ability of Agency, the indemnification amount
shall be the maximum amount of funds available for expenditure, including any
available contingency funds or other available non-appropriated funds, up to the
amount received under this Agreement.
6. This Agreement may be executed in several counterparts [facsimile or otherwise] all
of which when taken together shall constitute one agreement binding on all parties,
notwithstanding that all parties are not signatories to the same counterpart. Each
copy of this Agreement so executed shall constitute an original.
7. This Agreement and attached exhibits constitute the entire agreement between the
parties on the subject matter hereof. There are no understandings, agreements, or
representations, oral or written, not specified herein regarding this Agreement. No
waiver, consent, modification or change of terms of this Agreement shall bind either
party unless in writing and signed by both parties and all necessary approvals have
been obtained. Such waiver, consent, modification or change, if made, shall be
effective only in the specific instance and for the specific purpose given. The failure
of State to enforce any provision of this Agreement shall not constitute a waiver by
State of that or any other provision.
IN WITNESS WHEREOF, the parties hereto have set their hands as of the day and year
hereinafter written.
This Project is in the 2006-2009 Statewide Transportation Improvement Program, (Key
#15246) that was approved by the Oregon Transportation Commission on August 17,
2005 (or subsequently approved by amendment to the STIP).
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City of Ashland/State
Agreement No. 23719
The Oregon Transportation Commission on June 18, 2003, approved Delegation Order
No.2, which authorizes the Director to approve and execute agreements for day-to-day
operations. Day-to-day operations include those activities required to implement the
biennial budget approved by the Legislature, including activities to execute a project in
the Statewide Transportation Improvement Program.
SIGNATURE PAGE TO FOllOW
5
City of Ashland/State
Agreement No. 23719
On August 2, 2005, the Director, Deputy Director, Highways and Chief Engineer
approved Subdelegation Order No.5, in which the Director, Deputy Director, Highways
and Chief Engineer delegate authority to the Region Managers to approve and sign
intergovernmental agreements over $75,000 up to a maximum of $500,000 when the
work is related to a project included in the Statewide Transportation Improvement
Program (STIP) or in other system plans approved by the Oregon Transportation
Commission or in a line item in the legislatively adopted biennial budget.
CITY OF ASHLAND, by and through its
elected officials
~
Title
Date
By
Title
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Date
Agency Contact:
City of Ashland Public Works
Attn: Paula Brown
20 E. Main Street
Ashland, OR 97520
5T ATE OF OREGON, by and through
its Department of r sp tion
APPROVAL RECOMMENDED
By ~ ~- _/-~_.--
Region 3 Local Prog~ Coordinator
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Date "17-10 i
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APPROVED A5 TO LEGAL
SUFFl(r~CY ~
By tY ~ I{ ~
Assistant Attorney General
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Date
6
City of Ashland/State
Agreement No. 23719
For purposes of Exhibits A and 8, references to Department shall mean STATE, references to Contractor
shall mean Agency, and references to Contract shall mean Agreement.
EXHIBIT A (Local Agency or State Agency)
CONTRACTOR CERTIFICATION
Contractor certifies by signing this Contract that Contractor has not:
(a) Employed or retained for a commission, percentage, brokerage, contingency fee or other
consideration, any firm or person (other than a bona fide employee working solely for me or the
above Contractor) to solicit or secure this Contract,
(b) agreed, as an express or implied condition for obtaining this Contract, to employ or retain the
services of any firm or person in connection with carrying out the Contract, or
(c) paid or agreed to pay, to any firm, organization or person (other than a bona fide employee
working solely for me or the above Contractor), any fee, contribution, donation or consideration
of any kind for or in connection with, procuring or carrying out the Contract, except as here
expressly stated (if any):
Contractor further acknowledges that this certificate is to be furnished to the Federal Highway
Administration, and is subject to applicable State and Federal laws, both criminal and civil.
DEPARTMENT OFFICIAL CERTIFICATION
Department official likewise certifies by signing this Contract that Contractor or his/her representative has
not been required directly or indirectly as an expression of implied condition in connection with obtaining or
carrying out this Contract to:
(a) Employ, retain or agree to employ or retain, any firm or person or
(b) payor agree to pay, to any firm, person or organization, any fee, contribution, donation or
consideration of any kind except as here expressly stated (if any):
Department official further acknowledges this certificate is to be furnished to the Federal Highway
Administration, and is subject to applicable State and Federal laws, both criminal and civil.
Exhibit 8
Federal Provisions
Oregon Department of Transportation
CERTIFICATION OF NONINVOLVEMENT IN ANY DEBARMENT AND SUSPENSION
Contractor certifies by signing this Contract that to the best of its knowledge and belief, it and its
principals:
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\ ,
1, Are not presently debarred, suspended,
proposed for debarment, declared ineligible
or voluntarily excluded from covered
transactions by any Federal department or
agency;
2, Have not within a three-year period
preceding this Contract 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;
3, 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
4, Have not within a three-year period
preceding this Contract had one or more
public transactions (federal, state or local)
terminated for cause or default.
Where the Contractor is unable to certify to any of
the statements in this certification, such prospective
participant shall submit a written explanation to
Department.
List exceptions, For each exception noted, indicate
to whom the exception applies, initiating agency,
and dates of action. If additional space is required,
attach another page with the following heading:
Certification Exceptions continued, Contract Insert.
EXCEPTIONS:
Exceptions will not necessarily result in denial of
award, but will be considered in determining
Contractor responsibility. Providing false
information may result in criminal prosecution or
administrative sanctions,
The Contractor is advised that by signing this
Contract, the Contractor is deemed to have signed
this certification,
II. INSTRUCTIONS FOR CERTIFICATION
REGARDING DEBARMENT, SUSPENSION,
Misc. Contracts and Agreements
No. 23719
AND OTHER RESPONSIBILITY MATTERS-
PRIMARY COVERED TRANSACTIONS
1. By signing this Contract, the Contractor is
providing the certification set out below,
2. The inability to provide the certification
required below will not necessarily result in
denial of participation in this covered
transaction. The Contractor shall explain
why he or she cannot provide the
certification set out below. This explanation
will be considered in connection with the
Department determination to enter into this
transaction. Failure to furnish 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
determined to enter into this transaction, If
it is later determined that the Contractor
knowingly rendered an erroneous
certification, in addition to other remedies
available to the Federal Government or the
Department may terminate this transaction
for cause of default.
4. The Contractor shall provide immediate
written notice to the Department if at any
time the Contractor 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", 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's Program Section (Tel.
(503) 986-2710) to which this proposal is
being submitted for assistance in obtaining
a copy of those regulations.
6. The Contractor agrees by entering into this
Contract that, should the proposed covered
transaction be entered into, it shall not
knowingly enter into any lower tier covered
transactions with a person who is debarred,
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City of Ashland/State
Agreement No. 23719
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 Contractor further agrees by entering
into this Contract that it will include the
Addendum to Form FHWA-1273 titled,
"Appendix B--Certification Regarding
Debarment, Suspension, Ineligibility and
Voluntary Exclusion--Lower Tier Covered
Transactions", provided by the Department
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
frequency by which it determines the
eligibility of its principals. Each participant
may, but is not required to, check the
Nonprocurement List published by the U. S.
General Services Administration.
9. Nothing contained in the foregoing shall be
construed to require establishment of a
system of records 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 or the Department, the
Department may terminate this transaction
for cause or default.
'". ADDENDUM TO FORM FHWA-1273,
REQUIRED CONTRACT PROVISIONS
This certification applies to subcontractors, material
suppliers, vendors, and other lower tier participants.
Appendix B of 49 CFR Part 29-
Appendix B--Certification Regarding Debarment,
Suspension, Ineligibility, and Voluntary
Exclusion--lower Tier Covered Transactions
Instructions for Certification
1. By signing and submitting this Contract, 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 Contract 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 Contract is
submitted for assistance in obtaining a copy
of those regulations.
9
City of Ashland/State
Agreement No. 23719
5. The prospective lower tier participant
agrees by submitting this Contract 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 with which this
transaction originated.
6. The prospective lower tier participant further
agrees by submitting this Contract 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.
8. Nothing contained in the foregoing shall be
construed to require establishment of a
system of records 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.
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
a. The prospective lower tier participant
certifies, by entering into this Contract,
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.
b. Where the prospective lower tier
participant is unable to certify to any of
the statements in this certification, such
prospective participant shall submit a
written explanation to Department.
IV. EMPLOYMENT
1. Contractor warrants that he has not
employed or retained any company or
person, other than a bona fide employee
working solely for Contractor, to solicit or
secure this Contract and that he has not
paid or agreed to pay any company or
person, other than a bona fide employee
working solely for Contractors, 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 warranting, Department shall have the
right to annul this Contract 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.
2. Contractor shall not engage, on a full or
part-time basis or other basis, during the
period of the Contract, any professional or
technical personnel who are or have been
at any time during the period of this
Contract, in the employ of Department,
except regularly retired employees, without
written consent of the public employer of
such person.
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City of Ashland/State
Agreement No. 23719
3. Contractor agrees to perform consulting
services with that standard of care, skill and
diligence normally provided by a
professional in the performance of such
consulting services on work similar to that
hereunder. Department shall be entitled to
rely on the accuracy, competence, and
completeness of Contractor's services.
V. NONDISCRIMINATION
During the performance of this Contract,
Contractor, for himself, his assignees and
successors in interest, hereinafter referred to
as Contractor, agrees as follows:
1. Compliance with Regulations. Contractor
agrees to comply with Title VI of the Civil
Rights Act of 1964, and Section 162(a) of
the Federal-Aid Highway Act of 1973 and
the Civil Rights Restoration Act of 1987.
Contractor shall comply with the regulations
of the Department of Transportation relative
to nondiscrimination in Federally assisted
programs of the Department of
Transportation, Title 49, Code of Federal
Regulations, Part 21, as they may be
amended from time to time (hereinafter
referred to as the Regulations), which are
incorporated by reference and made a part
of this Contract Contractor, with regard to
the work performed after award and prior to
completion of the Contract work, shall not
discriminate on grounds of race, creed,
color, sex or national origin in the selection
and retention of subcontractors, including
procurement of materials and leases of
equipment. Contractor shall not participate
either directly or indirectly in the
discrimination prohibited by Section 21.5 of
the Regulations, including employment
practices, when the Contract covers a
program set forth in Appendix B of the
Regulations.
2. Solicitation for Subcontractors, including
Procurement of Materials and Equipment
In all solicitations, either by competitive
bidding or negotiations made by Contractor
for work to be performed under a
subcontract, including procurement of
materials and equipment, each potential
subcontractor or supplier shall be notified by
Contractor of Contractor's obligations under
11
this Contract and regulations relative to
nondiscrimination on the grounds of race,
creed, color, sex or national origin.
3. Nondiscrimination in Employment (Title VII
of the 1964 Civil Rights Act). During the
performance of this Contract, Contractor
agrees as follows:
a. Contractor will not discriminate against
any employee or applicant for
employment because of race, creed,
color, sex or national origin. Contractor
will take affirmative action to ensure
that applicants are employed, and that
employees are treated during
employment, without regard to their
race, creed, color, sex or national
origin. Such action shall include, but
not be limited to the following:
employment, upgrading, demotion or
transfer; recruitment or recruitment
advertising; layoff or termination; rates
of payor other forms of compensation;
and selection for training, including
apprenticeship. Contractor agrees to
post in conspicuous places, available to
employees and applicants for
employment, notice setting forth the
provisions of this nondiscrimination
clause.
b. Contractor will, in all solicitations or
advertisements for employees placed
by or on behalf of Contractor, state that
all qualified applicants will receive
consideration for employment without
regard to race, creed, color, sex or
national origin.
4_ Information and Reports. Contractor will
provide all information and reports required
by the Regulations or orders and
instructions issued pursuant thereto, and
will permit access to his books, records,
accounts, other sources of information, and
his facilities as may be determined by
Department or FHWA as appropriate, and
shall set forth what efforts he has made to
obtain the information.
5. Sanctions for Noncompliance. In the event
of Contractor's noncompliance with the
nondiscrimination provisions of the
Contract, Department shall impose such
City of Ashland/State
Agreement No. 23719
agreement sanctions as it or the FHWA
may determine to be appropriate, including,
but not limited to:
a. Withholding of payments to Contractor
under the agreement until Contractor
complies; and/or
b. Cancellation, termination or suspension
of the agreement in whole or in part.
6. Incorporation of Provisions. Contractor will
include the provisions of paragraphs 1
through 6 of this section in every
subcontract, including procurement of
materials and leases of equipment, unless
exempt from Regulations, orders or
instructions issued pursuant thereto.
Contractor shall take such action with
respect to any subcontractor or
procurement as Department or FHWA may
direct as a means of enforcing such
provisions, including sanctions for
noncompliance; provided, however, that in
the event Contractor becomes involved in
or is threatened with litigation with a
subcontractor or supplier as a result of such
direction, Department may, at its option,
enter into such litigation to protect the
interests of Department, and, in addition,
Contractor may request Department to
enter into such litigation to protect the
interests of the State of Oregon.
VI. DISADVANTAGED BUSINESS
ENTERPRISE (DBE) POLICY
In accordance with Title 49, Code of Federal
Regulations, Part 26, Contractor shall agree to
abide by and take all necessary and
reasonable steps to comply with the following
statement
DBE POLICY STATEMENT
DBE Policy. It is the policy of the United
States Department of Transportation
(USDOT) to practice nondiscrimination on the
basis of race, color, sex and/or national origin
in the award and administration of USDOT
assist contracts. Consequently, the DBE
requirements of 49 CFR 26 apply to this
Contract.
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"
Required Statement For USDOT Financial
Assistance Agreement. If as a condition of
assistance the Agency has submitted and the
US Department of Transportation has
approved a Disadvantaged Business
Enterprise Affirmative Action Program which
the Agency agrees to carry out, this affirmative
action program is incorporated into the
financial assistance agreement by reference.
DBE Obligations. The Department and its
Contractor agree to ensure that Disadvantaged
Business Enterprises as defined in 49 CFR 26
have the opportunity to participate in the
performance of contracts and subcontracts
financed in whole or in part with Federal funds.
In this regard, Contractor shall take all
necessary and reasonable steps in
accordance with 49 CFR 26 to ensure that
Disadvantaged Business Enterprises have
the opportunity to compete for and perform
contracts. Neither Department nor its
contractors shall discriminate on the basis of
race, color, national origin or sex in the award
and performance of federally-assisted
contracts. The Contractor shall carry out
applicable requirements of 49 CFR Part 26 in
the award and administration of such
contracts. Failure by the Contractor to carry
out these requirements is a material breach of
this Contract, which may result in the
termination of this Contract or such other
remedy as Department deems appropriate.
The DBE Policy Statement and Obligations
shall be included in all subcontracts entered
into under this Contract.
Records and Reports. Contractor shall
provide monthly documentation to Department
that it is subcontracting with or purchasing
materials from the DBEs identified to meet
Contract goals. Contractor shall notify
Department and obtain its written approval
before replaCing a DBE or making any change
in the DBE participation listed. If a DBE is
unable to fulfill the original obligation to the
Contract, Contractor must demonstrate to
Department the Affirmative Action steps taken
to replace the DBE with another DBE. Failure
to do so will result in withholding payment on
those items. The monthly documentation will
not be required after the DBE goal commitment
is satisfactory to Department.
'.. .
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City of Ashland/State
Agreement No. 2371 9
Any DBE participation attained after the DBE
goal has been satisfied should be reported to
the Departments.
DBE Definition. Only firms DBE
certified by the State of Oregon, Department
of Consumer & Business Services, Office of
Minority, Women & Emerging Small
Business, may be utilized to satisfy this
obligation.
CONTRACTOR'S DBE CONTRACT GOAL
DBE GOAL
o
%
By signing this Contract, Contractor assures
that good faith efforts have been made to meet
the goal for the DBE participation specified in
the Contract for this project as required by
ORS 200.045, and 49 CFR 26,53 and 49 CFR,
Part 26, Appendix A.
VII. LOBBYING
The Contractor certifies, by signing this
agreement to the best of his or her knowledge
and belief, that:
1. No Federal appropriated funds have been
paid or will be paid. by or on behalf of the
undersigned, to any person for influencing
or attempting to influence an officer or
employee of any Federal agency, a Member
of Congress, an officer or employee of
Congress or an employee of a Member of
Congress in connection with the awarding
of any Federal contract, the making of any
Federal grant, the making of any Federal
loan. the entering into of any cooperative
agreement, and the extension, continuation,
renewal, amendment or modification of any
Federal contract, grant, loan or cooperative
agreement.
2. If any funds other than Federal appropriated
funds have been paid or will be paid to any
person for influencing or attempting to
influence an officer or employee of any
Federal agency, a Member of Congress, an
officer or employee of Congress or an
employee of a Member of Congress in
connection with this agreement. the
undersigned shall complete and submit
..
"
Standard Form-LLL, "Disclosure Form to
Report Lobbying", in accordance with its
instructions.
This certification is a material representation of
fact upon which reliance was placed when this
transaction was made or entered into,
Submission of this certification is a prerequisite
for making or entering into this transaction
imposed by Section 1352, Title 31, U. S. Code.
Any 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
$100,000 for each such failure.
The Contractor also agrees by signing this
agreement that he or she shall require that the
language of this certification be included in all
lower tier subagreements, which exceed
$100,000 and that all such subrecipients shall
certify and disclose accordingly.
FOR INQUIRY CONCERNING
DEPARTMENT'S DBE PROGRAM
REQUIREMENT CONTACT OFFICE OF
CIVIL RIGHTS
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regon
O.regon Department of Transportation
Support Services
Procurement Office
455 Airport Rd. SE, Bldg. K
Salem, OR 97301-5348
Theodore R Kulongoski. Governor
August 3, 2007
City of Ashland
Attn: Paula Brown
20 E Main St
Ashland, OR 97520
Dear Ms. Brown:
Enclosed please find an original of Agreement 23719, CMAQ Diesel Retrofit. A copy has been
retained for our records.
Thanks for your time. If you have any questions regarding this Agreement, please contact me at
my e-mail address patricia.barker@odot.state.or.us or at (503) 986-6911.
Sincerely,
~~
Trish Barker, Procurement and Contract Specialist
ODOT Procurement Office
Enclosure (1)