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HomeMy WebLinkAbout2021 09 27 Consent 305 - West WRF Temporary Storage Tank and Emergency Pump Vendor Selection and Award • CONSENT AGENDA ITEM 305 Incnrinreted CITY COMMISSION AGENDA I SEPTEMBER 27, 2021 REGULAR MEETING 1959 TITLE West WRF Temporary Storage Tank and Emergency Pump, Vendor Selection and Award SUMMARY The West WRF is located in the western part of the City and provides wastewater treatment service and reclaimed water (RCW) to the City's RCW distribution system. During the cleaning and rehabilitation of treatment Unit #1, treatment Unit#2 will treat 100% of the flow coming into the facility. The treatment process is sensitive to changes and can become upset resulting in non public access RCW production. Onsite storage of non public access RCW is limited and the finite storage capacity can be exceeded in the event the treatment process becomes upset. The temporary system will capture non public access RCW that is compliant with FDEP regulations for discharge to the rapid infiltration basin (RIB). Temporary storage tanks will store the RIB quality water. The tanks will be piped between the transfer pumps and into the existing effluent pumps. The effluent pumps will discharge RIB quality water to the Dayron RIB site. The system will isolate RIB quality water from public access reclaimed water, keeping the two systems separate per FDEP requirements. The emergency pump is an FDEP required feature that will automatically pump non public access RCW to the onsite storage pond in the event the storage tanks become full. Installation of the temporary tanks and emergency pump will improve facility reliability and facilitate prevention of RCW service interruption. Invitation to Bid (ITB) #06-21 JN for West Water Reclamation Facility Temporary Storage Tank and Emergency Pump was advertised on September 3, 2021 and bids received on September 17, 2021 . The ITB outlined the equipment specifications and performance requirements. The prices are based on mobilization to the West WRF, demobilization from the West WRF, and a six (6) month rental with the option to rent the equipment longer if required. More than one storage tank will be required to provide the required volume of storage capacity. Approval is requested for up to five (5) storage tanks. Only the required number of storage tanks will be ordered. One bid was received as shown in the Bid Tabulation below: 164 VENDOR MOB/DEMOB MONTHLY COST TOTAL COST COST United Rentals, Inc. Storage Tank (per $2,200 $1,534 $11,404 tank)1 Emergency Pump $13,300 $3,312 $33,172 1. Cost is for one (1) storage tank. The ITB response is consistent with similar recently received quotes. Preparation for cleaning and construction of the treatment Unit #1 repairs is anticipated to begin in October with repairs completed by March 2021 . The storage tanks and emergency pump will be delivered to the West WRF as soon as practical. RECOMMENDATION Staff recommends the City Commission award a contract to United Rentals, Inc. in the amount of$57,020 plus a two month project contingency ($15,340 per month) for a total of$72,360 for the rental of up to five (5) temporary storage tanks and emergency pump. Additionally, authorization for the City Manager and City Attorney is requested to prepare and execute any and all applicable contract documents consistent with this Agenda item. 165 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-1 SECTION 00300 MANDATORY BID FORMS (Mandatory Forms roust be submitted with the bid. Failure to submit forms may disqualify the proposer from the ITB.) PART 1 GENERAL 1.01 Description The following Bid is hereby made to the City of Winter Springs, hereafter called the OWNER. Bid is submitted by: Legal Name (indicate whether sole proprietorship,partnership, or corporation): United Rentals Inc. (North America) Address: 706 W Landstreet Rd Orlando, FL 32824 Contact Name: Zachary Stilp Contact Phone Number: 704-617-6139 Contact E-Mail Address: zstilp@ur.com 1.02 The Undersigned: A. Acknowledges receipt of: 1. Project Manual for WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP. 2. Addenda: Number , dated Number , dated B. Has examined the site and all Bidding Documents and understands that in submitting his Bid, he waives all right to plead any misunderstanding regarding the same. September 2021 Mandatory Bid Forms 166 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-2 C. Agrees: 1. To hold this Bid open for 60 calendar days after the bid opening date. 2. To furnish the goods and/or services specified in this ITB at the prices quoted in my responsive bid and in compliance with the Bidding Documents. 3. To accept the provisions of the Instructions to Bidders. 4. To negotiate a contract with the OWNER incorporating the bid amounts, if selected on the basis of this Bid. 5. To receive a City Purchase Order issued by the OWNER at the submitted Bid Price. 6. To accomplish the work in accordance with the contract documents and this Project Manual. 7. To deliver the equipment as required by the specifications and as indicated in his proposal document. D. Certifies: 1. That all information contained in this bid is truthful to the best of my knowledge and belief. 2. That I am duly authorized to submit this bid on behalf of the vendor and that the vendor is ready, willing, and able to perform if awarded the bid. 1.03 Stipulated Amount A. Base Bid Price I will provide the storage tank equipment and services under this project for a minimum Six- Month Total Rental Amount (Monthly Rent multiplied by 6) of: Nine Thousand Two Hundred and Four Dollars ($ $9,204 ] and a One-Time storage tank Mobilization/Demobilization Amount of:. Two Thousand Two Hundred _Dollars ($ $2,200 y I will provide the emergency pump equipment and services under this project for a minimum Six-Month Total Rental Amount(Monthly Rent multiplied by 6) of: Nineteen Thousand Eight Hundred _Dollars ($ 19,872 D and a and Seventy Two One-Time emergency pump equipment Mobilization/Demobilization Amount of.. Thirteen Thousand Three Hundred Dollars ($ 13.300 _ 1. Note: Suction and Discharge Hoses will be purchased new instead of rented. That dollar value is included in this line item above. September 2021 Mandatory Bid Forms 167 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-3 The Bidder hereby agrees to perform all work as required by this Project Manual for the following Unit Prices. Work for which there is not a Pay Item will be considered incidental to the Contract and no additional compensation will be allowed. The OWNER, at his sole option and discretion, may choose to add or deduct from the unit prices set forth below. The Bidder shall be paid for actual quantities completed in accordance with the contract documents. The following is the order of precedence which will be used in case of conflicts within the Bid Submittal provided by each Bidder: Unit Price, Total Price, Total Base Bid (See attached Bid Form). 1.04 Bid Submittals A. Completed and signed bid price form and other Mandatory forms in this Section. B. I have attached all other Mandatory Forms in this Section. 1.05 Submittal September RESPECTFULLY SUBMITTED, signed and sealed this 7th day of , 2021. Bidder By: Zachary Stilp Title Territory Manager- Fluid Solutions ATTEST: SECRETARY SEAL September 2021 Mandatory Bid Forms 168 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-4 BID TABULATION The Bidder hereby indicates the following total units and total prices which represent all materials, labor, equipment, transportation, performance of all operations relative to performance of the project, overhead, and costs of all kinds and profit to complete the work items in accordance with the Project Manual, plans, and permits. Work for which there is not a listed item below shall be considered incidental to the Contract and no additional compensation will be allowed. The detailed Schedule of Values shall be provided by the lowest responsible bidder and be included with their executed contract, as attached. ITEM i No. I DESCRIPTION UANTITY UNITS UNIT COST TOTAL COST Storage Tanks 1 Mobilization/Demobilization,per tank 1 LS $2,200 $2,200 2 Tank Rental,per tank 6 Month $1,534 $9,204 Emergency Pump with Accessories 3 Mobilization/Demobilization 1 LS $13,300 $13,300 4 Emergency Pump with Accessories 6 Month $3,312 $19,872 TOTAL = $44,576 Per tank,additional per month rental beyond 6 months As Needed $1,534 To Be Determined (Rate may not exceed rate quoted for minimum 6 month term.F Emergency pump with accessories,additional per month rental beyond 6 months As Needed $3,312 To Be Determined (Rate may not exceed rate quoted for minimum 6 month term.o- TOTAL BID: Forty Four Thousand Five Hundred and Seventy-Six DOLLARS (In Words) $ $44,576 September 2021 Mandatory Bid Forms 169 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-5 SCRUTINIZED COMPANY CERTIFICATION Florida Statutes, Sections 287.135 and 215.473 Pursuant to Section 287.135, Florida Statutes (2017), a company is ineligible to, and may not, bid on, submit a proposal for, or enter into or renew a contract with the City for goods or services of: (a) Any amount if, at the time of bidding on, submitting a proposal for, or entering into or renewing such contract, the company is on the Scrutinized Companies that Boycott Israel List, created pursuant to s. 215.4725, or is engaged in a boycott of Israel; or (b) One million dollars or more if, at the time of bidding on, submitting a proposal for, or entering into or renewing such contract, the company: 1. Is on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to s. 215.473; or 2. Is engaged in business operations in Cuba or Syria. Subject to limited exceptions provided in state law, the City will not contract for the provision of goods or services with any scrutinized company referred to above. The Contractor must submit this required certification form attesting that it is not a scrutinized company and is not engaging in prohibited business operations. The following shall be grounds for termination of the contract at the option of the awarding body: The company is found to have submitted a false certification; been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List; been placed on the Scrutinized Companies that Boycott Israel List or is engaged in a boycott of Israel; or been engaged in business operations in Cuba or Syria. The City shall provide notice, in writing, to the Contractor of any determination concerning a false certification. The Contractor shall have five (5) days from receipt of notice to refute the false certification allegation. If such false certification is discovered during the active contract term, the Contractor shall have ninety (90) days following receipt of the notice to respond in writing and demonstrate that the determination of false certification was made in error. If the Contractor does not demonstrate that the City's determination of false certification was made in error then the City shall have the right to terminate the contract and seek civil remedies pursuant to Section 287.135, Florida Statutes. THIS CERTIFICATION FORM MUST BE COMPLETED AND INCLUDED IN YOUR BID RESPONSE. FAILURE TO SUBMIT THIS FORM AS INSTRUCTED SHALL RENDER YOUR BID SUBMITTAL NON-RESPONSIVE. a. The Vendor, owners, or principals are aware of the requirements of Section 287.135, Florida Statutes; and September 2021 Mandatory Bid Forms 170 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-6 b. The Vendor, owners, or principals are eligible to participate in this solicitation and not listed on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel; and c. For contracts of one million dollars or more, the Vendor, owners, or principals are eligible to participate in this solicitation and not listed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List and, further, are not engaged in business operations in Cuba or Syria; and d. If awarded the Contract, the Vendor, owners, or principals will immediately notify the City in writing if any of its company, owners, or principals: are placed on the Scrutinized Companies that Boycott Israel List, the Scrutinized Companies with Activities in Sudan List, or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List; engage in a boycott of Israel; or engage in business operations in Cuba or Syria. (Authorized Signature) (Printed Name and Ti e) J (Name of Vendor) L STATE OF ! e) COUNTY OF The foregoing instrument was acknowledged before me by means of (✓) physical presence or (_) online notarization, this i day of Sep k n 6-e e , 2021, by ucha S'-hl 12 the U a rio r r of �/✓1��ed �enlajs ��c - 6s1x , a who is personally known to me or U who produced as identification. o<P`Y Pie• DAHEI VALLELLANES Notary Public•State of Florida Notary Public Commission#GG 921891 My Comm.Expires Oct 31,2023 Print Name: ' � '; My Commission expires: DLf 3 r as September 2021 Mandatory Bid Forms 171 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-7 NON-COLLUSION AND CONTINGENT FEES AFFADAVIT State of Florida County of , being first duly sworn, deposes and says that: D� He / She is '_Zcrc k.L&r,i 2� of Proposer that has submitted the attached BI d; He / She is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; Such Bid is genuine and is not a collusive or sham Bid; Neither the said proposer nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other proposer, firm or person to submit a collusive or sham Bid in connection with the contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Proposer, firm or person to fix the price or prices in the attached Bid or of any other Proposer, or to fix any overhead, profit or cost element of the Bid price or the Bid price of any other Proposers, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Winter Springs or any person interested in the proposed Contract; The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Proposer or any of its agents, representatives, owner's employees, or parties in interest, including this affiant; and The proposer nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have not employed or retained any company or person, other than a bona fide employee working solely for the proposer to solicit or secure this agreement and that proposer has not paid or agreed to pay any person, company, corporation, individual, or firm, other than a bona fide employee working solely for the proposer any fee, commission, percentage, gift, or other consideration contingent upon or resulting from the award or making of this agreement. For the breach or violation of this provision, the City shall have the right to terminate the agreement without liability and, at its discretion, to deduct from the contract price, or otherwise recover, the full amount of such fee, commission, percentage, gift, or consideration. (Authorized Signature) U r. SH, TC rrI (Pri ted Nam and Title) Ll o i� (2_evgr t3 1:0C, (Name of Vendor) September 2021 Mandatory Bid Forms 172 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-8 STATE OF �o COUNTY OF +r rt The foregoing instrument was acknowledged before me by means of (L) physical presence or online notarization, this day of m e-,r , 2021, by Lixi VI 0'. the -4 UQ of (_) who is personally known to me or ( ho produced -L )o,,e--T Lc LvYr as identification. Notary Public DAHEIVALLELLANES Print Name: Ile lle ay Notary Public-State of Florida Commission k GG 921891 My Comm.Expires Oct 31,2023 My Commission expires: i September 2021 Mandatory Bid Forms 173 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-9 DRUG-FREE WORKPLACE CERTIFICATION In accordance with Florida Statues 287.087, preference shall be given to businesses with drug-free workplace programs. Whenever two or more bids which are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a bid received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process. Established procedure for processing the bids will be followed if none of the tied vendors have a drug-free work place program. In order to have a drug-free workplace program, a business shall: a. Publish a statement notifying employees that the unlawful manufacture, distribution, Dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. b. Inform employees about the danger of drug abuse in the workplace, the business's policy maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. c. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (a). d. In the statement specified in subsection (a), notify the employees that, as a condition of working on the commodities or contractual services that are under bid/proposal, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contender to, any violation of Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5)days after such conviction. e. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. f. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. Uni (Company) �Sign�ae Ti September 2021 Mandatory Bid Forms 174 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-10 CONFLICT OF INTEREST CERTIFICATION Before me, the undersigned authority, personally appeared, who was duly sworn, deposes, and states: n- �` T�rc��`� r`4 r\1+CJ 1� J with a local office in I am the ,�,.�n•�;�¢,°: of (.�l n Oc-kc,�v F L and principal office in m City and State City and State The above-named entity is submitting an ITB for the City of Winter Springs described as: City of Winter Springs ITB# 06-21 JN WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP RENTAL The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his own knowledge and thereof the following; a. The Affiant states that only one submittal for the above bid is being submitted and that the above-named entity has no financial interest in other entities submitting bids for the same project. b. Neither the Affiant nor the above-named entity has directly or indirectly entered into any agreement,participated in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for the above bid. This statement restricts the discussion of pricing data until the completion of negotiations if necessary and execution of the Contract for this project. c. Neither the entity nor its affiliates,nor anyone associated with them, is presently suspended or otherwise ineligible from participation in contract letting by any local, State, or Federal Agency. d. Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict of interest due to any other clients, contracts, or property interests for this project. e. I certify that no member of the entity's ownership or management is presently applying for an employee position or actively seeking an elected position with the City of Winter Springs. September 2021 Mandatory Bid Forms 175 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-11 f. I certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City of Winter Springs. g. In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above-named entity, will immediately notify the City of Winter Springs. (Authorized Signature) Name of Business Phone&Fax Number Z i - - ' ' o A ` 1-G 32L F5Zy (Printed Name and Title) Business Mailing Address City, State, Zip --�1f'reo f ✓ti�� e September 2021 Mandatory Bid Forms 176 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-12 CERTIFICATION A: 1Debarment, Suspension and other responsibilite matters—PrimarN Covered Transactions) The prospective primary participant certifies to the best of its knowledge and belief that its principals: a. Are not presently debarred, suspended,proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal debarment 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. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation of this proposal. Instructions for Certification A) By signing and submitting this proposal, the prospective primary participant is providing the certification set out below; a. 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 any explanation shall disqualify such person from participation in this transaction. b. 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 September 2021 Mandatory Bid Forms 177 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-13 certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. C. The prospective primary participant shall provide immediate written notice to the department or agency to which 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. d. 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 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 these regulations. e. 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. f. 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 agency entering into this covered transaction, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. g. 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 this eligibility of its principals. Each participant may, but is not required to, check the Non- procurement List. h. 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. i. 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 September 2021 Mandatory Bid Forms 178 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-14 transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause of default. Certification B: (Debarment. Suspension, InelitJbility and Voluntary Exclusion—Lower Tier Covered Transactions) a. 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. b. 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. Instructions for Certification(R) By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below. a. 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. b. The prospective lower tier participant shall provide immediate written notice to the person to whom 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. C. 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 these regulations. d. The prospective lower tier 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 with which this transaction originated. September 2021 Mandatory Bid Forms 179 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP 00300-15 e. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause title "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion—Lower Tier Covered Transaction,"without modification, in all lower tier covered transactions and in all solicitation for lower tier covered transactions. f. 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 principles. Each participant may but is not required to, check the Non- procurement List. g. 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. h. Except for transactions authorized under paragraph(5) of these instructions, if a participant in a lower 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. Applicant: Date: ZqC c"rl © / 07:� Signature of Auth rized Certifying Official: Title: END OF SECTION September 2021 Mandatory Bid Forms 180 WEST WRF TEMPORARY STORAGE TANK AND EMERGENCY PUMP THIS PAGE INTENTIONALLY LEFT BLANK September 2021 181