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òÔ‡šôßòòôÔÔ‡šÂ|IÂòšôßÔPART€B:à0 ° àCertification€Regarding€Debarment,€Suspension,€Ineligibility€and€Voluntary€Exclusion€„€Ð°{ °{  Ðà0 X àà0°X{ X{ àLower€Tier€Covered€Transactionsó óÔ#†ÂFüšÂ|I:#ÔÔ#†ôž™òÂÂFüY#Ô&Öd9 Z‹(Times New Roman  sÝ ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔThis€is€a€new€requirement€and€is€required€in€all€agreements.£ ]Ô_ÔÔ€3ôßòòôÔThis€paragraph€is€required€in€all€agreements.€›&Öd9 Z‹(Times New Roman   "Ý ƒ{mÇ'ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôßòòôÔÔ‡3XheXò3ôßÔà€ââý(#à**A1****ˆÐ X Ðà€WWù(#àPage€Ú  Ú2Ú  Ú€of€Õƒ, PagesÕ10Õ  ÕÔ#†3ôßòX3XheV#Ôé ðÔ_ÔÔ€3ôßòòôÔAfter€completing€the€*€information€in€the€"Purpose"€paragraph€below,€add€a€short€sentence€(in€broad€terms)Ð  Ðexplaining€what€is€going€to€be€accomplished€by€this€agreement.€€Don't€get€this€confused€with€the€next€paragraph,Ð ÉÉ Ð"Objective",€which€is€to€be€explained€in€detail.€€These€cannot€be€something€BLM€is€required€to€complete€or€thisÐ ’’ Ðproject€will€need€to€be€accomplished€by€contract€action.€ë ›Ô_ÔÔ€3ôßòòôÔList€only€Public€Laws€or€the€US€Code€(U.S.C.)€and€their€identifying€number€and€section€that€specifically€authorizesÐ  ÐBLM€to€enter€into€coop€or€grant€agreements.€€An€example€is€FLPMA€which€states€"the€Secretary€may€enter€intoÐ ÉÉ Ðcontracts€and€cooperative€agreements€for€the€òòmanagement,€protection,€development€and€sale€of€public€landsóó".€Ð ’’ ÐMost€Public€Laws€are€very€specific€as€to€who€the€recipient€can€be€and€the€purpose.€€Ð [[ ÐÌIt€is€OK€to€list€the€recipient's€authority€if€they€want€to€provide€that€information€and€want€it€in€the€agreement.€€í ÊÔ_ÔÔ€3ôßòòôÔIdentify€the€benefits€to€the€recipient,€the€public€and€BLM.€€List€all€benefits€that€will€result€from€the€performance€ofÐ  Ðthe€project.€€€ï ÛÔ_ÔÔ€3ôßòòôÔAdd€or€delete€any€definition(s)€as€appropriate€for€this€agreement.€If€you€add€or€delete€any€definitions€you€may€needÐ  Ðto€change€the€alphabetical€letters.ñ tÔ_ÔÔ€3ôßòòôÔSelect€one€of€the€two€paragraph€"A"s€below€and€delete€the€other€one.€ó Ý ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôßòòôÔThis€is€the€recipient's€name€and€initials.€€State€the€type€of€Governmental€organization€it€is€„€such€as€State,€County,Ð  Ðor€Tribal€and€how€it€is€organized.€€An€example€is€"Montana€Department€of€Fish€and€Game€(Ô_ÔMDFÔ_Ô&G),€a€State€agencyÐ ÉÉ Ðunder€the€Governor€of€Montana.ðð€€This€paragraph€may€need€to€be€moved€so€it€is€in€alphabetical€order.Ð ’’ Ðõ ˜Ô_ÔÔ€3ôßòòôÔDelete€the€following€"Project€Inspector"€paragraph€if€you€do€not€plan€to€appoint€a€project€inspector(s).€÷ :Ý ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôßòòôÔExplain€the€duties€of€the€recipient's€project€manager.€€This€is€the€individual€who€is€responsible€for€the€day„to„dayÐ  Ðoperations€of€the€agreement,€accomplishes€the€tasks€and€probably€prepares€the€reports,€etc.ù šÔ_ÔÔ€3ôßòòôÔThe€recipient's€Responsible€Officer€is€the€person€responsible€for€signing€the€agreement€and€is€responsible€forÐ  Ðmaking€sure€all€work€is€completed€as€specified€in€the€agreement.€€Don't€get€this€mixed€up€with€the€Project€ManagerÐ ÉÉ Ðwho€is€the€person€responsible€for€the€day„to„day€operations€and€accomplishes€the€project€work.€€€û ¢Ô_ÔÔ€3ôßòòôÔDelete€the€following€"Task€Order"€paragraph€if€you€do€not€plan€on€issuing€and€Ô_ÔTOsÔ_Ô.€ý &Ý ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôßòòôÔInsert€the€Ô_ÔAOOÔ_Ô€paragraph€only€when€this€is€a€"Master€Agreement"€and€the€Ô_ÔAOÔ_Ô€will€allow€other€Ô_ÔAOsÔ_Ô€(from€otherÐ  ÐBLM€offices)€to€place€task€orders€against€this€agreement.€€If€you€use€the€Ô_ÔAOOÔ_Ô€paragraph€move€it€to€the€positionÐ ÉÉ Ðafter€the€Ô_ÔAOÔ_Ô€so€it€is€in€alphabetical€order.ÿ žÔ_ÔÔ€3ôßòòôÔIdentify€the€respective€roles,€responsibilities,€obligations,€and€accountability€which€each€participant€to€theÐ  Ðagreement€will€assume€in€its€effort€to€achieve€the€stated€joint€objectives.Ð ÉÉ ÐÌList€everything€the€recipient€is€required€to€perform€and€how€the€project€and€performance€will€be€measured€toÐ [[ Ðevaluate€the€objectives.Ð $$ ÐÌProvide€the€details€for€the€resources,€such€as€services,€facilities,€equipment,€materials,€supplies,€personnel,€that€theÐ ¶¶ ÐBLM€and€the€recipient€will€provide,€and€a€schedule€indicating€when€they€will€be€provided.Ð  ÐÌYou€may€want€to€add€another€paragraph€("The€*€and€the€BLM€mutually€agree€to:")€for€everything€the€recipient€andÐ   ÐBLM€agree€to€do€together.€This€paragraph€may€be€the€first€or€last€paragraph€to€this€section. úÔ_ÔÔ€3ôßòòôÔFor€cooperative€agreements,€provide€an€explicit€statement€of€the€nature,€character,€and€extent€of€anticipated€BLMÐ  Ðinvolvement.€€This€statement€must€be€developed€with€care€to€avoid€unnecessarily€increasing€the€BLMððs€liabilityÐ ÉÉ Ðunder€the€cooperative€agreement.Ð ’’ ÐÌEnter€as€many€items€as€you€need€below,€however,€paragraph€#€3€below€should€be€the€last€item€for€"The€BLMÐ $$ Ðagrees€to".€ öÔ_ÔÔ€3ôßòòôÔSelect€one€of€the€two€paragraph€"IV"s€below.€€The€second€paragraph€should€be€used€if€awarding€and€funding€Ô_ÔTOsÔ_Ô.€Ð  ÐAgreements€may€not€exceed€5€years.€ wÔ_ÔÔ€3ôßòòôÔUse€this€paragraph€only€if€issuing€Ô_ÔTOsÔ_Ô.€ »Ô_ÔÔ€3ôßòòôÔSelect€one€of€the€two€paragraph€"A"s€below.€€Select€the€second€paragraph€if€projects€will€be€funded€by€Ô_ÔTOsÔ_Ô.€  ¾Ô_ÔÔ€3ôßòòôÔSelect€one€of€the€two€paragraph€"B"s€below.€€Select€the€second€paragraph€if€the€projects€will€be€funded€by€Ô_ÔTOsÔ_Ô.  "Ô_ÔÔ€3ôßòòôÔSelect€one€of€the€three€paragraph€"C"s€below.€€Select€the€first€paragraph€to€establish€a€Ô_ÔNTEÔ_Ô€amount€over€the€life€ofÐ  Ðthe€agreement.€€Select€the€second€paragraph€if€the€projects€will€be€funded€by€Ô_ÔTOsÔ_Ô.€€Select€the€third€paragraph€toÐ ÉÉ Ðestablish€a€Ô_ÔNTEÔ_Ô€amount€over€the€life€of€the€agreement€òòANDóó€the€projects€will€be€funded€by€Ô_ÔTOsÔ_Ô.€  {Ô_ÔÔ€3ôßòòôÔIf€there€are€cost€sharing€requirements€in€this€agreement€state€the€requirements€in€the€following€paragraph.€€It€mayÐ  Ðalso€be€advisable€to€add€"and€the€SF„424A,€Budget€Information€„€Ô_ÔNonconstructionÔ_Ô€Programs,€which€is€attachedÐ ÉÉ Ðhereto"€at€the€end€of€the€paragraph€below.€€Challenge€cost€share€agreements€òòmustóó€state€the€matching€requirements.€Ð ’’ ÐReview€43€Ô_ÔCFRÔ_Ô,€Subpart€C,€Section€Ô_Ô12.65Ô_Ô€for€requirements.€€This€paragraph€is€optional.€ ùÔ_ÔÔ€3ôßòòôÔSend€the€recipient€a€copy€of€the€SF„3881€form€when€sending€them€the€award€letter.€€It€is€their€responsibility€toÐ  Ðcomplete€it€and€send€it€to€the€Ô_ÔNBC.Ô_Ô€€ oÝ ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôßòòôÔòòThe€preferred€method€of€payment€is€reimbursement.óó€€Select€either€"advance€payment"€or€"reimbursement".€€If€bothÐ  Ðmethods€of€payment€will€be€used€just€delete€the€*.€€For€smaller€agreements€it€is€best€to€use€the€reimbursementÐ ÉÉ Ðmethod€only. ËÔ_ÔÔ€3ôßòòôÔThe€sample€paragraphs€below€shows€the€SF€270€sent€to€the€AR€and€the€SF€272€to€the€AO€(paragraph€B€&€C€below)Ð  Ðbut€if€you€want€to€have€all€the€information€sent€to€the€AO€or€AR€that€is€up€to€you.€€If€the€recipient€doesn't€have€theÐ ÉÉ ÐSF€270€and€SF€272€forms€send€them€some€with€the€award€letter€or€provide€them€with€the€internet€site€where€they€canÐ ’’ Ðfind€the€forms.€€That€site€is:€€Ô4‚;Ô_iÔÝ‚6ÍOÝÔÿÔòòÝ  ÝÔ5  Ôhttp://www.whitehouse.gov/OMB/grants/index.htmlÔ6âÔÝ‚6ÍOöÝóóÔÿÔÝ  ÝÔ7Ô_ $ÔÐ [[ Ð „Ô_ÔÔ€3ôßòòôÔIf€reimbursement€payments€are€used€exclusively,€delete€the€following€two€paragraphs.€ µÔ_ÔÔ€3ôßòòôÔÔ_ÔAdd€any€property€requirements€to€the€following€paragraph€or€add€additional€paragraphs€about€propertyÐ  Ðrequirements€specific€to€this€agreement.€€òòYou€do€not€have€the€authority€to€indemnify€or€hold€harmless€anyone€inÐ ÉÉ Ðany€agreement€(see€your€Regional€Solicitor€for€approval).óó€€If€BLM€will€allow€the€recipient€to€use€any€BLM€propertyÐ ’’ Ðor€equipment€state€who€will€be€responsible€for€the€maintenance,€repair,€damage,€destruction,€security,€etc.€€You€mayÐ [[ Ðwant€to€add€a€paragraph€such€as€"The€BLM€assumes€no€liability€for€any€actions€or€activities€conducted€under€thisÐ $$ Ðagreement€except€to€the€extent€that€recourse€or€remedies€are€provided€by€Congress€under€the€Federal€Tort€ClaimsÐ íí ÐAct€[28€U.S.C.€1346(b),€2401(b),€2671€„€2680,€as€amended€by€P.L.€89„506,€80€Stat.€306]".€€ |Ô_ÔÔ€3ôßòòôÔDONððT€GET€PERFORMANCE€REPORTS€CONFUSED€WITH€PROGRESS€REPORTS.Ð  ÐThe€following€paragraph€is€òònotóó€required€exactly€as€is€and€may€be€changed€as€appropriate€if€you€have€your€ownÐ ÉÉ Ðreporting€requirements.€€It€would€also€be€allowable€to€have€quarterly€progress€reports€specific€to€your€project€and€aÐ ’’ Ðannual€report€for€the€information€requested€below.€Ð [[ ÐÌAt€a€minimum,€you€must€require€an€annual€performance€report.€€Performance€reports€may€òònotóó€be€required€more€oftenÐ íí Ðthan€quarterly,€but€are€required€at€least€yearly.€€Quarterly€or€semi„annual€reports€shall€be€due€30€calendar€days€afterÐ ¶¶ Ðthe€end€of€the€reporting€period.€€Annual€reports€are€due€90€days€after€the€end€of€the€reporting€period.€€No€more€thanÐ  Ðtwo€copies€of€reports€can€be€required.Ð HH ÐÌProgress€reports€must€specify€the€pertinent€technical€data€requirements,€administrative€information,€and/or€reportsÐ ÚÚ  Ðto€be€generated€in€performance€of€the€project,€the€manner€and€times€in€which€information€will€be€submitted,€theÐ ££  Ðresponsibilities€of€the€recipient€in€acting€upon€information€generated€and€the€mutual€support€to€be€provided€to€theÐ l l  Ðrecipientððs€management€information€system. Ô_ÔÔ€3ôßòòôÔThe€Project€Inspector€paragraph€below€is€optional€and€should€be€included€only€if€you€will€appoint€a€PI€after€awardÐ  Ðof€the€agreement.€€The€PI€appointment€letter€should€be€included€with€the€award€letter€to€the€recipient.€ ¯Ô_ÔÔ€3ôßòòôÔSelect€one€of€the€two€paragraphs€"A"s€below.€€Select€the€second€paragraph€if€Ô_ÔTOsÔ_Ô€will€be€used.€€ NÔ_ÔÔ€3ôßòòôÔInclude€the€following€paragraph€in€all€agreements€if€the€recipient€is€expected€to€purchase€any€supplies€or€servicesÐ  Ðwith€Federal€funds.€€Review€the€Budget€Information€on€the€SF„424A€to€see€if€the€recipient€will€be€authorized€toÐ ÉÉ Ðpurchase€anything.€! Ý ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôßòòôÔIf€this€agreement€requires€the€recipient€to€produce€a€report(s)€or€a€publication,€include€the€following€clause€in€yourÐ  Ðagreement.€€This€is€a€requirement€in€DOI€Departmental€Manual,€Part€505,€Chapter€4,€Deposit€of€PublicationsÐ ÉÉ Ðproduced€Under€Grants.€€The€following€are€exceptions:€€Administrative€instruments,€classified€information,€materialÐ ’’ Ðotherwise€marked€against€unauthorized€disclosure,€and€tentative€drafts€such€as€preliminary€planning€reports€thatÐ [[ Ðwill€appear€later€in€revised€form.' eÔ_ÔÔ€3ôßòòôÔThis€provision€is€required€in€all€agreements.€€It€will€no€longer€need€to€be€updated€each€year€after€the€InteriorÐ  ÐAppropriations€Act€is€passed€because€in€the€FY€2000€Appropriations€Act€it€stated€that€this€provision€wasÐ ÉÉ Ðapplicable€in€fiscal€year€2000€andòò€thereafteróó.) šÝ ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôßòòôÔThis€paragraph€is€required€in€all€grants€and€cooperative€agreements.Table_A>Q ÿÿ0form[3](1)(a)à0..àà0..àÔ2ÔÔ3  Ôà0..à>d ÿÿ0form[4](1)(a)à0..àà0..àà0..àÔ2ÔÔ3  Ôà0..à>w ÿÿ0form[5](1)(a)à0..àà0..àà0..àà0..àÔ2ÔÔ3  Ôà0..à>Š ÿÿ0form[6](1)(a)à0..àà0..àà0..àà0..àà0..àÔ2ÔÔ3  Ôà0..à> ÿÿ0form[7](1)(a)à0..àà0..àà0..àà0..àà0..àà0..àÔ2ÔÔ3  Ôà0..à>° ÿÿ0form[8](1)(a)à0..àà0..àà0..àà0..àà0..àà0..àà0..àÔ2ÔÔ3  Ôà0..àAP456789 ÿÿ9GOW]emu{form(1)(a)(1)(a)i.(1)(a)(i)1)a)3#37=CIQYag­­1.a.i.(1)(a)(i)1)a);i)Ý ƒz¤T!ÝÓ  ÓÝ  ÝÔ_ÔòòÔ‡X®ºXòôÔÔ€3XheXXX®ºÔà@óó¿ìàóóò òAGREEMENTS€WITH€STATE,€LOCAL,€&€TRIBAL€GOVERNMENTSˆÐ ° Ðà@ììØìàó óÔ#†3ôßòX3Xhe:#ÔˆÌà@zzÏìà11Ô‡3òßòò3ôßÔ/21/2000€VersionòòˆÐ sà ÐóóÌThe€following€forms€are€completed€by€the€applicant€before€the€Statement€of€Programmatic€Involvement€andÐ U ÐInstrument€Selection€Determination€are€completed.€€The€SF€forms€and€applicable€OMB€Circulars€may€be€found€on€theÐ Î ÐInternet€at€the€following€site:€€òòÔ4‚<Ý } ÔÝ‚6ÍOÝÔÿÔòòÝ  ÝÔ5  Ôhttp://www.whitehouse.gov/OMB/grants/index.htmlÔ6—ÔÝ‚6ÍO«ƒzÝóóÔÿÔÝ  ÝÔ7Ý CÙÔóóÐ — ç ÐÌà  àÝ‚qk¦ÿÝÝ  ÝÝ‚qk¦Ýððà0 ` àÝ  ÝSF„424,€€Application€for€Federal€Assistance݃qk¦«ÝŒÐ) y` (#` (# ÐŒÝ  Ýà  àÝ‚qk¦ÿÝÝ  ÝÝ‚qk¦SÝððà0 ` àÝ  ÝSF„424A,€Budget€Information€„€Ô_ÔNonconstructionÔ_Ô€Programs݃qk¦SnÝŒÐò B ` (#` (# ÐŒÝ  Ýà  àÝ‚qk¦ÿÝÝ  ÝÝ‚qk¦AÝððà0 ` àÝ  ÝSF„424B,€Assurances€„€Ô_ÔNonconstructionÔ_Ô€Programs݃qk¦A\݌л  ` (#` (# ÐŒÝ  Ýà  àÝ‚qk¦ÿÝÝ  ÝÝ‚qk¦'Ýððà0 ` àÝ  ÝDI„2010,€Certification€Regarding€Debarment,€Suspension€and€Other€Responsibility€Matters,€Drug„Ð „ Ô  ÐFree€Workplace€Requirements€and€Lobbying€(This€form€is€located€at€the€end€of€this€model)݃qk¦'BÝŒÐM ` (#` (# ÐŒÝ  ÝÔ_ÔÔ#†3ôßòò3òß&#ÔÔ‡3òßòò3ôßÔà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àÔ_ÔÌA.€€Information€will€need€to€be€filled€in€that€is€specific€to€each€agreement.€€Some€of€the€sections,€such€as€Section€I,€II,Ð ß/  Ðand€III,€are€obvious€and€the€others€are€marked€with€a€*.€€The€following€procedures€will€help€you€find€all€the€spacesÐ ¨ø  Ðthat€require€a€fill„in:Ð qÁ  ÐÌà0  à1.€€Start€with€your€cursor€at€the€òòbeginningóó€of€the€model€agreement€and€hit€the€F2€(Find€and€Replace)€key.€€AtÐ S Ðthe€bottom€of€the€screen€you€will€see€the€Find€and€Replace€text€box€appear.ÐÌ(#(# ÐÌà0  à2.€€In€the€Find€box€type€in€the€*€(all€the€spaces€to€be€filled€are€marked€with€*).Ð^®(#(# ÐÌà0  à3.€€With€your€mouse€click€on€Find€Next€and€your€cursor€will€automatically€move€to€the€first€*.€€You€will€needÐ ð@ Ðto€backspace€(to€erase€the€*)€and€type€in€the€information€for€your€agreement.й (#(# ÐÌà0  à4.€€With€the€mouse€click€on€Find€Next€to€move€to€the€next€*€€and€the€next€*€will€appear.ÐK›(#(# ÐÌà0  à5.€€Keep€doing€this€until€you€reach€the€end€of€the€document.ÐÝ-(#(# ÐÌB.€€Edit€the€Agreement€Number€in€the€Header.€€Once€you€have€filled€in€the€new€number,€you€will€need€to€exit€out€ofÐ o¿ Ðthe€Header€by€clicking€on€File,€Close.€€The€first€page€number€in€"Page€___€of€___"€in€the€Header€will€start€with€PageÐ 8ˆ Ð2.€€The€second€page€number€is€created€by€a€code€on€the€last€page€of€the€document€(Target€(Pages)).€€Do€not€deleteÐ Q  Ðthis€code.€€This€page€number€does€not€automatically€change€as€pages€are€added.€€You€must€generate€the€documentÐ Ê! Ð(Control€F9)€in€order€for€it€to€change.€€If€you€do€not€generate€the€document€before€you€print,€WordPerfect€will€askÐ “ã" Ðyou€if€you€would€like€to€"generate"€before€you€print,€just€answer€"Yes".€Ð \ ¬# ÐÌÔ€>’â¿ÔC.€€"Comments"€have€been€added€throughout€this€document€with€helpful€information€to€assist€you€in€completing€theÐ î!ý( Ðagreement€easier€and€faster.€€The€comments€are€within€an€oval€in€the€left€margin€and€show€up€in€full€text€only€whenÐ ·"Æ ) Ðyou€use€the€mouse€and€click€on€the€oval.€Click€on€the€oval€on€the€left€of€this€paragraph€now.Ð €#!* ÐÌD.€€As€you€go€through€the€document€delete€the€paragraphs€not€needed.€€Select€one€of€the€paragraphs€if€similarÐ %!#, Ðparagraphs€are€allowed.€€Ð Û%ê#- ÐÌIf€you€have€any€questions,€comments,€or€suggested€changes€please€contact€your€State€Procurement€Analyst€orÐ m'|%/ ÐMarc€Ô_ÔGressÔ_Ô€at€(406)€896„2916.Ð 6(E&0 ÐÌÌÌÐ  Z+i)4 ÐÔ_ÔÔ#†3ôßòò3òß±#ÔÑ„°ÑÑX°ÑÒX°ÒÒX°ÒÝ ƒ~mÇÿÝÓ  ÓÝ  ÝÔ€8èŠÄ"ÔÔ*…ƒRS ddd Xdd Xdd XX€%X€%…ÔÔ,ä dd ÔÔ,°td ÔÔ,4td ÔÔ,°td ÔÔ,°td ÔÔ+  ÔÐ <€+„„ €Æ€‚x‚ƒƒ„„……<ÐÓÿ¿ÓÔ‡3,ˆ´,ò3ôßÔÌÌÌForm€1511„1Ð ¤ ÐÓÿ¿Ó(February€1989)à@” ” <àÔ#†3ôßò,3,ˆ´6#ÔÔ‡3f ò3ôßÔUnited€States€Department€of€the€InteriorÔ#†3ôßò 3fÎ#ÔÔ‡3,ˆ´,ò3ôßԈРp Ðà@ù ù !<àÔ#†3ôßò,3,ˆ´8#ÔÔ‡3f ò3ôßÔBureau€of€Land€ManagementÔ#†3ôßò 3f¢#ԈР ±  ÐÌà@ #<àÔ‡3 ® ò3ôßÔASSISTANCE€AGREEMENTÔ#†3ôßò 3 ®&#ԈР™*  ÐÌÔ‡3,ˆ´,ò3ôßÔNOTE:€€By€signing€this€document,€the€recipient€accepts€this€agreement€and€agrees€to€perform€in€accordance€with€all€the€enclosed€terms,€conditions,€andÐ   Ðdocuments€attached€hereto.Ô#†3ôßò,3,ˆ´“#ÔÐ ;€v,  „„……;Ðà@øø¤Ø àÔ‡3^˜v \ò3ôßÔPAGEÔ#†3ôßò \3^˜vç#Ô€€€1€€€Ô‡3^˜v \ò3ôßÔOFÔ#†3ôßò \3^˜v4#Ô€€€€€€€€Ô‡3^˜v \ò3ôßÔPAGESÔ#†3ôßò \3^˜v€#ԈРC9&ü x Æ v €æ€‚ˆ‚ƒƒ…ƒ…CÐÐ *€vv F׃ „„……*ÐÔ‡3^˜v \ò3ôßÔ1.€AGREEMENT€NO.Ô#†3ôßò \3^˜v5#ÔÐ Î_ Ѐ€€€€€Ð C9&dõ ˆ æ vv €æ€‚ˆ‚ƒƒ…ƒ…CÐÐ *€vv -¾ƒ „„……*ÐÔ‡3^˜v \ò3ôßÔ2.€TASK€ORDER€NO.€Ô#†3ôßò \3^˜v#ÔÐ µF  Ѐ€€€€€€Ð C9&KÜ  ˆ æ vv €®€‚ˆ‚ƒƒ…ƒ…CÐÐ *€vv  ¥ ƒ „„……*ÐÔ‡3^˜v \ò3ôßÔ3.€TYPE€OF€AGREEMENT€òò(Check€one)óóÐ œ -  Ѐ€€Ô#†3ôßò \3^˜vì#Ôð&ð€Ô‡3^˜v \ò3ôßÔGRANTÐ 2 à  Ѐ€€Ô#†3ôßò \3^˜vq#Ôð&ð€Ô‡3^˜v \ò3ôßÔCOOPERATIVE€AGREEMENTÐ O€uB&û Œ  ˆ ® vv €&€‚¨‚ƒƒ„„……OÐ4.€NAME,€ADDRESS€AND€PHONE€NO.€OF€ASSISTANCE€OFFICERÔ#†3ôßò \3^˜vÕ#ÔÐ l ý  ÐÌÌÌÌÐ 9€uv*&·u „„……9ÐÔ‡3^˜v \ò3ôßÔ5.€NAME,€ADDRESS€AND€PHONE€NO.€OF€RECIPIENTÔ#†3ôßò \3^˜v#ÔÐ l ý  ÐÌÌÌÌÐ O€vB&&·" ¨ & uv €€‚ˆ‚ƒƒ„„……OÐÔ‡3^˜v \ò3ôßÔ6.€NAME,€ADDRESS€AND€PHONE€NO.€OF€ASSISTANCE€REPRESENTATIVEÔ#†3ôßò \3^˜vÖ#ÔÐ w# ÐÌÌÌÌÐ 9€vv*1Â(v „„……9ÐÔ‡3^˜v \ò3ôßÔ7.Ô#†3ôßò \3^˜v¥#ÔÔ‡3E˜v \ò3ôßÔ€NAME,€ADDRESS€AND€PHONE€NO.€OF€RECIPIENT'S€PROJECT€MANAGERÔ#†3ôßò \3E˜vé#ÔÐ w) ÐÌÌÌÌÐ O€vB&1Â. ˆ  vv €P€‚ˆ‚ƒƒ„„……OÐÔ‡3^˜v \ò3ôßÔ8.€PROGRAM€STATUTORY€AUTHORITYÔ#†3ôßò \3^˜vÎ #Ô€€€€€€Ð 9€vv*‚/v „„……9ÐÔ‡3^˜v \ò3ôßÔ9.€STARTING€DATEÔ#†3ôßò \3^˜vm!#Ô€€€€€€€€€€€€€€€€€€€€€€Ð O€vB&‚0 ˆ P vv €P€‚ˆ‚ƒƒ„„……OÐÔ‡3^˜v \ò3ôßÔ10.€EFFECTIVE€DATEÔ#†3ôßò \3^˜v$"#Ô€€€€€€€€Ð 9€vv*Ód1v „„……9ÐÔ‡3^˜v \ò3ôßÔ11.€COMPLETION€DATEÔ#†3ôßò \3^˜v¹"#Ô€€€€€€€€€€€Ð O€vB&Ód2 ˆ P vv €^€‚ˆ‚ƒƒ„„……OÐÔ‡3^˜v \ò3ôßÔ12.€TYPE€OF€RECIPIENT€òò(Check€one)óóÐ $µ3 Ѐ€€€€€€€Ô#†3ôßò \3^˜vh##Ôð&ð€Ô‡3^˜v \ò3ôßÔSTATEÐ ºK4 Ѐ€€€€€€€Ô#†3ôßò \3^˜vó##Ôð&ð€Ô‡3^˜v \ò3ôßÔLOCAL€GOVERNMENTÐ ƒ5 Ѐ€€€€€€€Ô#†3ôßò \3^˜v\$#Ôð&ð€Ô‡3^˜v \ò3ôßÔINDIAN€TRIBAL€GOVERNMENTÐ LÝ6 Ѐ€€€€€€€Ô#†3ôßò \3^˜vÐ$#Ôð&ð€Ô‡3^˜v \ò3ôßÔEDUCATIONAL€INSTITUTIONÐ ¦7 Ѐ€€€€€€€Ô#†3ôßò \3^˜vL%#Ôð&ð€Ô‡3^˜v \ò3ôßÔINDIVIDUALÐ Þo8 Ѐ€€€€€€€Ô#†3ôßò \3^˜vÇ%#Ôð&ð€Ô‡3^˜v \ò3ôßÔFOR„PROFIT€ORGANIZATIONÐ §89 Ѐ€€€€€€€Ô#†3ôßò \3^˜v5&#Ôð&ð€Ô‡3^˜v \ò3ôßÔNON„PROFIT€ORGANIZATIONÐ p : Ѐ€€€€€€€Ô#†3ôßò \3^˜v°&#Ôð&ð€Ô‡3^˜v \ò3ôßÔOTHER€(SPECIFY)€Ô#†3ôßò \3^˜v+'#Ôòò€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€óóÐ 9€vv*9Ê ;v „„……9ÐÔ‡3^˜v \ò3ôßÔ13.€FUNDING€INFORMATIONÐ $µ< ÐÓ€Ó€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Ô#†3ôßò \3^˜vé'#ÔÔ‡3,ˆ´,ò3ôßÔRecipient€€€€€€€€€€€€€€€€€€€€€€€€€€€Ô_ÔBLMÔ_ÔÔ#†3ôßò,3,ˆ´”(#ÔÔ‡3^˜v \ò3ôßÔÐ ºK= ÐThis€obligation€€€€€€€€€€€€€€€€€€$Ô#†3ôßò \3^˜v)#Ôòò€€€€€€€€€€€€€€€óó€€€€€Ô‡3^˜v \ò3ôßÔ$Ô#†3ôßò \3^˜v°)#Ôòò€€€€€€€€€€€€€€óóÔ‡3^˜v \ò3ôßÔÐ ›,? 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ÐÌÔ€î’âðÔII.€€òòDefinitionsóó.Ð Š«)& ÐÌÔ€ðÉâ'Ôà  àA.€€Agreement:€This€cooperative€agreement.Ð ~Æ-+ ÐÌà  àA.€€Agreement:€This€grant€agreement.Ð rº/- ÐÌà  àB.€€Assistance€Officer€(Ô_ÔAOÔ_Ô):€The€Ô_ÔBLMÔ_Ô's€Assistance€Officer.€€The€Ô_ÔAOÔ_Ô€is€the€only€individualÐ f!®1/ Ðauthorized€to€obligate€funds,€award,€modify€or€terminate€the€agreement€or€any€task€order€(TO)€thereto.€Ð `"¨20 ÐThe€Ô_ÔAOÔ_Ô€is€responsible€for€issuing€Ô_ÔTOsÔ_Ô,€monitoring€the€agreement€and€Ô_ÔTOsÔ_Ô€for€compliance,€enforcingÐ Z#¢31 Ðthe€agreement€provisions,€issuing€timely€performance€and€payment€approvals,€terminating€the€agreementÐ T$œ42 Ðor€any€TO€thereto€and€closing€out€the€agreement.Ð N%–53 ÐÌà  àC.€€Assistance€Representative€(AR):€The€Ô_ÔBLMÔ_Ô's€Assistance€Representative.€€The€AR€will€beÐ B'Š75 Ðdesignated€for€the€purpose€of€administering€the€technical€aspect€of€the€agreement.€€The€AR€isÐ <(„86 Ðauthorized€to€clarify€technical€requirements,€and€to€review€and€approve€work€which€is€clearly€within€theÐ 6)~97 Ðscope€of€the€work€specified€in€this€agreement.€€The€AR€is€not€authorized€to€issue€changes€or€in€anyÐ 0*x:8 Ðother€way€modify€this€agreement.Ð *+r;9 ÐÌà  àD.€€The€Bureau€of€Land€Management€(Ô_ÔBLMÔ_Ô).€€May€also€be€referred€to€as€Bureau.Ð -f=; ÐÌà  àE.€€The€Code€of€Federal€Regulations€(Ô_ÔCFRÔ_Ô).Ð /Z?= ÐÐ  0T@> Ðà  àF.€€Fiscal€Year€(FY):€The€Federal€fiscal€year€which€extends€from€October€1€of€one€yearÐ  Ðthrough€September€30€of€the€following€year.Ð ú ÐÌà  àÔ_ÔÔ€ò$â‚ÔÔ_ÔG.€€The€*€(*).€€May€also€be€referred€to€as€recipient.Ð p ÐÌà  àH.€€Not„to„Exceed€(Ô_ÔNTEÔ_Ô)€Amount:€The€maximum€Federal€funding€amount.Ð ö d  ÐÌà  àI.€€The€Office€of€Management€and€Budget€Ô_Ô(OMB)Ô#†3ôßòX3Xhe6#ÔÔ‡3XheXò3ôßÔ.Ô_ÔÐ ê X  ÐÌÔ€ôÉâ'Ôà  àJ.€€Project€Inspector€(PI):€The€Ô_ÔBLMÔ_Ô's€project€inspector.€€At€the€time€of€award,€a€Ô_ÔBLMÔ_ÔÐ Þ s Ðemployee(s)€may€be€appointed€as€the€PI.€€If€appointed,€the€PI€will€be€responsible€for€providing€on„siteÐ Øm Ðinspection€of€the€work€and€for€giving€the€*€representative€any€special€instructions,€guidance,€or€trainingÐ Òg Ðnecessary€to€complete€or€perform€the€work.€€The€PI€will€not€be€authorized€to€issue€changes€or€in€anyÐ Ìa Ðway€modify€the€agreement.Ð Æ[ ÐÌÔ€ö’âðÔà  àK.€€Project€Manager:€The€recipient's€Project€Manager.€€*Ð º? ÐÌÔ€ø[â¹Ôà  àL.€€Responsible€Official:€The€recipient's€Responsible€Official.€€The€responsible€official€is€theÐ ®ì Ðindividual€who€is€authorized€to€act€for€the€recipients€organization€and€commit€the€recipient€toÐ ¨æ Ðcompliance€with€the€terms€and€conditions€of€this€agreement.Ð ¢à ÐÌÔ€úÉâ'Ôà  àM.€€Task€Order€(TO):€The€order€which€is€issued€against€the€agreement€to€obligate€funds€forÐ –û#$ Ðspecific€services€or€work€to€be€accomplished.Ð õ$% ÐÌÔ€ü[â¹Ôà  àN.€€Assistance€Ordering€Officer€(Ô_ÔAOOÔ_Ô):€The€Ô_ÔBLMÔ_Ô's€Assistance€Ordering€Officer.€€The€Ô_ÔAOOÔ_ÔÐ „¢** Ðis€an€individual€authorized€by€the€Ô_ÔAOÔ_Ô€to€issue€Ô_ÔTOsÔ_Ô€against€this€agreement.€€The€Ô_ÔAOOÔ_Ô€is€responsible€forÐ ~œ++ Ðobligating€the€funds,€monitoring€for€compliance,€enforcing€the€provisions,€issuing€timely€performance€andÐ x–,, Ðpayment€approvals,€modifying,€terminating,€and€closing€out€the€TO.€€The€Ô_ÔAOOÔ_Ô€is€not€authorized€toÐ r-- Ðissue€changes€or€in€any€other€way€modify€this€agreement.€€A€Project€Inspector€may€be€appointed€by€theÐ l Š.. ÐÔ_ÔAOOÔ_Ô€for€the€TO.€€€Ð f!„// ÐÌÔ€þ£â ÔIII.€òòProject€Management€Planóó.Ð Z#y;4 ÐÌà  àA.€€The€*€agrees€to:Ð N%m=6 ÐÌà  àà ` à1.€€Ð B'a?8 ÐÌà  àà ` à2.€€Ð 6)UA: ÐÌà  àà ` à3.€€Ð *+IC< ÐÌÔ€¶âÔÌà  àB.€€The€Ô_ÔBLMÔ_Ô€agrees€to:Ð .KLB ÐÌà  àà ` à1.€€Ð  0?ND ÐÔ_Ô‡à  àà ` à2.€€Ð  ÐÌà  àà ` à3.€€Provide€payments€to€the€*€in€accordance€with€Section€*,€Financial€Support,€andÐ ô ÐSection€*,€Payments,€of€this€agreement€and€applicable€OMB€and€Treasury€Regulations.Ð î ÐÌÔ€’âðÔIV.€€òòTerm€of€Agreementóó.€€This€agreement€shall€become€effective€on€the€date€of€signature€of€the€BLMÐ ö Ò ÐAssistance€Officer€and€shall€remain€in€effect€for€the€remainder€of€FY€*,€unless€terminated€in€accordanceÐ ð Ì  Ðwith€the€provisions€of€43€CFR€Subpart€C,€Section€12.84.€€This€agreement€may€be€renewed€forÐ ê Æ  Ðsubsequent€FYs€(NTE€a€total€of€five),€subject€to€the€availability€of€Federal€funding,€by€mutual€writtenÐ ä À  Ðmodification€signed€by€both€parties€to€this€agreement.Ð Þ º  ÐÌIV.€€òòTerm€of€Agreementóó.€€This€agreement€shall€become€effective€on€the€date€of€signature€of€the€BLMÐ Ò®  ÐAssistance€Officer€and€shall€remain€in€effect€until€*,€unless€terminated€in€accordance€with€the€provisionsР̨ Ðof€43€CFR,€Subpart€C,€Section€12.84.€€Ð Æ¢ ÐÌÔ€Éâ'ÔV.€€€òòTask€Orders€(TO)óó.Ð º½ ÐÌà  àA.€€Issuance.€€If€any€TOs€are€issued€they€will€be€issued€in€writing€by€the€Assistance€Officer€andÐ ®± Ðmust€be€signed€by€both€the€authorized€responsible€official€and€the€AO€to€be€effective.Ð ¨« ÐÌà  àB.€€Contents.€€A€TO€will€contain:Ð œŸ ÐÌà  àà ` à1.€€The€specifications€or€statement€of€work€which€specifies€what€will€be€performedÐ “ Ðunder€this€TO.Ð Š ÐÌà  àà ` à2.€€A€list€of€any€deliverable€items€that€are€required.Ð ~ ÐÌà  àà ` à3.€€Any€necessary€drawings€and/or€location€maps.Ð ru! ÐÌà  àà ` à4.€€The€delivery€schedule€or€completion€time€which€has€been€negotiated€based€on€theÐ f!i!# Ðlevel€of€difficulty,€site€location,€etc.Ð `"c"$ ÐÌà  àà ` à5.€€A€detailed€budget€submitted€on€form€SF„424A,€Budget€Information€„Ð T$W$& ÐNonconstruction€Programs€with€a€NTE€amount€for€the€task.Ð N%Q%' ÐÌà  àà ` à6.€€Any€other€detail€or€information€necessary.Ð B'E') ÐÌVI.€€òòFinancial€Supportóó.Ð 6)9)+ ÐÌÔ€Éâ'Ôà  àA.€€This€agreement€shall€be€funded€each€FY€based€on€the€availability€of€BLM€funding.€€The€*Ð *+T-0 Ðhereby€releases€the€BLM€from€all€liability€due€to€failure€of€Congress€to€appropriate€funds€for€thisÐ $,N.1 Ðagreement.Ð -H/2 ÐÌà  àA.€€This€agreement€shall€be€funded€by€issuance€of€TOs€based€on€the€availability€of€BLMÐ /<14 Ðfunding.€€The€*€hereby€releases€the€BLM€from€all€liability€due€to€failure€of€Congress€to€appropriateÐ  0625 Ðfunds€for€this€agreement.Ð  ÐÔ€Éâ'ÔÌà  àB.€€Funds€obligated€but€not€expended€in€one€FY€can€be€carried€forward€and€expended€in€theÐ  Ðsubsequent€FY.Ð  ÐÌà  àB.€€Funds€obligated€for€a€specific€TO€but€not€expended€in€that€FY€can€be€carried€forward€andÐ ö  Ðexpended€in€the€subsequent€FY.Ð ð   ÐÌÔ€ [â¹Ôà  àC.€€$*€represents€the€NTE€amount€for€which€the€BLM€will€be€responsible€under€the€terms€ofÐ ä °  Ðthis€agreement.€€The€BLM€shall€not€be€obligated€to€pay€for€nor€shall€the€*€be€obligated€to€perform€anyÐ Þ ª Ðeffort€that€will€require€the€expenditure€of€Federal€funds€above€the€NTE€amount.Рؤ ÐÌà  àC.€€TOs€will€specify€the€NTE€amounts.€€The€BLM€shall€not€be€obligated€to€pay€for€nor€shall€*Р̘ Ðbe€obligated€to€perform€any€effort€that€will€require€the€expenditure€of€Federal€funds€above€the€NTEÐ Æ’ Ðamount€specified€in€that€TO.Ð ÀŒ ÐÌà  àC.€€$*€represents€the€NTE€amount€for€which€the€BLM€will€be€responsible€under€the€terms€ofÐ ´€ Ðthis€agreement€over€the€life€of€the€agreement.€€Each€TO€issued€will€specify€the€NTE€amount€for€thatÐ ®z ÐTO.€€The€BLM€shall€not€be€obligated€to€pay€for€nor€shall€the€*€be€obligated€to€perform€any€effort€thatÐ ¨t Ðwill€require€the€expenditure€of€Federal€funds€above€the€NTE€amount€specified€in€that€TO.Ð ¢n ÐÌÔ€ $â‚Ôà  àD.€€Cost€sharing€for€this€agreement€shall€be€in€accordance€with€43€CFR,€Subpart€C,€SectionÐ –ä Ð12.64.Ð Þ ÐÌà  àÔ€I’âðÔE.€€Program€income€for€this€agreement€shall€be€in€accordance€with€43€CFR,€Subpart€C,Ð „Â$$ ÐSection€12.65.Ð ~¼%% ÐÌVII.€òòPaymentsóó.Ð r°'' ÐÌÔ€’âðÔà  àA.à ` àElectronic€Funds€Transfer€PaymentsÐ f!”,, ÐÌà  àà ` à1.€€Payment€under€this€agreement€will€be€made€by€the€Government€by€electronic€fundsÐ Z#ˆ.. Ðtransfer€(through€the€Treasury€Fedline€Payment€System€(FEDLINE)€or€the€Automated€Clearing€HouseÐ T$‚// Ð(ACH)).Ð N%|00 ÐÌà  àà ` à2.€€After€award,€but€no€later€than€14€days€before€an€invoice€or€agreement€financingÐ B'p22 Ðrequest€is€submitted,€the€Recipient€shall€designate€a€financial€institution€for€receipt€of€electronic€fundsÐ <(j33 Ðtransfer€payments€(SF„3881),€and€shall€submit€this€designation€to€the€following€address:Ð 6)d44 ÐÌà  àà ` àà ¸ àBureau€of€Land€ManagementÐ *+X66 Ðà  àà ` àà ¸ àNational€Business€Center,€BC„630Ð $,R77 Ðà  àà ` àà ¸ àDenver€Federal€Center,€Bldg.€50Ð -L88 Ðà  àà ` àà ¸ àPO€Box€25047Ð .F99 Ðà  àà ` àà ¸ àDenver,€CO€€80225„0047Ð /@:: ÐÐ  0:;; Ðà  àà ` à3.€€If€a€designation€has€been€submitted€to€the€BLM€under€a€previous€agreement€it€is€notÐ  Ðnecessary€to€complete€another€SF„3881€unless€you€are€changing€your€designation€of€financialÐ ú Ðinstitution.Ð ô ÐÔ€[â¹ÔÌÔ€íâKÔà  àB.€€The€*€shall€be€entitled€to€reimbursement*€or€advance€payment*€at€least€quarterly€uponÐ üì  Ðsubmission€of€an€original€Request€for€Advance€or€Reimbursement,€Standard€Form€(SF)€270€to€the€AR.€Ð ö æ  ÐPayments€shall€be€governed€by€the€provisions€of€43€CFR€Subpart€C,€Section€12.61€and€12.81.Ð ð à  ÐÌÔ€Éâ'Ôà  àC.€€If€advance€payments€are€made€the€*€must€submit€a€Federal€Cash€Transaction€Report,€SFÐ ä û Ð272€to€the€Assistance€Officer€15€working€days€following€the€end€of€each€quarter.Ð Þ õ ÐÌà  àD.€€Advance€payments€shall€be€made€only€in€amounts€necessary€to€meet€current€disbursementÐ Òé Ðneeds€and€shall€be€scheduled€so€that€the€funds€are€available€only€immediately€prior€to€theirÐ Ìã Ðdisbursement.Ð ÆÝ ÐÌVIII.€òòProperty€Management€and€Dispositionóó.Ð ºÑ ÐÌÔ€âÝÔà  àAny€BLM€property€used€or€other€property€acquired€under€this€agreement,€including€intangibleÐ ®¢" Ðproperty€such€as€copyrights€and€patents€shall€be€governed€by€the€provisions€of€43€CFR,€Subpart€C,Ð ¨œ# ÐSection€12.71€through€12.74.Ð ¢–$ ÐÌIX.€€òòDeliverables€and€Reportsóó.Ð –Š&! ÐÌÔ€þ â\ Ôà  àSubmit€one€copy€of€an€annual€performance€report€to€the€Assistance€Representative€within€90Ð ŠÚ4& Ðdays€after€the€end€of€the€FY.€€The€performance€report€must€be€prepared€in€accordance€with€43€CFR,Ð „Ô5' ÐSubpart€C,€Section€12.80€and€address€items€such€as€a€comparison€of€actual€accomplishments€withÐ ~Î6( Ðestablished€goals,€reasons€why€goals€may€not€have€been€met,€cost€overruns€and€any€other€pertinentÐ xÈ7) Ðinformation.Ð rÂ8* ÐÌX.€€€òòKey€Officialsóó.Ð f!¶:, ÐÌà  àA.€€Assistance€Officer€(AO)Ð Z#ª<. ÐÌà  àà ` à*Ð N%ž>0 Ðà  àà ` àBureau€of€Land€ManagementÐ H&˜?1 Ðà  àà ` à*€State€OfficeÐ B'’@2 Ðà  àà ` àP.O.€Box€*Ð <(ŒA3 Ðà  àà ` à*Ð 6)†B4 Ðà  àà ` àTelephone€Number€(*)€*Ð 0*€C5 ÐÌà  àB.€€Assistance€Representative€(AR)Ð $,tE7 ÐÌà  àà ` à*Ð .hG9 Ðà  àà ` àBureau€of€Land€ManagementÐ /bH: Ðà  àà ` à*€State€OfficeÐ  0\I; Ðà  àà ` àP.O.€Box€*Ð  Ðà  àà ` à*Ð ú Ðà  àà ` àTelephone€Number€(*)€*Ð ô ÐÌà  àÔ€’âðÔC.€€Project€Inspector€(PI)Ð üØ ÐÌà  àà ` à*Ð ð Ì  Ðà  àà ` àBureau€of€Land€ManagementÐ ê Æ  Ðà  àà ` à*€State€OfficeÐ ä À  Ðà  àà ` àP.O.€Box€*Ð Þ º  Ðà  àà ` à*Ð Ø´  Ðà  àà ` àTelephone€Number€(*)€*Ð Ò®  ÐÌà  àD.€€Responsible€OfficialРƢ ÐÌà  àà ` à*(Name)Ð º– Ðà  àà ` à*(Recipients€name€and€addressÐ ´ Ðà  àà ` à*Ð ®Š Ðà  àà ` à*Ð ¨„ Ðà  àà ` àTelephone€Number€(*)€*Ð ¢~ ÐÌà  àE.€€Project€ManagerÐ –r ÐÌà  àà ` à*(Name)Ð Šf Ðà  àà ` à*(Recipients€name€and€addressÐ „` Ðà  àà ` à*Ð ~Z Ðà  àà ` à*Ð xT Ðà  àà ` àTelephone€Number€(*)€*Ð rN ÐÌXI.€òòSpecial€Terms€and€Conditionsóó.Ð f!B  ÐÌÔ€Éâ'Ôà  àA.€€Order€of€PrecedenceÐ Z#]#% ÐÌà  àAny€inconsistency€in€this€agreement€shall€be€resolved€by€giving€precedence€in€the€followingÐ N%Q%' Ðorder:€€(a)€Any€national€policy€requirements€and€administrative€management€standards;€(b)€requirementsÐ H&K&( Ðof€the€applicable€OMB€Circulars€and€Treasury€regulations;€(c)€43€CFR€Part€12;€(d)€special€terms€andÐ B'E') Ðconditions;€and€(e)€all€Agreement€sections,€documents,€exhibits,€and€attachments.Ð <(?(* ÐÌà  àA.€€Order€of€PrecedenceÐ 0*3*, ÐÌà  àAny€inconsistency€in€this€agreement€shall€be€resolved€by€giving€precedence€in€the€followingÐ $,',. Ðorder:€€(a)€Any€national€policy€requirements€and€administrative€management€standards;€(b)€requirementsÐ -!-/ Ðof€the€applicable€OMB€Circulars€and€Treasury€regulations;€(c)€43€CFR€Part€12;€(d)€special€terms€andÐ ..0 Ðconditions;€(e)€all€Agreement€sections,€documents,€exhibits,€and€attachments;€and€(f)€all€TO€sections,Ð //1 Ðdocuments,€exhibits,€and€Ô_Ôattachments.Ð  002 Їà  àB.€€ModificationsÐ  ÐÌà  àThis€agreement€may€be€modified€by€written€agreement€signed€by€both€a€*€official€and€theÐ ô ÐAssistance€Officer.€€Administrative€changes€(i.e.€Ô_ÔAOÔ_Ô€name€change)€which€do€not€change€the€projectÐ î Ðmanagement€plan,€Ô_ÔNTEÔ_Ô€amount,€etc.€or€otherwise€affect€the€recipient€may€be€signed€unilaterally€by€theÐ üè ÐÔ_ÔAOÔ_Ô.Ð ö â ÐÌÔ€[â¹Ôà  àC.€€Procurement€ProceduresÐ ê  ÐÌà  àIt€is€a€national€policy€to€place€a€fair€share€of€purchases€with€minority€business€firms.€€TheÐ Þ ƒ  ÐDepartment€of€the€Interior€is€strongly€committed€to€the€objectives€of€this€policy€and€encourages€allÐ Ø}  Ðrecipients€of€its€grants€and€cooperative€agreements€to€take€affirmative€steps€to€ensure€such€fairness.€Ð Òw ÐPositive€efforts€shall€be€made€by€recipients€to€utilize€small€businesses,€minority„owned€firms,€andÐ Ìq Ðwomen's€business€enterprises,€whenever€possible.€€Recipients€of€Federal€awards€shall€take€all€of€theÐ Æk Ðfollowing€steps€to€further€this€goal:Ð Àe ÐÌà  àà ` à1.€€Ensure€that€small€businesses,€minority„owned€firms,€and€women's€businessÐ ´Y Ðenterprises€are€used€to€the€fullest€extent€practicable.Ð ®S ÐÌà  àà ` à2.€€Make€information€on€forthcoming€opportunities€available€and€arrange€time€framesÐ ¢G Ðfor€purchases€and€contracts€to€encourage€and€facilitate€participation€by€small€businesses,€minority„Ð œA Ðowned€firms,€and€women's€business€enterprises.Ð –; ÐÌà  àà ` à3.€€Consider€in€the€contract€process€whether€firms€competing€for€larger€contracts€intendÐ Š/ Ðto€subcontract€with€small€businesses,€minority„owned€firms,€and€women's€business€enterprises.Ð „) ÐÌà  àà ` à4.€€Encourage€contracting€with€consortiums€of€small€businesses,€minority„owned€firmsÐ x Ðand€women's€business€enterprises€when€a€contract€is€too€large€for€one€of€these€firms€to€handleÐ r Ðindividually.Ð l  ÐÌà  àà ` à5.€€Use€the€services€and€assistance,€as€appropriate,€of€such€organizations€as€the€SmallÐ `"!! ÐBusiness€Development€Agency€in€the€solicitation€and€utilization€of€small€business,€minority„owned€firmsÐ Z#ÿ!" Ðand€women's€business€enterprises.Ð T$ù"# ÐÌÔ€ íâKÔà  àD.€€Deposit€of€PublicationsÐ H&8*( ÐÌà  àTwo€(2)€copies€of€each€applicable€publication€produced€under€this€agreement€shall€be€sent€toÐ <(,,* Ðthe€Natural€Resources€Library€with€a€transmittal€that€identifies€the€sender€and€the€publication,€and€statesÐ 6)&-+ Ðthat€the€publication€is€intended€for€deposit€in€the€Natural€Resources€Library.€€Publications€shall€be€sentÐ 0* ., Ðto€the€following€address:Ð *+/- ÐÌà  àà ` àU.S.€Department€of€the€InteriorÐ -1/ Ðà  àà ` àNatural€Resources€LibraryÐ .20 Ðà  àà ` àInterior€Service€CenterÐ /31 Ðà  àà ` àGifts€and€Exchanges€SectionÐ  0ü32 Ðà  àà ` à1849€C€Street,€Ô_ÔN.W.Ô_ÔÐ  Ðà  àà ` àWashington,€D.C.€20240Ð ú ÐÌXII.€€òòGeneral€Provisionsóó.Ð î ÐÌà  àA.€€National€Policy€Requirements€and€Administrative€Management€Standards.€€All€applicableÐ ö â Ðnational€policy€requirements€and€administrative€management€standards€as€set€forth€in€the€Office€ofÐ ð Ü ÐManagement€and€Budget,€Financial€Management€Division,€Directory€of€Policy€Requirements€andÐ ê Ö ÐAdministrative€Standards€for€Federal€Aid€Programs€are€incorporated€by€reference.Ð ä Ð ÐÌà  àB.€€43€Ô_ÔCFRÔ_Ô€Part€12,€Administrative€and€Audit€Requirements€and€Cost€Principles€for€AssistanceÐ ØÄ  ÐPrograms€is€incorporated€by€reference.Ð Ò¾  ÐÔ#†3ôßòX3Xhe¹D#ÔÔ‡3XheXò3ôßÔÌà  àC.€€OMB€Circular€A„87,€Cost€Principles€for€State€and€Local€Governments€is€incorporated€byРƲ  Ðreference.Ð À¬  ÐÌà  àD.€€Single€Audit€Act€Amendments€of€1996,€Public€Law€104„156,€110€Stat.€1396,€31€U.S.C.Ð ´  Ð750€1„7€and€43€CFR,€Part€12,€is€incorporated€by€reference.Ð ®š ÐÌà  àE.€€43€Code€of€Federal€Regulations€(CFR)€Part€12,€Appendix€A€to€Subpart€D,€CertificationÐ ¢Ž ÐRegarding€Debarment,€Suspension,€and€Other€Responsibility€Matters€„€Primary€Covered€TransactionÐ œˆ Ðand€completed€Form€DI„2010€are€incorporated€by€reference.Ð –‚ ÐÌà  àF.€€43€CFR€Part€12,€Appendix€C€to€Subpart€D,€Certification€Regarding€Drug„Free€WorkplaceÐ Šv ÐRequirements,€Alternate€I€(Grantees€other€than€individuals)€and€completed€Form€DI„2010€areÐ „p Ðincorporated€by€reference.Ð ~j ÐÌÔ€9Ðâ. Ôà  àG.€€3l€U.S.C.€1352,€Certification€Regarding€Lobbying€and€completed€Form€DI„2010€areÐ rŒ# Ðincorporated€by€reference.Ð l †$ ÐÔ#†3ôßòX3XheW#ÔÔ‡3XheXò3ôßÔÌÔ€¢Éâ'Ôà  àH.€€Single€Audit€Act€Amendments€of€1996,€Public€Law€104„156,€110€Stat.€1396,€31€U.S.C.Ð `"¡($ Ð750€1„7€and€43€Ô_ÔCFRÔ_Ô,€Part€12,€is€incorporated€by€reference.Ð Z#›)% ÐÌÔ€&[â¹Ôà  àI.€€Compliance€With€Buy€American€Act.€€Pursuant€to€Sec.€307€of€the€Department€of€theÐ N%H/* ÐInterior€and€Related€Agencies€Appropriations€Act€of€2000,€Public€Law€106„113,€be€advised€of€theÐ H&B0+ Ðfollowing:Ð B'<1, ÐÌà  àà ` à1.€€None€of€the€funds€made€available€in€this€agreement€may€be€expended€by€a€recipientÐ 6)03. Ðunless€the€recipient€agrees€that€in€expending€the€funds€the€recipient€will€comply€with€sections€2€throughÐ 0**4/ Ð4€of€the€Act€of€March€3,€1933€(41€U.S.C.€10a„10c;€popularly€known€as€the€"Buy€American€Act").Ð *+$50 ÐÌà  àà ` à2.€€Purchase€of€American„made€equipment€and€products.€€In€the€case€of€any€equipmentÐ -72 Ðor€product€that€may€be€authorized€to€be€purchased€with€financial€assistance€provided€using€funds€madeÐ .83 Ðavailable€in€this€Act,€it€is€the€sense€of€the€Congress€that€entities€receiving€the€assistance€should,€inÐ / 94 Ðexpending€the€assistance,€purchase€only€American„made€equipment€and€products.Ð  0:5 Їà  àà ` à3.€€Recipient€also€agrees€to€follow€the€procedures€in€43€Ô_ÔCFRÔ_Ô€Part€12,€Subpart€E,Ð  ÐSection€12.700€„€Buy€American€Requirements€for€Assistance€Programs.Ð ú ÐÌÔ€(Éâ'Ôà  àJ.€€Opposition€to€Any€Legislation.€€Recipient€shall€not€use€any€part€of€the€Governmentððs€fundsÐ  Ðfor€any€activity€or€the€publication€or€distribution€of€literature€that€in€any€way€tends€to€promote€publicÐ ü Ðsupport€or€opposition€to€any€legislative€proposal€on€which€Congressional€action€is€not€complete.Ð ö  ÐÌÔ€¤Èâ&Ôà  àK.€€Increasing€Seat€Belt€Use€in€the€United€States.€€Recipients€of€grants/cooperative€agreementsÐ ê #  Ðand/or€sub„awards€are€encouraged€to€adopt€and€enforce€on„the„job€seat€belt€use€policies€andÐ ä   Ðprograms€for€their€employees€when€operating€company„owned,€rented,€or€personally€owned€vehicles.€Ð Þ   ÐThese€measures€include,€but€are€not€limited€to,€conducting€education,€awareness,€and€other€appropriateÐ Ø Ðprograms€for€their€employees€about€the€importance€of€wearing€seat€belts€and€the€consequences€of€notÐ Ò  Ðwearing€them.Ð Ì ÐÔ#†3ôßòX3Xhe ’#ÔÔ €, ÔÐ  Æÿ ÐÖ€åôÖÓ€ :AP456789(ÿÿ03;ÓÒH°ÒÒH°ÒÑXÑÑXÑÓ  ÓÑTRY,3Ø'Xà3Ø' Letter 3Ø' Letterÿ3Ø'TÑÑ€^)EÑà@ÐÐÉìàò òU.S.€Department€of€the€InteriorˆÐ  Ðó óÌÌòòà@v v ¿ìàóóò òÔ‡3&ù:%ò3ôßÔCertifications€Regarding€Debarment,€Suspension€andˆÐ w[ Ðà@| | ÀìàOther€Responsibility€Matters,€Drug„Free€WorkplaceˆÐ Y= Ðà@ggÌìàRequirements€and€LobbyingˆÐ ; Ðà@ììØìàó óòòˆÌÌóóÒ(,H$H$(ÒÓ ;ÚÓÔ#†3ôßò%3&ù:›Ÿ#ÔÔ‡3Â|IÂò3ôßÔPersons€signing€this€form€should€refer€to€the€regulations€referencedÐ ßà Ðbelow€for€complete€instructions:Ð ¨ Œ  ÐÌCertification€Regarding€Debarment,€Suspension,€and€OtherÐ þ â  ÐResponsibility€Matters€„€Primary€Covered€Transactions€„€ò òTheÐ Ç «  Ðprospective€primary€participant€further€agrees€by€submitting€thisÐ  t  Ðproposal€that€it€will€include€the€clause€titled,€"CertificationÐ Y =  ÐRegarding€Debarment,€Suspension,€Ineligibility€and€VoluntaryÐ "  ÐExclusion€„€Lower€Tier€Covered€Transaction,"€provided€by€theÐ ëÏ  Ðdepartment€or€agency€entering€into€this€covered€transaction,Ð ´˜  Ðwithout€modification,€in€all€lower€tier€covered€transactions€andÐ }a Ðin€all€solicitations€for€lower€tier€covered€transactions.€€ó óSee€belowÐ F* Ðfor€language€to€be€used€or€use€this€form€for€certification€and€sign.€€(See€ò òÐ ó Ðó óAppendix€A€of€Subpart€D€of€43€Ô_ÔCFRÔ_Ô€Part€12.)€Ð ؼ ÐCertification€Regarding€Debarment,€Suspension,€Ineligibility€andÐ ßà ÐVoluntary€Exclusion€„€Lower€Tier€Covered€Transactions€„€(SeeÐ ¨ Œ ÐAppendix€B€of€Subpart€D€of€43€Ô_ÔCFRÔ_Ô€Part€12.)Ð q U ÐÌCertification€Regarding€Drug„Free€Workplace€Requirements€„Ð Ç «  ÐAlternate€I.€(Grantees€Other€Than€Individuals)€and€Alternate€II.Ð  t  Ð(Grantees€Who€are€Individuals)€„€(See€Appendix€C€of€Subpart€D€of€43Ð Y =  ÐÔ_ÔCFRÔ_Ô€Part€12)Ð "  ÐÌSignature€on€this€form€provides€for€compliance€with€certificationÐ x\  Ðrequirements€under€43€Ô_ÔCFRÔ_Ô€Parts€12€and€18.€€The€certifications€shallÐ A% Ðbe€treated€as€a€material€representation€of€fact€upon€which€reliance€willÐ  î  Ðbe€placed€when€the€Department€of€the€Interior€determines€to€awardÐ Ó·! Ðthe€covered€transaction,€grant,€cooperative€agreement€or€loan.Ð œ€" ÐÔ#†3ôßòÂ3Â|I¡#ÔÔ‡3&ù:%ò3ôßÔÐ G+# ÐÒ(,HVHV(ÒÐ ( # Ðò òÓH‹°œXÓó óÔ#†3ôßò%3&ù:¹©#ÔÔ‡3Â|IÂò3ôßÔßi€5•J3#h L'"C!< `€€EHçC!zdt{ ’€Ó" ißÔ#†3ôßòÂ3Â|Ioª#Ôò òÔ‡3Â|IÂò3ôßÔÐ çË$ ÐÓ  ÓÌòòÓ  ÓÔ#†3ôßòÂ3Â|I«#ÔÔ‡3f ò3ôßÔó óCHECKòò€€€€óóIF€THIS€CERTIFICATION€IS€FOR€A€PRIMARY€COVERED€TRANSACTION€AND€IS€APPLICABLE.ò òÔ#†3ôßò 3f«#ÔÔ‡3Â|IÂò3ôßÔóóÐ ­‘& ÐÓ  ÓÌÓl[HðHl·øP ¨ X°`¸hÀ!$p&È( +x-Ð/(2€4Ø609ˆ;à=H‹lÓó ó(1)à l àThe€prospective€primary€participant€certifies€to€the€best€of€its€knowledge€and€belief,€that€it€and€its€principals:Ð îÒ( ÐÌÓ~[HðHl%øP ¨ X°`¸hÀ!$p&È( +x-Ð/(2€4Ø609ˆ;à=HðHl·ø—X~Óà l à(a)à0 % àAre€not€presently€debarred,€suspended,€proposed€for€debarment,€declared€ineligible,€or€voluntarily€excluded€by€€any€FederalÐ D(* Ðdepartment€or€agency;Ð ñ+%$%$ ÐÌà l à(b)à0 % àHave€not€within€a€three„year€period€preceding€this€proposal€been€convicted€of€or€had€a€civil€judgment€rendered€against€them€forÐ cG- Ðcommission€of€fraud€or€a€criminal€offense€in€connection€with€obtaining,€attempting€€to€obtain,€or€performing€a€public€(Federal,€StateÐ ,. Ðor€local)€transaction€or€contract€under€a€public€transaction;€violation€of€Federal€or€State€antitrust€statutes€or€commission€ofÐ õÙ/ Ðembezzlement,€theft,€forgery,€€bribery,€falsification€or€destruction€of€records,€making€false€statements,€or€receiving€stolen€property;о¢0%$%$ ÐÌÓ{XHðHl%P ¨ X°`¸hÀ!$p&È( +x-Ð/(2€4Ø609ˆ;à=HðHl%ø—X{Óà l à(c)à0 % àAre€not€presently€indicted€for€or€otherwise€criminally€or€civilly€charged€by€a€governmental€entity€(Federal,€State€€or€local)€withÐ  ø2 Ðcommission€of€any€of€the€offenses€enumerated€in€paragraph€(1)(b)€of€this€certification;€andÐÝ Á3%$%$ ÐÌÓ~[HðHl%”P ¨ X°`¸hÀ!$p&È( +x-Ð/(2€4Ø609ˆ;à=HðHl%P –X~Óà l à(d)€€à0 % àHave€not€within€a€three„year€period€preceding€this€application/proposal€had€one€or€more€public€transactions€(Federal,€State€or€local)Ð 3" 5 Ðterminated€for€cause€or€default.Ðü"à 6%$%$ ÐÌ(2)à0 l àWhere€the€prospective€primary€participant€is€unable€to€certify€to€any€of€the€statements€in€this€certification,€such€€prospective€participantÐ R$6"8 Ðshall€attach€an€explanation€to€this€proposal.Ð%ÿ"9l$l$ Ðò òÌòŒòÓ  Óßi€5™J3#h L72C!< `€€EHq&C!zdt{ ’€©%Ó" ißÐ q&U$; ÐÔ#†3ôßòÂ3Â|I4¬#ÔÌÔ‡3f ò3ôßÔÓ  ÓòòóŒóó óCHECKòò€€€€óóIF€THIS€CERTIFICATION€IS€FOR€A€LOWER€TIER€COVERED€TRANSACTION€AND€IS€APPLICABLE.ò òóóÔ#†3ôßò 3f.¶#ÔÔ‡3Â|IÂò3ôßÔÐ 7)'= ÐÓ  ÓÌó ó(1)à0 l àThe€prospective€lower€tier€participant€certifies,€by€submission€of€this€proposal,€that€neither€it€nor€its€principals€is€presently€debarred,Ð x*\(? Ðsuspended,€proposed€for€debarment,€declared€ineligible,€or€voluntarily€excluded€from€participation€in€this€transaction€by€any€FederalÐ A+%)@ Ðdepartment€or€agency.Ð ,î)Al$l$ ÐÌ(2)à0 l àWhere€the€prospective€lower€tier€participant€is€unable€to€certify€to€any€of€the€statements€in€this€certification,€such€prospective€participantÐ `-D+C Ðshall€attach€an€explanation€to€this€proposal.ò òÔ#†3ôßòÂ3Â|Iê¶#ÔÐ). ,Dl$l$ ÐÔ‡3Â|IÂò3ôßÔÓ  ÓÓ  ÓÓ-H•HðHl%”P –X-ÓÌà • àÔ#†3ôßòÂ3Â|Iй#ÔÔ‡3,ˆ´,ò3ôßÔDI„2010Ð /c-F Ðà • àJune€1995Ð ô/Ø-G Ðà • à(This€form€replaces€DI„1953,€DI„1954,€Ð i0M.H Ðà • àDI„1955,€DI„1956€and€DI„1963)Ô#†3ôßò,3,ˆ´dº#ÔÔ‡3Â|IÂò3ôßÔÐ  Þ0Â.I ÐÑ^)E Ñâ ^âÑ,ÑÑ,Ñâ ^âÑ  ÑÔ_ÔÔ#†3ôßòÂ3Â|I\»#ÔÔ€3Í|IÂò3ôßÔÓ-üÓÓ1HðHl%”P –XH•º1ÓÓû¹ÓÓ  Óßl€5’J6&"h \72 P!< `€€EH,P!±dtˆ É€Êà" lßÐ , ÐòòÓ  ÓÔ‡3˜f Â3Í|IÔÌó óCHECKòò€€€€óóIF€THIS€CERTIFICATION€IS€FOR€AN€APPLICANT€WHO€IS€NOT€AN€INDIVIDUAL.Ô#†3Í|I 3˜f$½#ÔóóÐ )ý ÐÓ  ÓÌAlternate€I.€€(Grantees€Other€Than€Individuals)Ð c7 ÐÌA.€€The€grantee€certifies€that€it€will€or€continue€to€provide€a€drug„free€workplace€by:Ð ±… ÐÌà l à(a)à0 % àPublishing€a€statement€notifying€employees€that€the€unlawful€manufacture,€distribution,€dispensing,€possession,€or€use€of€a€controlledÐ ÿÓ Ðsubstance€is€prohibited€in€the€grantee's€workplace€and€specifying€the€actions€that€will€be€taken€against€employees€for€violation€ofРĘ  Ðsuch€prohibition;Љ] %$%$ ÐÌà l à(b)à % àEstablishing€an€ongoing€drug„free€awareness€program€to€inform€employees€about„„Ð × «  ÐÓ[HðHl%vP ¨ X°`¸hÀ!$p&È( +x-Ð/(2€4Ø609ˆ;à=HðHl%”P –XÓà l àà % à(1)€à0 v àThe€dangers€of€drug€abuse€in€the€workplace;Ð~ R v$v$ Ðà l àà % à(2)€à0 v àThe€grantee's€policy€of€maintaining€a€drug„free€workplace;Ð% ù v$v$ Ðà l àà % à(3)€à0 v àAny€available€drug€counseling,€rehabilitation,€and€employee€assistance€programs;€andÐÌ   v$v$ Ðà l àà % à(4)€à0 v àThe€penalties€that€may€be€imposed€upon€employees€for€drug€abuse€violations€occurring€in€the€workplace;Ðs G v$v$ ÐÓ[HðHl%”P ¨ X°`¸hÀ!$p&È( +x-Ð/(2€4Ø609ˆ;à=HðHl%vP –XÓÌà l à(c)à0 % àMaking€it€a€requirement€that€each€employee€to€be€engaged€in€the€performance€of€the€grant€be€given€a€copy€of€the€€statement€requiredÐ Á •  Ðby€paragraph€(a);ІZ %$%$ ÐÌà l à(d)€€à0 % àNotifying€the€employee€in€the€statement€required€by€paragraph€(a)€that,€as€a€condition€of€employment€under€the€grant,€the€employeeÐ Ô¨ Ðwill€„„Йm%$%$ ÐÓ[HðHl%vP ¨ X°`¸hÀ!$p&È( +x-Ð/(2€4Ø609ˆ;à=HðHl%”P –XÓà l àà % à(1)€à0 v à€Abide€by€the€terms€of€the€statement;€andÐ@v$v$ Ðà l àà % à(2)€€à0 v àNotify€the€employer€in€writing€of€his€or€her€conviction€for€a€violation€of€a€criminal€drug€statute€occurring€in€the€workplace€noÐ ç» Ðlater€than€five€calendar€days€after€such€conviction;Ь€v$v$ ÐÓ[HðHl%”P ¨ X°`¸hÀ!$p&È( +x-Ð/(2€4Ø609ˆ;à=HðHl%vP –XÓÌà l à(e)€€à0 % àNotifying€the€agency€in€writing,€within€ten€calendar€days€after€receiving€notice€under€subparagraph€(d)(2)€from€an€€€employee€orÐ úÎ Ðotherwise€receiving€actual€notice€of€such€conviction.€€Employers€of€convicted€employees€must€provide€€notice,€including€positionÐ ¿“ Ðtitle,€to€every€grant€officer€on€whose€grant€activity€the€convicted€employee€was€working,€unless€the€Federal€agency€has€designatedÐ „X Ða€central€point€for€the€receipt€of€such€notices.€€Notice€shall€include€the€€identification€numbers(s)€of€each€affected€grant;ÐI%$%$ ÐÌà l à(f)€€à0 % àTaking€one€of€the€following€actions,€within€30€calendar€days€of€receiving€notice€under€subparagraph€(d)(2),€with€respect€to€anyÐ —k  Ðemployee€who€is€so€convicted€„„Ð\0!%$%$ ÐÓ[HðHl%vP ¨ X°`¸hÀ!$p&È( +x-Ð/(2€4Ø609ˆ;à=HðHl%”P –XÓà l àà % à(1)€€à0 v àTaking€appropriate€personnel€action€against€such€an€employee,€up€to€and€including€termination,€consistent€with€theÐ ×" Ðrequirements€of€the€Rehabilitation€Act€of€1973,€as€amended;€orÐÈœ#v$v$ Ðà l àà % à(2)€€à0 v àRequiring€such€employee€to€participate€satisfactorily€in€a€drug€abuse€assistance€or€rehabilitation€program€approved€for€suchÐ oC$ Ðpurposes€by€a€Federal,€State,€or€local€health,€law€enforcement,€or€other€appropriate€agency;Ð4%v$v$ ÐÓ[HðHl%”P ¨ X°`¸hÀ!$p&È( +x-Ð/(2€4Ø609ˆ;à=HðHl%vP –XÓÌà l à(g)€€à0 % àMaking€a€good€faith€effort€to€continue€to€maintain€a€drug„free€workplace€through€implementation€of€paragraphs€(a)€(b),€(c),€(d),€(e)Ð ‚V' Ðand€(f).ò òÐG(%$%$ ÐÌó óB.€€The€grantee€may€insert€in€the€space€provided€below€the€site(s€for€the€performance€of€work€done€in€connection€with€the€€specific€€grant:Ð •i* ÐÌPlace€of€Performance€(Street€address,€city,€county,€state,€zip€code)Ð ã·, Ð____________________________________________________________________________________________________Ð Š ^- ÐÌ____________________________________________________________________________________________________Ð Ø!¬ / ÐÌ____________________________________________________________________________________________________Ð &#ú!1 ÐÌCheck___if€there€are€workplaces€on€file€that€are€not€identified€here.Ð t$H#3 Ðßf€5‚2"`x×C! `€EQò%C!±tt[ ɉ*%Ó"Afßâ HIHIH$H$â°â HIHIHIHIâ°â HIHIHIHIâ°â HIHIHIHIâ°â HIHIHIHIâ°â HIHIHIHIâ°â H$H$HIHIâÓ  ÓòòÔ‡3˜f Â3Í|IÔCHECKòò€€€€óóIF€THIS€CERTIFICATION€IS€FOR€AN€APPLICANT€WHO€IS€AN€INDIVIDUAL.ò òóóòŒòÐ )Ù': ÐóŒóÓ  ÓÌÔ#†3Í|I 3˜fžÓ#Ôó óAlternate€II.€€(Grantees€Who€Are€Individuals)Ð  *ô(< ÐÌà l à(a)€€à0 % àThe€grantee€certifies€that,€as€a€condition€of€the€grant,€he€or€she€will€not€engage€in€the€unlawful€manufacture,€distribution,€dispensing,Ð n+B*> Ðpossession,€or€use€of€a€controlled€substance€in€conducting€any€activity€with€the€grant;Ð3,+?%$%$ ÐÌà l à(b)€€à0 % àIf€convicted€of€a€criminal€drug€offense€resulting€from€a€violation€occurÔ% €„ Ôring€during€the€conduct€of€any€grant€activity,€he€or€she€willÐ -U,A Ðreport€the€conviction,€in€writing,€within€10€calendar€days€of€the€conviction,€to€the€grant€officer€or€other€designee,€unless€the€FederalÐ F.-B Ðagency€designates€a€central€point€for€the€receipt€of€such€notices.€€When€notice€is€made€to€such€a€central€point,€it€shall€include€theÐ  /ß-C Ðidentification€number(s)€of€each€affected€grant.ò òÐÐ/¤.D%$%$ ÐÓ-HHHðHl%”P –X-Óà H àÔ‡33ˆ´,Â3Í|IÔDI„2010Ð w0K/E Ðà H àJune€1995Ð ê0¾/F Ðà H à(This€form€replaces€DI„1953,€DI„1954,€Ð ]110G Ðà H àDI„1955,€DI„1956€and€DI„1963)Ô#†3Í|IÂ,33ˆ´ZØ#ÔÓ1HðHl%”P –XHH!Ø1ÓÐ  Ð1¤0H ÐÓ-üÓßi€5MJ3#h L726!< `€€EH,6!zdtn ’€ÊÆ" ißÐ , ÐÔ‡3f Â3Í|IÔÌÌòòÓ  Óó óCHECKòò€€€€óóIF€CERTIFICATION€IS€FOR€THE€AWARD€OF€ANY€OF€THE€FOLLOWING€AND€Ð [/ ÐTHE€AMOUNT€EXCEEDS€$100,000:€A€FEDERAL€GRANT€OR€COOPERATIVE€AGREEMENT;€Ð ñÅ ÐSUBCONTRACT,€OR€SUBGRANT€UNDER€THE€GRANT€OR€COOPERATIVE€AGREEMENT.Ð ‡[ ÐÌCHECKòò€€€€óóIF€CERTIFICATION€IS€FOR€THE€AWARD€OF€A€FEDERAL€Ð ³‡ ÐLOAN€EXCEEDING€THE€AMOUNT€OF€$150,000,€OR€A€SUBGRANT€OR€Ð I ÐSUBCONTRACT€EXCEEDING€$100,000,€UNDER€THE€LOAN.óóÐ ß³  ÐÓ  Óò òÌÔ#†3Í|I 3f(Ú#ÔÌÌó óThe€undersigned€certifies,€to€the€best€of€his€or€her€knowledge€and€belief,€that:Ð U )  ÐÌ(1)à0 l àNo€Federal€appropriated€funds€have€been€paid€or€will€be€paid,€by€or€on€behalf€of€the€undersigned,€to€any€person€for€influencing€or€attemptingÐ «   Ðto€influence€an€officer€or€employee€of€an€agency,€a€Member€of€Congress,€and€officer€or€employee€of€Congress,€or€an€employee€of€a€MemberÐ t H  Ðof€Congress€in€connection€with€the€awarding€of€any€Federal€contract,€the€making€of€any€Federal€grant,€the€making€of€any€Federal€loan,€theÐ =   Ðentering€into€of€any€cooperative€agreement,€and€the€extension,€continuation,€renewal,€amendment,€or€modification€of€any€Federal€contract,Ð Ú  Ðgrant,€loan,€or€cooperative€agreement.ÐÏ£ l$l$ ÐÌ(2)à0 l àIf€any€funds€other€than€Federal€appropriated€funds€have€been€paid€or€will€be€paid€to€any€person€for€influencing€or€attempting€to€influenceÐ %ù Ðan€officer€or€employee€of€any€agency,€a€Member€of€Congress,€an€officer€or€employee€of€Congress,€or€an€employee€of€a€Member€of€CongressÐ î Ðin€connection€with€this€Federal€contract,€grant,€loan,€or€cooperative€agreement,€the€undersigned€shall€complete€and€submit€Standard€Form„Ð ·‹ ÐLLL,€"Disclosure€Form€to€Report€Lobbying,"€in€accordance€with€its€instructions.ЀTl$l$ ÐÌ(3)à0 l àThe€undersigned€shall€require€that€the€language€of€this€certification€be€included€in€the€award€documents€for€all€subawards€at€all€tiers€(includingÐ Öª Ðsubcontracts,€subgrants,€and€contracts€under€grants,€loans,€and€cooperative€agreements)€and€that€all€subrecipients€shall€certify€accordingly.Пsl$l$ ÐÌThis€certification€is€a€material€representation€of€fact€upon€which€reliance€was€placed€when€this€transaction€was€made€or€entered€into.€€SubmissionÐ õÉ Ðof€this€certification€is€a€prerequisite€for€making€or€entering€into€this€transaction€imposed€by€Section€1352,€title€31,€U.S.€Code.€€Any€person€whoÐ ¾’ Ðfails€to€file€the€required€certification€shall€be€subject€to€a€civil€penalty€of€not€less€than€$10,000€and€not€more€than€$100,000€for€each€such€failure.Ð ‡[ ÐÌÌÌÌÌAs€the€authorized€certifying€official,€I€hereby€certify€that€the€above€specified€certifications€are€true.Ð ‰]% ÐÌÌÌòò€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€óóÐ 5 ) ÐSIGNATURE€OF€AUTHORIZED€CERTIFYING€OFFICIALÐ à´* ÐÌÌòò€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€óóÐ á µ- ÐTYPED€NAME€AND€TITLEÐ Œ!` . ÐÌÌòò€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€óóÐ #a"1 ÐDATEò òÐ 8$ #2 ÐÌÌòòÌÌÌÌÌÌÌÌÌÌÌÌÌÌóóÔ‡3f Â3Í|IÔÓ-HHHðHl%”P –X-Óà H àÔ#†3Í|I 3fé#ÔÔ‡3,ˆ´,Â3Í|IÔDI„2010Ð “/g.C Ðà H àJune€1995Ð 0Ü.D Ðà H à(This€form€replaces€DI„1953,€DI„1954,€Ð }0Q/E Ðà H àDI„1955,€DI„1956€and€DIÔ_Ô„1963)Ô#†3Í|IÂ,3,ˆ´üé#ÔÐ  ò0Æ/F Ðó óÔ*«ƒâ2 d dä dd ä °td °4td 4°td °°td °RSH$H$«ÔÔ,Ø dd ÔÔ,¼td ÔÔ,¼td ÔÔ,Xtd ÔÔ,Ètd ÔÔ,td ÔÔ,°td ÔÔ+  ÔÐ <€+,, €¥€‚x‚ƒƒ„„……<ÐÔ‡3f Â3Í|IÔForm€1511„2Ð ¤x Ð(February€1989)Ô#†3Í|I 3fÊì#Ôà@X X àÔ€3f Â3Í|IÔUnited€States€Department€of€the€InteriorÔ€3,ˆ´, 3fԈР: Ðà@½ ½ àÔ€3f ,3,ˆ´ÔBureau€of€Land€ManagementÔ€3ôßò 3fԈРФ ÐÔ€ZHH!½ÔÌà@qqàÔ€3 ® ò3ôßÔAMENDMENT€OF€REQUEST€FORˆÐ å Ðà@;;àAPPLICATION/MODIFICATION€OFˆÐ å  Ðà@ÐÐàASSISTANCE€AGREEMENTÔ€3ôßò 3 ®ԈР;€v,å …… „„……;Ðà@â✜ àÔ€3^˜v \ò3ôßÔPAGEÔ€3ôßò \3^˜vÔ€€1€€Ô€3^˜v \ò3ôßÔOFÔ€3ôßò \3^˜vÔ€€€€€€€€Ô€3^˜v \ò3ôßÔPAGESÔ€3ôßò \3^˜vԈРC9&¤x  x ¥ v €æ€‚ˆ‚ƒƒ………CÐÐ *€vv ±… … „„……*ÐÔ€3^˜v \ò3ôßÔ1.€AMENDMENT/MODIFICATION€NO.Ô€3ôßò \3^˜vÔÐ 9   Ѐ€€€€€Ð C9&¸Œ  ˆ æ vv €æ€‚ˆ‚ƒƒ………CÐÐ *€vv U … „„……*ÐÔ€3^˜v \ò3ôßÔ2.€EFFECTIVE€DATE€Ô€3ôßò \3^˜vÔÐ  Ý Ѐ€€€€€Ð C9&ˆ\ ˆ æ vv €æ€‚ˆ‚ƒƒ………CÐÐ *€vv Q%… „„……*ÐÔ€3^˜v \ò3ôßÔ3.€REQUISITION€NO.Ô€3ôßò \3^˜vÔÐ Ù­ Ѐ€€€€€Ð O€vB&X, ˆ æ vv €>€‚ˆ‚ƒƒ„„……OÐÔ€3^˜v \ò3ôßÔ4.€ISSUED€BYÔ€3ôßò \3^˜vÔÐ ©} ÐÌÌÌÐ 9€vv*) ý v „„……9ÐÔ€3^˜v \ò3ôßÔ5.€ADMINISTERED€BY€òò(If€other€than€Item€4.)óóÔ€3ôßò \3^˜vÔÐ ©} ÐÌÌÌÐ S€vB&) ý  ˆ > vv €æ€‚ˆ‚ƒƒ„„……SÐÔ€3^˜v \ò3ôßÔ6.€NAME€AND€ADDRESS€OF€RECIPIENT€òò(No.,€street,€county,€state,€and€ZIP)óóÔ€3ôßò \3^˜vÔÐ z N  ÐÌÌÌÌÌÐ L€vv;,P$"JJv „„……LÐòò(€ð3ð€)óóÐ z N # ÐÐ G€vv8)% ù $þþvv „„……GÐÔ€3^˜v \ò3ôßÔ7A.€AMENDMENT€OF€REQUEST€FOR€APPLICATION€NO.Ô€3ôßò \3^˜vÔÐ z N % Ѐ€€€€€Ð C9&ù Í & ˆ æ vv €t€‚ˆ‚ƒƒ…ƒ…CÐÐ   – &ƒ ……ÐÐ *€vv  – & „„……*ÐÔ€3^˜v \ò3ôßÔ7B.€DATEDÔ€3ôßò \3^˜vÔ€€€€€€€Ð C9&J ' ˆ t vv €æ€‚ˆ‚ƒƒ…ƒ…CÐÐ ,€vv ç 'ƒ „„……,ÐÐ G€vv8)›o( ©©%vv „„……GÐÔ€3^˜v \ò3ôßÔ8A.€MODIFICATION€OF€ASSISTANCE€AGREEMENT€NO.Ô€3ôßò \3^˜vÔÐ ›o) Ѐ€€€€€Ð C9&î* ˆ æ vv €t€‚ˆ‚ƒƒ…ƒ…CÐÐ  ã·*ƒ ……ÐÐ *€vv ã·* „„……*ÐÔ€3^˜v \ò3ôßÔ8B.€DATEDÔ€3ôßò \3^˜vÔ€€€€€Ð O€vB&k?+ ˆ t vv €P€‚ˆ‚ƒƒ„„……OÐÔ€3^˜v \ò3ôßÔ9.€THIS€ITEM€APPLIES€TO€AMENDMENTS€OF€REQUEST€FOR€APPLICATIONÔ€3ôßò \3^˜vÔ€€€€€€€€Ð O€vB&¼, ˆ P v €&€‚ˆ‚ƒƒ„„……OЀ€Ô€3¼¶»ò3ôßÔð&ðÔ€3E˜v \»3¼¶Ô€€The€above€numbered€Request€is€amended€as€set€forth€in€Item€10.€€The€hour€and€date€specified€for€receipt€of€Applications€€Ô€3¼¶» \3E˜vÔð&ðÔ€3E˜v \»3¼¶Ô€€is€extended,€€Ô€3¼¶» \3E˜vÔð&ðÔ€3E˜v \»3¼¶Ô€€is€not€extended.Ð  á- ÐÓ€ÓApplicants€must€acknowledge€receipt€of€this€amendment€prior€to€the€hour€and€date€specified€in€the€Request€or€as€amended,€by€one€of€the€following€methods:Ð øÌ. 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