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ÝÔ_ÔSelect€either€AO€or€CO€and€delete€the€other.ª €Ý ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔThis€is€everything€your€Federal€Agency€will€contribute€to€this€agreement.¬   Ý ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔThis€paragraph€needs€to€be€reviewed€and€changed€as€appropriate€to€fit€yourÐ  Ðagreement.¯ }Ý ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔSelect€either€AO€for€Assistance€Officer€or€CO€for€Contracting€Officer.µÂ ùÔ_ÔÔ‡3ôЧòòôÔSelect€one€of€the€four€paragraph€"C"s€below€as€appropriate.€€Educational€Institution,€or€Non„Profit€Organization,€orÐ  ÐCommercial€(for„profit)€Organization€and€individual,€or€Hospital.Ä zÔ_ÔÔ‡3ôЧòòôÔSelect€the€second€paragraph€"F"€below€only€if€the€grantee€is€an€individual.Æ ™Ô_ÔÔ‡3ôЧòòôÔUse€paragraph€"G"€below€if€the€agreement€is€expected€to€exceed€$100,000€over€the€life€of€the€agreement.€€TheÐ  Ðrecipient€must€complete€the€DI„2010€certification€form.€€You€may€want€to€supply€the€recipient€with€Standard€FormÐ ÉÉ ÐLLL,€Disclosure€of€Lobbying€Activities,€for€submitting€the€required€reports€if€they€have€conducted€any€activitiesÐ ’’ Ðthat€require€reporting.€€The€LLL€Form€is€found€in€the€FAR€in€the€"Forms€Authorized€For€Local€Reproduction"Ð [[ Ðsection€or€the€OMB€websiteÔ‡3òЧòò3ôЧÔ:€€Ô4‚ÇÔ_¿ÔÝ‚6ÍOÝÔÿÔòòÝ  ÝÔ5  Ôhttp://www.whitehouse.gov/OMB/grants/index.htmlÔ6vÔÝ‚6ÍOŠÝóóÔÿÔÝ  ÝÔ7Ô_`¸ÔÔ#†3ôЧòò3òЧT#Ô.€€The€recipient€must€report€anyÐ $$ Ðaction€semi„annually€by€(€September€30€and€March€30).€€Reports€are€required€to€be€sent€to€WO„850€by€October€15Ð íí Ðand€April€15€for€consolidation€to€the€Department.€€Procedures€are€found€in€FAR€3.803,€Certification€and€Disclosure.€http://www.whitehouse.gov/OMB/grants/index.htmlÉ ÇÔ_ÔÔ‡3ôЧòòôÔThis€paragraph€is€required€in€all€agreements.€€It€will€need€to€be€updated€each€year€after€the€Interior€AppropriationsÐ  ÐAct€is€passed.Ë _Ô_ÔÔ‡3ôЧòòôÔThis€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€and€thereafter.Í šÝ ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ‡3ôЧòòôÔThis€paragraph€is€required€in€all€grants€and€cooperative€agreements.Ï ËÝ ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ‡3ôЧòòôÔThis€paragraph€is€required€in€all€grants€and€cooperative€agreements€with€all€recipients€listed€in€OMB€Circular€A„110. ‚Ý ƒ{mÇ'ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôЧòòôÔÔ‡3X|MXò3ôЧÔÝ ƒ~mÇÿÝÓ  ÓÝ  Ýà€˜!˜!(#à****ˆÐ X Ðà€WWW(#àPage€Ú  Ú2Ú  Ú€of€Õƒ, PagesÕ13Õ  ÕÔ#†3ôЧòX3X|MV#ÔÝ ƒ@ÿ݈Ð Rú ÐÓ  ÓÝ  Ýé KÔ_ÔÔ€3ôЧòòôÔAfter€completing€the€*€information€in€the€"Purpose"€paragraph€below,€we€added€a€short€sentence€(in€broad€terms)Ð  Ðexplaining€what€is€going€to€be€accomplished€by€this€agreement.€€Make€changes€in€the€ð ðPurposeðð€if€needed.€€Don'tÐ ÉÉ Ðget€this€confused€with€the€next€paragraph,€"Objective",€which€is€to€be€explained€in€detail.€€Make€changes€to€theÐ ’’ Ðð ðObjectiveðð€to€fit€your€agreement€if€needed.€€Ð [[ ÐÌYou€cannot€use€an€assistance€agreement€to€do€something€the€Government€is€required€to€complete,€i.e.€for€the€directÐ íí Ðbenefit€or€use€of€the€Government.€€If€this€project€is€something€for€the€direct€benefit€or€use€of€the€Government€it€willÐ ¶¶ Ðneed€to€be€accomplished€by€contract€action.€ë ¦Ô_ÔÔ€3ôЧòòôÔThe€Public€Law€listed€here€should€be€sufficient€if€this€is€for€work€under€Title€IV.€€You€can€also€list€other€Public€LawsÐ  Ðif€needed.€€€Most€Public€Laws€are€very€specific€as€to€who€the€recipient€can€be€and€the€purpose.€€Ð ÉÉ ÐÌIt€is€OK€to€list€the€recipient's€authority€if€they€want€to€provide€that€information€and€want€it€in€the€agreement.€€í ÈÔ_ÔÔ€3ôЧòòôÔIdentify€the€benefits€to€the€recipient,€the€public€and€*.€€List€all€benefits€that€will€result€from€the€performance€of€theÐ  Ðproject.€€€ï ÛÔ_ÔÔ€3ôЧòòôÔAdd€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€3ôЧòòôÔSelect€one€of€the€two€paragraph€"A"s€below€and€delete€the€other€one.€ó àÝ ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôЧòòôÔThis€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€(MDF&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€3ôЧòòôÔDelete€the€following€"Project€Inspector"€paragraph€if€you€do€not€plan€to€appoint€a€project€inspector(s).€÷ :Ý ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôЧòòôÔExplain€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€3ôЧòòôÔThe€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€3ôЧòòôÔDelete€the€following€"Task€Order"€paragraph€if€you€do€not€plan€on€issuing€any€TOs.€ý ­Ý ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôЧòòôÔInsert€the€AOO€paragraph€only€when€this€is€a€"Master€Agreement"€and€the€AO€will€allow€other€AOs€(from€otherÐ  ÐDOI€agency€if€they€are€signatory€to€this€agreement)€to€place€task€orders€against€this€agreement.€€If€you€use€theÐ ÉÉ ÐAOO€paragraph€move€it€to€the€position€after€the€AO€so€it€is€in€alphabetical€order.ÿ ˜Ô_ÔÔ€3ôЧòòôÔIdentify€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 ¶¶ Ð*€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€*€mutually€agree€to:")€for€everything€the€recipient€and€*Ð   Ðagree€to€do€together.€This€paragraph€may€be€the€first€or€last€paragraph€to€this€section. ÖÔ_ÔÔ€3ôЧòòôÔSelect€one€of€the€two€paragraph€"IV"s€below.€€The€second€paragraph€should€be€used€if€awarding€and€funding€TOs.€Ð  ÐAgreements€may€not€exceed€5€years.€ WÔ_ÔÔ€3ôЧòòôÔUse€this€paragraph€only€if€issuing€TOs.€ ›Ô_ÔÔ€3ôЧòòôÔSelect€one€of€the€two€paragraph€"A"s€below.€€Select€the€second€paragraph€if€projects€will€be€funded€by€TOs.€  žÔ_ÔÔ€3ôЧòòôÔSelect€one€of€the€two€paragraph€"B"s€below.€€Select€the€second€paragraph€if€the€projects€will€be€funded€by€TOs.  ¢Ô_ÔÔ€3ôЧòòôÔSelect€one€of€the€three€paragraph€"C"s€below.€€Select€the€first€paragraph€to€establish€a€NTE€amount€over€the€life€ofÐ  Ðthe€agreement.€€Select€the€second€paragraph€if€the€projects€will€be€funded€by€TOs.€€Select€the€third€paragraph€toÐ ÉÉ Ðestablish€a€NTE€amount€over€the€life€of€the€agreement€òòANDóó€the€projects€will€be€funded€by€TOs.€  ÎÔ_ÔÔ€3ôЧòòôÔIf€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€„€Nonconstruction€Programs,€which€is€attachedÐ ÉÉ Ðhereto"€at€the€end€of€the€paragraph€below.€€Review€43€CFR,€Subpart€C,€Section€12.65€for€requirements.€€ThisÐ ’’ Ðparagraph€is€optional.€ ÙÔ_ÔÔ€3ôЧòòôÔSend€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€NBC.€€ oÝ ƒ~mÇ&ÝÓ  ÓÝ  ÝÔ_ÔÔ€3ôЧòòôÔòòThe€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€3ôЧòòôÔThe€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€3ôЧòòôÔIf€reimbursement€payments€are€used€exclusively,€delete€the€following€two€paragraphs.€ ¿Ô_ÔÔ€3ôЧòòôÔÔ_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€Ô_Ô*€will€allow€the€recipient€to€use€any€*€property€orÐ ’’ Ðequipment€state€who€will€be€responsible€for€the€maintenance,€repair,€damage,€destruction,€security,€etc.€€You€mayÐ [[ Ðwant€to€add€a€paragraph€such€as€"The€*€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€3ôЧòòôÔDONððT€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€3ôЧòòôÔThe€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€3ôЧòòôÔSelect€one€of€the€two€paragraphs€"A"s€below.€€Select€the€second€paragraph€if€TOs€will€be€used.€€ NÔ_ÔÔ€3ôЧòòôÔInclude€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€3ôЧòòôÔIf€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.Ð $$ ÐÌAnnual,€semi„annual€or€quarterly€performance€reports€as€required€in€€Section€IX.€€òòDeliverables€and€Reportsóó,€do€notÐ ¶¶ Ðapply€to€this€requirement.Ð  ÐÔ‡3X|MXò3ôЧÔÌÔ#†3ôЧòX3X|Ma#ÔTable_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_ÔÔ_ÔòòÔ‡X¢2XòôÔÔ€3X|MXXX¢2ÔÓ  Óà@@  ½ìàóóò òAGREEMENTS€WITHó ó€ò òINSTITUTIONS€OF€HIGHER€EDUCATION,Ð ° Ðà@@OOºìàHOSPITALS€AND€OTHER€NON„PROFIT€ORGANIZATIONSÔ#†3ôЧòX3X|MJ#ÔÔ‡3X|MXò3ôЧÔ€FOR€IMPLEMENTING€à0 @ àÐ ªú ÐTHE€NATIONAL€FIRE€PLAN€FOR€COMMUNITY€ASSISTANCEÔ#†3ôЧòX3X|MY#ÔÔ‡3X|MXò3ôЧÔÔ_ÔÐ ¤ô ÐÓˆÓó óÔ#†3ôЧòX3X|Mý#Ôà@ÅÅÐìà3/1/2001€VersionòòˆÐ žî ÐóóÌThe€following€forms€are€completed€by€the€applicant€prior€to€initiation€of€the€agreement.€€The€SF€forms€and€€OMBÐ 0 € ÐCirculars€may€be€found€on€the€Internet€at€the€following€site:€€òòÔ4‚<Ý |ÔÝ‚6ÍOÝÔÿÔòòÝ  ÝÔ5  Ôhttp://www.whitehouse.gov/OMB/grants/index.htmlÔ6|ÔÝ‚6ÍOƒzÝóóÔÿÔÝ  ÝÔ7Ý B"¾ÔóóÐ ù I ÐÌà  àÝ‚qk¦ÿÝÝ  ÝÝ‚qk¦uÝððà0 ` àÝ  ÝSF„424,€€Application€for€Federal€Assistance݃qk¦u݌Ћ Û` (#` (# ÐŒÝ  Ýà  àÝ‚qk¦ÿÝÝ  ÝÝ‚qk¦8Ýððà0 ` àÝ  ÝSF„424A,€Budget€Information€„€Nonconstruction€Programs݃qk¦8SÝŒÐT ¤ ` (#` (# ÐŒÝ  Ýà  àÝ‚qk¦ÿÝÝ  ÝÝ‚qk¦Ýððà0 ` àÝ  ÝSF„424B,€Assurances€„€Nonconstruction€Programs݃qk¦!݌Рm ` (#` (# ÐŒÝ  ÝThis€form€will€be€completed€by€the€applicant€when€they€execute€the€agreement.Ð æ 6  Ðà  àÝ‚qk¦ÿÝÝ  ÝÝ‚qk¦.Ýððà0 ` àÝ  ÝDI„2010,€Certification€Regarding€Debarment,€Suspension€and€Other€Responsibility€Matters,€Drug„Ð ¯ÿ  ÐFree€Workplace€Requirements€and€Lobbying€(This€form€is€located€at€the€end€of€this€model)à @! à݃qk¦.IÝŒÐxÈ ` (#` (# ÐŒÝ  ÝÔ_ÔÔ_ÔÌThis€agreement€will€only€be€used€in€accordance€with€the€Department€of€the€Interior€and€Related€AgenciesÐ  Z  ÐAppropriations€Act€for€the€Fiscal€Year€ending€September€30,€2001,€and€for€other€purposes.€€Public€Law€106„291,€TitleÐ Ó#  ÐIV€ð!ð€Wildland€Fire€Emergency€Appropriations.€€You€may€add€or€delete€subject€items€to€the€project€management€plan,Ð œì  Ðhowever,€you€are€not€required€to€use€all€five€of€the€items.€€The€examples€given€are€not€a€complete€listing€and€otherÐ eµ Ðprojects€may€be€developed€as€long€as€they€comply€with€the€intent€of€the€legislation.Ð .~ ÐÌA.€€Information€needs€to€be€filled€in€that€is€specific€to€each€agreement.€€Some€of€the€sections,€such€as€Section€I,€II,Ð À Ðand€III,€are€obvious€and€the€others€are€marked€with€a€*.€€The€following€procedures€will€help€you€find€all€the€spacesÐ ‰Ù Ðthat€require€a€fill„in€or€a€choice€to€be€made€in€the€text:Ð R¢ ÐÌà0  à1.€€Start€with€your€cursor€at€the€òòbeginningóó€of€the€model€agreement€and€hit€the€F2€(Find€and€Replace)€key.€€AtÐ ä4 Ðthe€bottom€of€the€screen€you€will€see€the€Find€and€Replace€text€box€appear.Эý(#(# 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 Ñ! 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ÐFire€Emergency€Appropriations.Ð FQ'" ÐÌÔ€ì’âðÔà  àD.€€òòBenefitsóó.€€The€activities€to€be€undertaken€through€this€agreement€are€in€furtherance€of€the€*Ð : 5,' Ðand€the€*€[Agency]€mission€by€the€providing€the€following€benefits:€€Ð 4!/-( ÐÌà  àà ` à1.€Reduce€the€risk€and€consequences€of€wildfire,€both€in€and€around€communities€andÐ (##/* Ðin€wildland€areas.Ð "$0+ ÐÌà  àà ` à2.€Expand€the€capacity€for€local€communities€to€help€themselves.€€Ð &2- Ðà  àà ` àÌà  àà ` à3.€Enhance€the€economic€stability€of€rural€communities.€€Ð  (4/ ÐÌÔ€î’âðÔII.€€òòDefinitionsóó.Ð þ)é84 ÐÌÔ€ðÉâ'Ôà  àA.€€Agreement:€This€cooperative€agreement€(CA).Ð ò+=9 ÐÌÔ€§ â~Ôà  àB.*€€Assistance€Officer€(AO):€The€*ððs€[Agency]€Assistance€Officer.€€The€AO€is€the€onlyÐ æ-vC> Ðindividual€authorized€to€obligate€funds,€award,€modify€or€terminate€the€agreement€or€any€task€orderÐ à.pD? Ð(TO)€thereto.€€The€AO€is€responsible€for€issuing€TOs,€monitoring€the€agreement€and€TOs€forÐ Ú/jE@ Ðcompliance,€enforcing€the€agreement€provisions,€issuing€timely€performance€and€payment€approvals,Ð Ü Ðterminating€the€agreement€or€any€TO€thereto€and€closing€out€the€agreement.Ð Öú ÐÌà  àB.*€€Contracting€Officer€(CO):€The€*ððs€[Agency]€Contracting€Officer.€€The€CO€is€the€onlyÐ Êî Ðindividual€authorized€to€obligate€funds,€award,€modify€or€terminate€the€agreement€or€any€task€orderÐ Ä è Ð(TO)€thereto.€€The€CO€is€responsible€for€issuing€TOs,€monitoring€the€agreement€and€TOs€forÐ ¾ â Ðcompliance,€enforcing€the€agreement€provisions,€issuing€timely€performance€and€payment€approvals,Ð ¸ Ü Ðterminating€the€agreement€or€any€TO€thereto€and€closing€out€the€agreement.Ð ² Ö ÐÌà  àC.€€Assistance€Representative€(AR):€The€*'s€[Agency]€Assistance€Representative.€€The€AR€willÐ ¦Ê  Ðbe€designated€for€the€purpose€of€administering€the€technical€aspect€of€the€agreement.€€The€AR€isÐ  Ä  Ðauthorized€to€clarify€technical€requirements,€and€to€review€and€approve€work€which€is€clearly€within€theÐ š¾  Ðscope€of€the€work€specified€in€this€agreement.€€The€AR€is€not€authorized€to€issue€changes€or€in€anyÐ ”¸  Ðother€way€modify€this€agreement.Ð Ž²  ÐÌÔ€QÈâ&Ôà  àD.€The€*€(*).€€May€also€be€referred€to€as€*.Ð ‚Ì ÐÌà  àE.€€The€Code€of€Federal€Regulations€(CFR).Ð vÀ ÐÌà  àF.€€Fiscal€Year€(FY):€The€Federal€fiscal€year€which€extends€from€October€1€of€one€yearÐ j´ Ðthrough€September€30€of€the€following€year.Ð d® ÐÌà  àÔ€ò$â‚ÔG.€€The€*€(*).€€May€also€be€referred€to€as€recipient.Ð X$ ÐÌà  àH.€€Not„to„Exceed€(NTE)€Amount:€The€maximum€Federal€funding€amount.Ð L ÐÌà  àI.€€The€Office€of€Management€and€Budget€(OMB).Ð @  ÐÌÔ€ôÉâ'Ôà  àJ.€€Project€Inspector€(PI):€The€*'s€[Agency]€project€inspector.€€At€the€time€of€award,€a€*Ð 4!'$% Ðemployee(s)€may€be€appointed€as€the€PI.€€If€appointed,€the€PI€will€be€responsible€for€providing€on„siteÐ ."!%& Ðinspection€of€the€work€and€for€giving€the€*€representative€any€special€instructions,€guidance,€or€trainingÐ (#&' Ðnecessary€to€complete€or€perform€the€work.€€The€PI€will€not€be€authorized€to€issue€changes€or€in€anyÐ "$'( Ðway€modify€the€agreement.Ð %() ÐÌÔ€ö’âðÔà  àK.€€Project€Manager:€The€recipient's€Project€Manager.€€*Ð 'ó,. ÐÌÔ€ø[â¹Ôà  àL.€€Responsible€Official:€The€recipient's€Responsible€Official.€€The€responsible€official€is€theÐ ) 23 Ðindividual€who€is€authorized€to€act€for€the€recipients€organization€and€commit€the€recipient€toÐ þ)š34 Ðcompliance€with€the€terms€and€conditions€of€this€agreement.Ð ø*”45 ÐÌÔ€úÉâ'Ôà  àM.€€Task€Order€(TO):€The€order€which€is€issued€against€the€agreement€to€obligate€funds€forÐ ì,¯8: Ðspecific€services€or€work€to€be€accomplished.Ð æ-©9; ÐÌÔ€ü[â¹Ôà  àN.€€Assistance€Ordering€Officer€(AOO):€The€*'s€[Agency]€Assistance€Ordering€Officer.€€TheÐ Ú/V?@ ÐAOO€is€an€individual€authorized€by€the€AO€to€issue€TOs€against€this€agreement.€€The€AOO€isÐ Ü Ðresponsible€for€obligating€the€funds,€monitoring€for€compliance,€enforcing€the€provisions,€issuing€timelyÐ Öú Ðperformance€and€payment€approvals,€modifying,€terminating,€and€closing€out€the€TO.€€The€AOO€is€notÐ Ðô Ðauthorized€to€issue€changes€or€in€any€other€way€modify€this€agreement.€€A€Project€Inspector€may€beÐ Êî Ðappointed€by€the€AOO€for€the€TO.€€€Ð Ä è ÐÌÔ€þ£â ÔIII.€Ô_ÔÔ_Ô€òòProject€Management€Planóó.Ð ¸ Ý  ÐÌà  àA.€€The€*€agrees€to€provide€supervision€and€oversight€and€to€coordinate€with€other€public€andÐ ¬ Ñ  Ðprivate€organizations,€agencies€and€individuals€to€accomplish€the€identified€tasks.€€Ð ¦Ë  ÐÌÔ€HŠâèÔà  àà ` à1.€€Develop€and€implement€fire€education,€training,€and/or€community€actionÐ š§ Ðplans/program(s)€which€may€include€the€following:Ð ”¡ ÐÌà  àà ` àà ¸ àa.€€Mitigation€and€prevention€activitiesÐ ˆ• Ðà  àà ` àà ¸ àb.€€Planning,€zoning€and€ordinancesÐ ‚ Ðà  àà ` àà ¸ àc.€€Survivable€spaceÐ |‰ Ðà  àà ` àà ¸ àà  à1.€€Vegetative€management€Ð vƒ Ðà  àà ` àà ¸ àà  à2.€€Structural€ignition€€Ð p} ÐÌà  àà ` à2.€€Conduct€Planning€and€Acquire€Clearances€Ð dq! ÐÌà  àà ` àà ¸ àa.€€Develop€a€written€plan€to€improve€community€protection.Ð Xe# Ðà  àà ` àà0 ¸ àb.€€Identify€and€obtain€appropriate€permits€and€clearances€to€accomplish€work.ÐR_$¸ (#¸ (# Ðà  àà ` àà0 ¸ àc.€€Identify€monitoring€and€maintenance€requirements€for€long€term€communityÐ LY% Ðprotection.ÐFS&¸ (#¸ (# Ðà  àà ` àà0 ¸ à€Ð ¸ (#¸ (# Ðà  àà ` à3.€€Accomplish€the€following€Hazardous€Fuels€Reduction€Activities€as€identified€in€eachÐ : G(! Ðtask€order.€€€Ð 4!A)" Ðà  àà ` àà ¸ àÌà  àà ` àà ¸ àa.€€Wildland€FuelsÐ (#5+$ Ðà  àà ` àà ¸ àà  à1.€€ChemicalÐ "$/,% Ðà  àà ` àà ¸ àà  à2.€€Mechanical€and€biologicalÐ %)-& Ðà  àà ` àà ¸ àà  à3.€€Prescribed€fireÐ &#.' ÐÌà  àà ` àà ¸ àb.€€Structural€and€LandscapeÐ  (0) Ðà  àà ` àà ¸ àà  à1.€€Survivable€space€Ð )1* Ðà  àà ` àà ¸ àà  à2.€€Planning,€zoning€and€ordinancesÐ þ) 2+ ÐÌà  àà ` à4.€€Expand€community€capability€to€enhance€local€employment€opportunities€Ð ò+ÿ3- ÐÌà  àà ` àà ¸ àa.€€Recruit€and€provide€direct€supervision€of€eligible€participants€€Ð æ-ó5/ Ðà  àà ` àà ¸ àb.€€Ensure€proper€training€in€safe€working€practicesÐ à.í60 Ðà  àà ` àà ¸ àc.€€Provide€appropriate€work€attire€Ð Ú/ç71 Ðà  àà ` àà ¸ àd.€€Ensure€payroll€and€workersðð€compensation€are€maintainedÐ Ü Ðà  àà ` àà ¸ àe.€€Provide€business€development€training€Ð Öú Ðà  àà ` àà ¸ àf.€€Provide€transportation,€tools,€supplies€and€equipmentÐ Ðô ÐÌà  àà ` à5.€€Develop€short„€and€long„term€Monitoring€and€Maintenance€PlansÐ Ä è ÐÌÔ€TâîÔà  àà ` àà ¸ àa.€€Hazardous€fuels€reductionÐ ¸ Ê  ÐÔ€–Xâ¶Ôà  àà ` àà ¸ àb.€€Community€fire€education€and€trainingÐ ² z  ÐÔ€˜èâFÔà  àà ` àà ¸ àc.€€Community€action€programsÐ ¬ º ÐÔ_ÔÔ_ÔÌÔ€­Èâ&Ôà  àB.€€The€*€[Agency]€agrees€to€provide€technical€assistance,€training€and€oversight€and€assist€inÐ  Ô Ðcoordinating€with€other€federal€agencies€as€needed€to€accomplish€the€following€identified€tasks:€€Ð šÎ ÐÒe°ÒÌÔ€¡Š—_èÔà ½ àà  à1.€€Assist€in€developing€and€implementing€fire€education,€training,€and/or€communityÐ Žª Ðaction€plans/program(s)€which€may€include€the€following:Ð ˆ¤ ÐÌà ½ àà  àà m àa.€€Mitigation€and€prevention€activitiesÐ |˜! Ðà ½ àà  àà m àb.€€Planning,€zoning€and€ordinancesÐ v’"  Ðà ½ àà  àà m àc.€€Survivable€spaceÐ pŒ#! Ðà ½ àà  àà m àà Å à1.€€Vegetative€management€Ð j†$" Ðà ½ àà  àà m àà Å à2.€€Structural€ignition€€Ð d€%# ÐÒ°e dÒÌà  àà ` à2.€€Assist€with€Planning€and€Clearances€Ð Xt'% Ðà  àà ` àà ¸ àÌà  àà ` àà ¸ àa.€Provide€technical€assistance€in€the€development€of€a€written€plan€to€improveÐ Lh)' Ðcommunity€protection.Ð Fb*( Ðà  àà ` àà ¸ àb.€€Assist€in€identifying€and€obtaining€appropriate€permits€and€clearances€toÐ @\+) Ðaccomplish€work.€Ð : V,* Ðà  àà ` àà ¸ àc.€€Assist€in€identifying€monitoring€and€maintenance€requirements€for€long€termÐ 4!P-+ Ðcommunity€protection.€€Ð ."J., ÐÌà  àà ` à3.€€Assist€with€Hazardous€Fuels€Reduction€Activities€by€providing€the€following€basedÐ "$>0. Ðon€mutual€agreement€between€parties:€technical€assistance,€training,€equipment,€and/or€oversight.Ð %81/ Ðà  àà ` àÌà  àà ` àà ¸ àa.€€Wildland€FuelsÐ ',31 Ðà  àà ` àà ¸ àà  à1.€€Chemical€and€biologicalÐ  (&42 Ðà  àà ` àà ¸ àà  à2.€€MechanicalÐ ) 53 Ðà  àà ` àà ¸ àà  à3.€€Prescribed€fireÐ þ)64 ÐÌà  àà ` àà ¸ àb.€€Structural€and€LandscapeÐ ò+86 Ðà  àà ` àà ¸ àà  à1.€€Survivable€space€Ð ì,97 Ðà  àà ` àà ¸ àà  à2.€€Planning,€zoning€and€ordinancesÐ æ-:8 ÐÌà  àà ` à4.€€Assist€the€recipient€in€enhancing€local€employment€opportunities€by:€Ð Ú/ö;: Їà  àà ` àà ¸ àa.€€Participating€in€recruitment€of€eligible€participants€€Ð Ü Ðà  àà ` àà ¸ àb.€€Conducting€agreed„upon€training€to€accomplish€individual€task€ordersÐ Öú Ðà  àà ` àà ¸ àc.€€Providing€technical€oversight€and€plans,€drawings,€maps€and€specificationsÐ Ðô Ðfor€work€to€be€performed€under€task€orders.Ð Êî Ðà  àà ` àà ¸ àd.€€Providing€business€development€training€as€identified€in€each€task€order.Ð Ä è Ðà  àà ` àà ¸ àe.€€Providing€transportation€and€specialized€tools,€supplies€and€equipment€asÐ ¾ â Ðspecified€in€each€task€order.Ð ¸ Ü ÐÌà  àà ` à5.€€Assist€in€the€development€and€implementation€of€short„€and€long„term€MonitoringÐ ¬ Ð Ðand€Maintenance€PlansÐ ¦Ê  ÐÌÔ€_âîÔà  àà ` àà ¸ àa.€€Hazardous€fuels€reductionÐ š¬  ÐÔ€Xâ¶Ôà  àà ` àà ¸ àb.€€Community€fire€education€and€trainingÐ ”\ ÐÔ€èâFÔà  àà ` àà ¸ àc.€€Community€action€programsÐ Žœ ЀÌà  àà ` à6.€€Provide€payments€to€the€*€in€accordance€with€Section€*,€Financial€Support,€andÐ ‚ ÐSection€*,€Payments,€of€this€agreement€and€applicable€OMB€and€Treasury€Regulations.Ð |Š ÐÌÔ€°âîÔà  àC.€€It€is€mutually€agreed€that€Ð pl  ÐÌà  àà ` à1.€€The€*€and€the€*€[Agency]€will€meet€as€often€as€necessary€to€identify€training€andÐ d`"  Ðdevelopment€needs€and€to€review€work€projects€to€be€accomplished.Ð ^Z#! ÐÌà  àà ` à2.€€The€specific€work€to€be€performed€under€this€agreement€will€be€negotiated€by€bothÐ RN%# Ðparties€in€advance€of€the€issuance€of€a€TO.€€The€partner€will€perform€no€work€for€which€reimbursementÐ LH&$ Ðwill€be€requested€without€a€properly€signed€TO€and€will€perform€only€that€work€which€is€in€accordanceÐ FB'% Ðwith€the€TO.Ð @<(& ÐÌà  àà ` à3.€Insofar€as€the€United€States€is€legally€authorized€to€do€so,€it€shall€hold€the€€recipientÐ 4!0*( Ðharmless€from€any€damages€or€injury€resulting€from€the€work€designated€under€each€TO.€€In€so€doing,Ð ."*+) Ðthe€United€States€does€not€intend€to,€nor€does€it€hold€said€recipient€harmless€from€any€damages€orÐ (#$,* Ðinjury€arising€out€of€or€resulting€from€any€negligent€acts€or€omissions€of€any€employee,€nor€is€this€articleÐ "$-+ Ðintended€to€confer€any€liability€upon€the€United€States€Government€not€presently€existing€under€FederalÐ %., ÐLaw.€€The€United€States€Government€is€self€insured€under€the€Tort€Claims€Act,€28€U.S.C.€2671„2680.Ð &/- ÐÌà  àà ` à4.€€Recipient€members€placed€under€this€CA€are€not€Federal€employees€for€theÐ  (1/ Ðpurpose€of€laws€administered€by€the€Office€of€Personnel€Management€and€do€not€have€entitlement€toÐ )20 Ðany€Federal€benefits€such€as€insurance,€retirements,€and€leave.€€The€*€shall€have€no€responsibility€forÐ þ)ú21 Ðexpenses€of€a€recipient€member,€for€which€the€recipient€has€full€and€exclusive€responsibility.Ð ø*ô32 ÐÌÔ€’âðÔIV.€€òòTerms€of€Agreementóó.€*This€agreement€shall€become€effective€on€the€date€of€signature€of€the€*Ð ì,Ø87 Ð[Agency]€Assistance€Officer€and€shall€remain€in€effect€for€the€remainder€of€FY€*,€unless€terminated€inÐ æ-Ò98 Ðaccordance€with€the€provisions€of€43€CFR€Subpart€F,€Section€12.961.€€This€agreement€may€beÐ à.Ì:9 Ðrenewed€for€subsequent€FYs€(NTE€a€total€of€five),€subject€to€the€availability€of€Federal€funding,€byÐ Ú/Æ;: Ðmutual€written€modification€signed€by€both€parties€to€this€agreement.Ð Ü ÐÌIV.€€òòTerms€of€Agreementóó.€*This€agreement€shall€become€effective€on€the€date€of€signature€of€the€*Ð Ðô Ð[Agency]€Assistance€Officer€and€shall€remain€in€effect€until€*,€unless€terminated€in€accordance€with€theÐ Êî Ðprovisions€of€43€CFR,€Subpart€F,€Section€12.961.€€Ð Ä è ÐÌÔ_ÔÔ€Éâ'ÔV.Ô_Ô€€òòTask€Orders€(TO)óó.Ð ¸   ÐÌÔ€¶Èâ&Ôà  àA.€€Issuance.€€If€any€TOs€are€issued,€they€will€be€issued€in€writing€by€the€AO€*€CO€and€mustÐ ¬   Ðbe€signed€by€both€the€authorized€responsible€official€and€the€AO€*€CO€to€be€effective.Ð ¦  ÐÌà  àB.€€Contents.€€A€TO€will€contain:Ð š  ÐÌà  àà ` à1.€€The€specifications€or€statement€of€work€which€specifies€what€will€be€performedÐ Žÿ Ðunder€this€TO.Ð ˆù ÐÌà  àà ` à2.€€A€list€of€any€deliverable€items€that€are€required.Ð |í ÐÌà  àà ` à3.€€Any€necessary€drawings€and/or€location€maps.Ð pá ÐÌà  àà ` à4.€€The€delivery€schedule€or€completion€time€which€has€been€negotiated€based€on€theÐ dÕ Ðlevel€of€difficulty,€site€location,€etc.Ð ^Ï ÐÌà  àà ` à5.€€A€detailed€budget€submitted€on€form€SF„424A,€Budget€Information€„Ð Rà ÐNonconstruction€Programs€with€a€NTE€amount€for€the€task.Ð L½ ÐÌà  àà ` à6.€€Any€other€detail€or€information€necessary.Ð @±  ÐÌVI.€€òòFinancial€Supportóó.Ð 4!¥" ÐÌÔ€Éâ'Ôà  àA.€*This€agreement€will€be€funded€each€FY€based€on€the€availability€of€*€[Agency]€funding.€Ð (#À#' ÐThe€*€hereby€releases€the€*€[Agency]€from€all€liability€due€to€failure€of€Congress€to€appropriate€fundsÐ "$º$( Ðfor€this€agreement.Ð %´%) ÐÌà  àA.€*This€agreement€will€be€funded€by€issuance€of€TOs€based€on€the€availability€of€*€[Agency]Ð '¨'+ Ðfunding.€€The€*€hereby€releases€the€*€[Agency]€from€all€liability€due€to€failure€of€Congress€toÐ  (¢(, Ðappropriate€funds€for€this€agreement.Ð )œ)- ÐÔ€Éâ'ÔÌà  àB.€*Funds€obligated€but€not€expended€in€one€FY€can€be€carried€forward€and€expended€in€theÐ ø*·-2 Ðsubsequent€FY.Ð ò+±.3 ÐÌà  àB.€*Funds€obligated€for€a€specific€TO€but€not€expended€in€that€FY€can€be€carried€forward€andÐ æ-¥05 Ðexpended€in€the€subsequent€FY.Ð à.Ÿ16 ÐÐ Ú/™27 ÐÔ€ [â¹Ôà  àC.€*$*€represents€the€NTE€amount€for€which€the€*€[Agency]€will€be€responsible€under€theРܹ Ðterms€of€this€agreement.€€The€*€[Agency]€shall€not€be€obligated€to€pay€for€nor€shall€the€*€be€obligatedÐ Ö³ Ðto€perform€any€effort€that€will€require€the€expenditure€of€Federal€funds€above€the€NTE€amount.РЭ ÐÌà  àC.€*TOs€will€specify€the€NTE€amounts.€€The€*€[Agency]€shall€not€be€obligated€to€pay€for€norÐ Ä ¡ Ðshall€*€be€obligated€to€perform€any€effort€that€will€require€the€expenditure€of€Federal€funds€above€theÐ ¾ › ÐNTE€amount€specified€in€that€TO.Ð ¸ •  ÐÌà  àC.€*$*€represents€the€NTE€amount€for€which€the€*€[Agency]€will€be€responsible€under€theÐ ¬ ‰  Ðterms€of€this€agreement€over€the€life€of€the€agreement.€€Each€TO€issued€will€specify€the€NTE€amount€forÐ ¦ƒ  Ðthat€TO.€€The€*€[Agency]€shall€not€be€obligated€to€pay€for€nor€shall€the€*€be€obligated€to€perform€anyÐ  }  Ðeffort€that€will€require€the€expenditure€of€Federal€funds€above€the€NTE€amount€specified€in€that€TO.Ð šw ÐÌÔ€ $â‚Ôà  àD.€€Cost€sharing€for€this€agreement€shall€be€in€accordance€with€43€CFR,€Subpart€F,€SectionÐ Ží Ð12.923.Ð ˆç ÐÌVII.€Ô_ÔÔ_Ô€òòPaymentsóó.Ð |Û ÐÌÔ€’âðÔà  àA.à ` àElectronic€Funds€Transfer€PaymentsÐ p¿ ÐÌà  àà ` à1.€€Payment€under€this€agreement€will€be€made€by€the€Government€by€electronic€fundsÐ d³ Ðtransfer€(through€the€Treasury€Fedline€Payment€System€(FEDLINE)€or€the€Automated€Clearing€HouseÐ ^­ Ð(ACH)).Ð X§  ÐÌà  àà ` à2.€€After€award,€but€no€later€than€14€days€before€an€invoice€or€agreement€financingÐ L›"! Ðrequest€is€submitted,€the€Recipient€shall€designate€a€financial€institution€for€receipt€of€electronic€fundsÐ F•#" Ðtransfer€payments€(SF„3881),€and€shall€submit€this€designation€to€the€following€address:Ð @$# ÐÌ*€Change€the€BLM€address€below€to€the€appropriate€FWS,€BIA,€or€NPS€addressÐ 4!ƒ&% ÐÌà  àà ` àà ¸ àBureau€of€Land€ManagementÐ (#w(' Ðà  àà ` àà ¸ àNational€Business€Center,€BC„630Ð "$q)( Ðà  àà ` àà ¸ àDenver€Federal€Center,€Bldg.€50Ð %k*) Ðà  àà ` àà ¸ àPO€Box€25047Ð &e+* Ðà  àà ` àà ¸ àDenver,€CO€€80225„0047Ð '_,+ ÐÌà  àà ` à3.€€If€a€designation€has€been€submitted€to€the€*€[Agency]€under€a€previous€agreement€itÐ )S.- Ðis€not€necessary€to€complete€another€SF„3881€unless€you€are€changing€your€designation€of€financialÐ þ)M/. Ðinstitution.Ð ø*G0/ ÐÔ€[â¹ÔÌÔ€íâKÔà  àB.€€The€*€will€be€entitled€to€reimbursement*€or€advance€payment*€at€least€quarterly€uponÐ ì,?;7 Ðsubmission€of€an€original€Request€for€Advance€or€Reimbursement,€Standard€Form€(SF)€270€to€the€AR.€Ð æ-9<8 ÐPayments€shall€be€governed€by€the€provisions€of€43€CFR€Subpart€F,€Section€12.922€and€12.952.Ð à.3=9 ÐÐ Ú/->: ÐÔ€Éâ'Ôà  àC.€€If€advance€payments€are€made€the€*€must€submit€a€Federal€Cash€Transaction€Report,€SFÐ Ü' Ð272€to€the€AO€*€CO€15€working€days€following€the€end€of€each€quarter.Ð Ö! ÐÌà  àD.€€Advance€payments€shall€be€made€only€in€amounts€necessary€to€meet€current€disbursementÐ Ê Ðneeds€and€shall€be€scheduled€so€that€the€funds€are€available€only€immediately€prior€to€theirÐ Ä  Ðdisbursement.Ð ¾  ÐÌVIII.€€Ô_ÔòòPropertyÔ_Ô€Management€and€Dispositionóó.Ð ² ý  ÐÌÔ€âÝÔà  àAny€*€[Agency]€property€used€or€other€property€acquired€under€this€agreement,€includingÐ ¦Î Ðintangible€property€such€as€copyrights€and€patents€shall€be€governed€by€the€provisions€of€43€CFR,Ð  È ÐSubpart€F,€Section€12.930€through€12.937.€€Each€party€agrees€that€it€will€be€responsible€for€its€ownÐ šÂ Ðacts€and€the€results€thereof€and€shall€not€be€responsible€for€the€acts€of€the€other€party€and€the€resultsÐ ”¼ Ðthereof.€€Each€party,€therefore,€agrees,€to€the€extent€authorized€by€applicable€laws€will€assume€all€risksÐ Ž¶ Ðand€liability€to€itself,€its€agents€or€employees,€for€any€injury€to€persons€or€property€resulting€from€anyÐ ˆ° Ðoperations€of€its€agents€or€employees€under€this€agreement,€and€for€any€loss,€cost,€damage,€or€expenseÐ ‚ª Ðresulting€at€any€time€from€any€and€all€clauses€due€to€any€acts,€or€negligence,€or€the€failure€to€exerciseÐ |¤ Ðproper€precautions€of€or€by€itself€or€its€own€agents€to€this€agreement.€€The€*[agency]€assumes€noÐ vž Ðliability€for€any€actions€or€activities€conducted€under€this€agreement€except€to€the€extent€that€recourse€orÐ p˜ Ðremedies€are€provided€by€Congress€under€the€Federal€Tort€Claims€Act€[28€U.S.C.€1346(b),€2401(b),Ð j’ Ð2671€„€2680,€as€amended€by€P.L.€89„506,€80€Stat.€306.Ð dŒ ÐÌIX.€€òòDeliverables€and€Reportsóó.Ð X€ ÐÌÔ€þ â\ Ôà  àSubmit€one€copy€of€an€annual€performance€report€to€the€Assistance€Representative€within€90Ð LÐ,! Ðdays€after€the€end€of€the€FY.€€The€performance€report€must€be€prepared€in€accordance€with€43€CFR,Ð FÊ-" ÐSubpart€F,€Section€12.951€and€address€items€such€as€a€comparison€of€actual€accomplishments€withÐ @Ä.# Ðestablished€goals,€reasons€why€goals€may€not€have€been€met,€cost€overruns€and€any€other€pertinentÐ : ¾/$ Ðinformation.Ð 4!¸0% ÐÌÔ_ÔX.Ô_Ô€€òòKey€Officialsóó.Ð (#¬2' ÐÌÔ€©Èâ&Ôà  àA.€*Assistance€Officer€(AO)€*€Contracting€Officer€(CO)Ð %Æ6, ÐÌà  àà ` à*NameÐ 'º8. Ðà  àà ` à*AddressÐ  (´9/ Ðà  àà ` àTelephone€Number€(*)€*Ð )®:0 ÐÌà  àB.€€Assistance€Representative€(AR)Ð ø*¢<2 ÐÌà  àà ` à*NameÐ ì,–>4 Ðà  àà ` à*AddressÐ æ-?5 Ðà  àà ` àTelephone€Number€(*)€*Ð à.Š@6 ÐÐ Ú/„A7 Їà  àÔ€’âðÔC.€€Project€Inspector€(PI)Ð Üð ÐÌà  àà ` à*NameÐ Ðä Ðà  àà ` à*AddressÐ ÊÞ Ðà  àà ` àTelephone€Number€(*)€*Ð Ä Ø ÐÌà  àD.€€Responsible€OfficialÐ ¸ Ì  ÐÌà  àà ` à*NameÐ ¬ À  Ðà  àà ` à*AddressÐ ¦º  Ðà  àà ` àTelephone€Number€(*)€*Ð  ´  ÐÌà  àE.€€Project€ManagerÐ ”¨ ÐÌà  àà ` à*NameÐ ˆœ Ðà  àà ` à*AddressÐ ‚– Ðà  àà ` àTelephone€Number€(*)€*Ð | ÐÌXI.€Ô_ÔÔ_Ô€òòSpecial€Terms€and€Conditionsóó.Ð p„ ÐÌÔ€Éâ'Ôà  àA.€*Order€of€PrecedenceÐ dŸ ÐÌà  àAny€inconsistency€in€this€agreement€will€be€resolved€by€giving€precedence€in€the€followingÐ X“ Ðorder:€€(a)€Any€national€policy€requirements€and€administrative€management€standards;€(b)€requirementsÐ R Ðof€the€applicable€OMB€Circulars€and€Treasury€regulations;€(c)€43€CFR€Part€12;€(d)€special€terms€andÐ L‡ Ðconditions;€and€(e)€all€Agreement€sections,€documents,€exhibits,€and€attachments.Ð F ÐÌà  àA.€*Order€of€PrecedenceÐ : u! ÐÌà  àAny€inconsistency€in€this€agreement€will€be€resolved€by€giving€precedence€in€the€followingÐ ."i!# Ðorder:€€(a)€Any€national€policy€requirements€and€administrative€management€standards;€(b)€requirementsÐ (#c"$ Ðof€the€applicable€OMB€Circulars€and€Treasury€regulations;€(c)€43€CFR€Part€12;€(d)€special€terms€andÐ "$]#% Ðconditions;€(e)€all€Agreement€sections,€documents,€exhibits,€and€attachments;€and€(f)€all€TO€sections,Ð %W$& Ðdocuments,€exhibits,€and€attachments.Ð &Q%' ÐÌà  àB.€€ModificationsÐ  (E') ÐÌÔ€«Èâ&Ôà  àThis€agreement€may€be€modified€by€written€agreement€signed€by€both€a€*€official€and€the€AO€*Ð þ)_+. ÐCO.€€Administrative€changes€(i.e.,€AO€*€CO€name€change)€which€do€not€change€the€projectÐ ø*Y,/ Ðmanagement€plan,€NTE€amount,€etc.€or€otherwise€affect€the€recipient€may€be€signed€unilaterally€by€theÐ ò+S-0 ÐAO€*€CO.Ð ì,M.1 ÐÌÔ€[â¹Ôà  àC.€€Procurement€ProceduresÐ à.ú36 ÐÐ Ú/ô47 Ðà  àIt€is€a€national€policy€to€place€a€fair€share€of€purchases€with€minority€business€firms.€€TheÐ Ü ÐDepartment€of€the€Interior€is€strongly€committed€to€the€objectives€of€this€policy€and€encourages€allÐ Öú Ðrecipients€of€its€grants€and€cooperative€agreements€to€take€affirmative€steps€to€ensure€such€fairness.€Ð Ðô ÐPositive€efforts€shall€be€made€by€recipients€to€utilize€small€businesses,€minority„owned€firms,€andÐ Êî Ðwomen's€business€enterprises,€whenever€possible.€€Recipients€of€Federal€awards€shall€take€all€of€theÐ Ä è Ðfollowing€steps€to€further€this€goal:Ð ¾ â ÐÌà  àà ` à1.€€Ensure€that€small€businesses,€minority„owned€firms,€and€women's€businessÐ ² Ö Ðenterprises€are€used€to€the€fullest€extent€practicable.Ð ¬ Ð ÐÌà  àà ` à2.€€Make€information€on€forthcoming€opportunities€available€and€arrange€time€framesÐ  Ä  Ðfor€purchases€and€contracts€to€encourage€and€facilitate€participation€by€small€businesses,€minority„Ð š¾  Ðowned€firms,€and€women's€business€enterprises.Ð ”¸  ÐÌà  àà ` à3.€€Consider€in€the€contract€process€whether€firms€competing€for€larger€contracts€intendÐ ˆ¬  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 vš Ðand€women's€business€enterprises€when€a€contract€is€too€large€for€one€of€these€firms€to€handleÐ p” Ðindividually.Ð jŽ 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 X| Ðand€women's€business€enterprises.Ð Rv ÐÌÔ€  âi Ôà  àD.€€Deposit€of€PublicationsÐ FÓ! ÐÌà  àTwo€(2)€copies€of€each€applicable€publication€produced€under€this€agreement€shall€be€sent€toÐ : Ç# Ðthe€Natural€Resources€Library€with€a€transmittal€that€identifies€the€sender€and€the€publication,€and€statesÐ 4!Á$ Ðthat€the€publication€is€intended€for€deposit€in€the€Natural€Resources€Library.€€Publications€shall€be€sentÐ ."»%  Ðto€the€following€address:Ð (#µ&! ÐÌà  àà ` àU.S.€Department€of€the€InteriorÐ %©(# Ðà  àà ` àNatural€Resources€LibraryÐ &£)$ Ðà  àà ` àInterior€Service€CenterÐ '*% Ðà  àà ` àGifts€and€Exchanges€SectionÐ  (—+& Ðà  àà ` à1849€C€Street,€N.W.Ð )‘,' Ðà  àà ` àWashington,€D.C.€20240Ð þ)‹-( ÐÌXII.€€òòGeneral€Provisionsóó.Ð ò+/* ÐÌà  àA.€€National€Policy€Requirements€and€Administrative€Management€Standards.€€All€applicableÐ æ-s1, Ðnational€policy€requirements€and€administrative€management€standards€as€set€forth€in€the€Office€ofÐ à.m2- ÐManagement€and€Budget,€Financial€Management€Division,€Directory€of€Policy€Requirements€andÐ Ú/g3. ÐAdministrative€Standards€for€Federal€Aid€Programs€are€incorporated€by€reference.Ð Ü ÐÌà  àB.€€43€CFR€Part€12,€Administrative€and€Audit€Requirements€and€Cost€Principles€for€AssistanceÐ Ðô ÐPrograms€is€incorporated€by€reference.Ð Êî ÐÌÔ€Á’âðÔà  àC.*€€OMB€Circular€A„21,€Cost€Principles€for€Educational€Institutions€and€the€completedÐ ¾ Ò ÐCertificate€For€Indirect€Cost€is€incorporated€by€reference.Ð ¸ Ì  ÐÌà  àC.*€€OMB€Circular€A„122,€Cost€Principles€for€Nonprofit€Organizations€is€incorporated€byÐ ¬ À  Ðreference.Ð ¦º  ÐÌà  àC.*€€Federal€Acquisition€Regulation€(FAR)€at€48€CFR€Part€31€is€incorporated€by€reference.Ð š®  ÐÌà  àC.€*€45€CFR€Part€74,€Appendix€E,€Principles€for€Determining€Costs€Applicable€to€ResearchÐ Ž¢ Ðand€Development€Under€Grants€and€Contracts€with€Hospitals,€is€incorporated€by€reference.Ð ˆœ ÐÌà  àD.€€43€Code€of€Federal€Regulations€(CFR)€Part€12,€Appendix€A€to€Subpart€D,€CertificationÐ | ÐRegarding€Debarment,€Suspension,€and€Other€Responsibility€Matters€„€Primary€Covered€TransactionÐ vŠ Ðand€completed€Form€DI„2010€are€incorporated€by€reference.Ð p„ ÐÌÔ€ÃÉâ'Ôà  àE.€€43€CFR€Part€12,€Appendix€C€to€Subpart€D,€Certification€Regarding€Drug„Free€WorkplaceÐ dŸ ÐRequirements,€Alternate€I€(Grantees€other€than€individuals)€and€completed€Form€DI„2010€areÐ ^™ Ðincorporated€by€reference.Ð X“ ÐÌà  àF.€€43€CFR€Part€12,€Appendix€C€to€Subpart€D,€Certification€Regarding€Drug„Free€WorkplaceÐ L‡ ÐRequirements,€Alternate€II€(Grantees€Who€are€Individuals)€and€completed€Form€DI„2010€areÐ F Ðincorporated€by€reference.Ð @{  ÐÌÔ€ÅâÝÔà  àG.€€3l€U.S.C.€1352,€Certification€Regarding€Lobbying€and€completed€Form€DI„2010€areÐ 4!L'% Ðincorporated€by€reference.Ð ."F(& ÐÌԀȒâðÔà  àH.€€Single€Audit€Act€Amendments€of€1996,€Public€Law€104„156,€110€Stat.€1396,€31€U.S.C.Ð "$*-+ Ð750€1„7€and€43€CFR,€Part€12,€is€incorporated€by€reference.Ð %$., ÐÌÔ€Ê[â¹Ôà  àI.€€Compliance€With€Buy€American€Act.€€Pursuant€to€Sec.€307€of€the€Department€of€theÐ 'Ñ31 ÐInterior€and€Related€Agencies€Appropriations€Act€of€2000,€Public€Law€106„113,€be€advised€of€theÐ  (Ë42 Ðfollowing:Ð )Å53 ÐÌà  àà ` à1.€€None€of€the€funds€made€available€in€this€agreement€may€be€expended€by€a€recipientÐ ø*¹75 Ðunless€the€recipient€agrees€that€in€expending€the€funds€the€recipient€will€comply€with€sections€2€throughÐ ò+³86 Ð4€of€the€Act€of€March€3,€1933€(41€U.S.C.€10a„10c;€popularly€known€as€the€"Buy€American€Act").Ð ì,­97 ÐÌà  àà ` à2.€€Purchase€of€American„made€equipment€and€products.€€In€the€case€of€any€equipmentÐ à.¡;9 Ðor€product€that€may€be€authorized€to€be€purchased€with€financial€assistance€provided€using€funds€madeÐ Ú/›<: Ðavailable€in€this€Act,€it€is€the€sense€of€the€Congress€that€entities€receiving€the€assistance€should,€inÐ Ü Ðexpending€the€assistance,€purchase€only€American„made€equipment€and€products.Ð Öú ÐÌà  àà ` à3.€€Recipient€also€agrees€to€follow€the€procedures€in€43€CFR€Part€12,€Subpart€E,Ð Êî ÐSection€12.700€„€Buy€American€Requirements€for€Assistance€Programs.Ð Ä è ÐÌÔ€ÌÉâ'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 ² ý  Ðsupport€or€opposition€to€any€legislative€proposal€on€which€Congressional€action€is€not€complete.Ð ¬ ÷  ÐÌÔ€ÎÉâ'Ôà  àK.€€Endorsements.€€Recipient€shall€not€publicize€or€otherwise€circulate,€promotional€materialÐ   Ð(such€as€advertisements,€sales€brochures,€press€releases,€speeches,€still€and€motion€pictures,€articles,Ð š  Ðmanuscripts€or€other€publications)€which€states€or€implies€governmental,€Departmental,€bureau,€orÐ ” Ðgovernment€employee€endorsement€of€a€product,€service,€or€position€which€the€recipient€represents.€Ð Ž ÐNo€release€of€information€relating€to€this€award€may€state€or€imply€that€the€Government€approves€of€theÐ ˆú Ðrecipientððs€work€products,€or€considers€the€recipientððs€work€product€to€be€superior€to€other€productsÐ ‚ô Ðor€services.Ð |î ÐÌAll€information€submitted€for€publication€or€other€public€releases€of€information€regarding€this€projectÐ pâ Ðshall€carry€the€following€disclaimer:Ð jÜ ÐÌà0  àThe€views€and€conclusions€contained€in€this€document€are€those€of€the€authors€and€should€notÐ ^Ð Ðbe€interpreted€as€representing€the€opinions€or€policies€of€the€U.S.€Government.€€Mention€ofÐ XÊ Ðtrade€names€or€commercial€products€does€not€constitute€their€endorsement€by€the€U.S.Ð RÄ ÐGovernment.ÐL¾(#(# ÐÌRecipient€must€obtain€prior€Government€approval€for€any€public€information€releases€concerning€thisÐ @²  Ðaward€which€refer€to€the€Department€of€the€Interior€or€any€bureau€or€employee€(by€name€or€title).€€TheÐ : ¬! Ðspecific€text,€layout€photographs,€etc.€of€the€proposed€release€must€be€submitted€with€the€request€forÐ 4!¦" Ðapproval.Ð ."  # ÐÌA€recipient€further€agrees€to€include€this€provision€in€a€subaward€to€and€subrecipient,€except€for€aÐ "$”"% Ðsubaward€to€a€State€government,€a€local€government,€or€to€a€federally€recognized€Indian€tribalÐ %Ž#& ÐGovernment.Ð &ˆ$' ÐÌÔ€¤Èâ&Ôà  àLÔ#†3ôЧòX3X|M‚9#ÔÔ‡3X|MXò3ôЧÔ.€€Increasing€Seat€Belt€Use€in€the€United€States.€€Recipients€of€grants/cooperative€agreementsÐ  (¢(, Ðand/or€sub„awards€are€encouraged€to€adopt€and€enforce€on„the„job€seat€belt€use€policies€andÐ )œ)- 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+Š,0 Ðwearing€them.Ð ì,„-1 ÐÔ#†3ôЧòX3X|M Ñ#ÔÔ €, ÔÐ  æ-~.2 ÐÖ€å½ÖÓ€ :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&åb%ò3ôЧÔCertifications€Regarding€Debarment,€Suspension€Ô_ÔandˆÐ w[ Ðà@| | ÀìàOther€Responsibility€Matters,€Drug„Free€WorkplaceˆÐ Y= Ðà@ggÌìàRequirements€and€LobbyingˆÐ ; Ðà@ììØìàó óòòˆÌÌóóÒ(,H$H$(ÒÓ ;ÚÓÔ#†3ôЧò%3&åb…Ö#ÔÔ‡3ÂoaÂò3ôЧÔPersons€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€CFR€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€CFR€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 =  ÐCFR€Part€12)Ð "  ÐÌSignature€on€this€form€provides€for€compliance€with€certificationÐ x\  Ðrequirements€under€43€CFR€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#†3ôЧòÂ3ÂoaØ#ÔÔ‡3&åb%ò3ôЧÔÐ G+# ÐÒ(,HVHV(ÒÐ ( # Ðò òÓH‹°œXÓó óÔ#†3ôЧò%3&åb3à#ÔÔ‡3ÂoaÂò3ôЧÔßi€5•J3#h L'"C!< `€€EHçC!zdt{ ’€Ó" ißÔ#†3ôЧòÂ3Âoaéà#Ôò òÔ‡3ÂoaÂò3ôЧÔÐ çË$ ÐÓ  ÓÌòòÓ  ÓÔ#†3ôЧòÂ3Âoa—á#ÔÔ‡3s™ ò3ôЧÔó óCHECKòò€€€€óóIF€THIS€CERTIFICATION€IS€FOR€A€PRIMARY€COVERED€TRANSACTION€AND€IS€APPLICABLE.ò òÔ#†3ôЧò 3s™ â#ÔÔ‡3ÂoaÂò3ôЧÔóóÐ ­‘& 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#†3ôЧòÂ3Âoa®â#ÔÌÔ‡3s™ ò3ôЧÔÓ  ÓòòóŒóó óCHECKòò€€€€óóIF€THIS€CERTIFICATION€IS€FOR€A€LOWER€TIER€COVERED€TRANSACTION€AND€IS€APPLICABLE.ò òóóÔ#†3ôЧò 3s™¨ì#ÔÔ‡3ÂoaÂò3ôЧÔÐ 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#†3ôЧòÂ3Âoadí#ÔÐ). ,Dl$l$ ÐÔ‡3ÂoaÂò3ôЧÔÓ  ÓÓ  ÓÓ-H•HðHl%”P –X-ÓÌà • àÔ#†3ôЧòÂ3ÂoaJð#ÔÔ‡3,—ü,ò3ôЧÔDI„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#†3ôЧò,3,—üÞð#ÔÔ‡3ÂoaÂò3ôЧÔÐ  Þ0Â.I ÐÑ^)EÑâ ^âÑ,ÑÑ,Ñâ ^âÑ  ÑÔ#†3ôЧòÂ3ÂoaÖñ#ÔÔ€3ÍoaÂò3ôЧÔÓ-üÓÓ1HðHl%”P –XH•ð1ÓÓuðÓÓ  Óßl€5’J6&"h \72 P!< `€€EH,P!±dtˆ É€Êà" lßÐ , ÐòòÓ  ÓÔ‡3˜s™ Â3ÍoaÔÌó óCHECKòò€€€€óóIF€THIS€CERTIFICATION€IS€FOR€AN€APPLICANT€WHO€IS€NOT€AN€INDIVIDUAL.Ô#†3Íoa 3˜s™Žó#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$HIHIâÓ  ÓòòÔ‡3˜s™ Â3ÍoaÔCHECKòò€€€€óóIF€THIS€CERTIFICATION€IS€FOR€AN€APPLICANT€WHO€IS€AN€INDIVIDUAL.ò òóóòŒòÐ )Ù': ÐóŒóÓ  ÓÌÔ#†3Íoa 3˜s™ #Ôó óAlternate€II.€€(Grantees€Who€Are€Individuals)Ð  *ô(< ÐÌà l à(a)€€à0 % àThe€grantee€certifies€that,€as€a€condition€of€the€grant,€he€or€she€will€not€engage€in€the€unlawful€manufacture,€distribution,€dispensing,Ð n+B*> Ðpossession,€or€use€of€a€controlled€substance€in€conducting€any€activity€with€the€grant;Ð3,+?%$%$ 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‡33—ü,Â3ÍoaÔDI„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#†3ÍoaÂ,33—üÄ#ÔÓ1HðHl%”P –XHH‹1ÓÐ  Ð1¤0H ÐÓ-üÓßi€5MJ3#h L726!< `€€EH,6!zdtn ’€ÊÆ" ißÐ , ÐÔ‡3s™ Â3ÍoaÔÌÌòòÓ  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€Ô_ÔSUBGRANTÔ_Ô€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€Ô_ÔSUBGRANTÔ_Ô€OR€Ð I ÐSUBCONTRACT€EXCEEDING€$100,000,€UNDER€THE€LOAN.óóÐ ß³  ÐÓ  Óò òÌÔ#†3Íoa 3s™’#ÔÌÌó óThe€undersigned€certifies,€to€the€best€of€his€or€her€knowledge€and€belief,€that:Ð U )  ÐÌ(1)à0 l àNo€Federal€appropriated€funds€have€been€paid€or€will€be€paid,€by€or€on€behalf€of€the€undersigned,€to€any€person€for€influencing€or€attemptingÐ «   Ðto€influence€an€officer€or€employee€of€an€agency,€a€Member€of€Congress,€and€officer€or€employee€of€Congress,€or€an€employee€of€a€MemberÐ t H  Ðof€Congress€in€connection€with€the€awarding€of€any€Federal€contract,€the€making€of€any€Federal€grant,€the€making€of€any€Federal€loan,€theÐ =   Ðentering€into€of€any€cooperative€agreement,€and€the€extension,€continuation,€renewal,€amendment,€or€modification€of€any€Federal€contract,Ð Ú  Ðgrant,€loan,€or€cooperative€agreement.ÐÏ£ l$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 ·‹ ÐÔ_ÔLLLÔ_Ô,€"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€Ô_ÔsubawardsÔ_Ô€at€all€tiers€(includingÐ Öª Ðsubcontracts,€Ô_ÔsubgrantsÔ_Ô,€and€contracts€under€grants,€loans,€and€cooperative€agreements)€and€that€all€Ô_ÔsubrecipientsÔ_Ô€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‡3s™ Â3ÍoaÔÓ-HHHðHl%”P –X-Óà H àÔ#†3Íoa 3s™« #ÔÔ‡3,—ü,Â3ÍoaÔDI„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€DI„1963)Ô#†3ÍoaÂ,3,—ü&!#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‡3s™ Â3ÍoaÔForm€1511„2Ð ¤x Ð(February€1989)Ô#†3Íoa 3s™ä##Ôà@X X àÔ€3s™ Â3ÍoaÔUnited€States€Department€of€the€InteriorÔ€3,—ü, 3s™ÔˆÐ : Ðà@½ ½ àÔ€3s™ ,3,—üÔBureau€of€Land€ManagementÔ€3ôЧò 3s™ÔˆÐ Ф ÐÔ€ZHH!½ÔÌà@qqàÔ€3 »Š ò3ôЧÔAMENDMENT€OF€REQUEST€FORˆÐ å Ðà@;;àAPPLICATION/MODIFICATION€OFˆÐ å  Ðà@ÐÐàASSISTANCE€AGREEMENTÔ€3ôЧò 3 »ŠԈР;€v,å $…… „„……;Ðà@â✜ àÔ€3^þ \ò3ôЧÔPAGEÔ€3ôЧò \3^þÔ€€1€€Ô€3^þ \ò3ôЧÔOFÔ€3ôЧò \3^þÔ€€€€€€€€Ô€3^þ \ò3ôЧÔPAGESÔ€3ôЧò \3^þԈРC9&¤x  x ¥ v €æ€‚ˆ‚ƒƒ………CÐÐ *€vv ±… … „„……*ÐÔ€3^þ \ò3ôЧÔ1.€AMENDMENT/MODIFICATION€NO.Ô€3ôЧò \3^þÔÐ 9   Ѐ€€€€€Ð C9&¸Œ  ˆ æ vv €æ€‚ˆ‚ƒƒ………CÐÐ *€vv U … „„……*ÐÔ€3^þ \ò3ôЧÔ2.€EFFECTIVE€DATE€Ô€3ôЧò \3^þÔÐ  Ý Ѐ€€€€€Ð C9&ˆ\ ˆ æ vv €æ€‚ˆ‚ƒƒ………CÐÐ *€vv Q%… „„……*ÐÔ€3^þ \ò3ôЧÔ3.€REQUISITION€NO.Ô€3ôЧò \3^þÔÐ Ù­ Ѐ€€€€€Ð O€vB&X, ˆ æ vv €>€‚ˆ‚ƒƒ„„……OÐÔ€3^þ \ò3ôЧÔ4.€ISSUED€BYÔ€3ôЧò \3^þÔÐ ©} ÐÌÌÌÐ 9€vv*) ý v „„……9ÐÔ€3^þ \ò3ôЧÔ5.€ADMINISTERED€BY€òò(If€other€than€Item€4.)óóÔ€3ôЧò \3^þÔÐ ©} ÐÌÌÌÐ S€vB&) ý  ˆ > vv €æ€‚ˆ‚ƒƒ„„……SÐÔ€3^þ \ò3ôЧÔ6.€NAME€AND€ADDRESS€OF€RECIPIENT€òò(No.,€street,€county,€state,€and€ZIP)óóÔ€3ôЧò \3^þÔÐ z N  ÐÌÌÌÌÌÐ L€vv;,P$"JJv „„……LÐòò(€ð3ð€)óóÐ z N # ÐÐ G€vv8)% ù $þþvv „„……GÐÔ€3^þ \ò3ôЧÔ7A.€AMENDMENT€OF€REQUEST€FOR€APPLICATION€NO.Ô€3ôЧò \3^þÔÐ z N % Ѐ€€€€€Ð C9&ù Í & ˆ æ vv €t€‚ˆ‚ƒƒ…ƒ…CÐÐ   – &ƒ ……ÐÐ *€vv  – & „„……*ÐÔ€3^þ \ò3ôЧÔ7B.€DATEDÔ€3ôЧò \3^þÔ€€€€€€€Ð C9&J ' ˆ t vv €æ€‚ˆ‚ƒƒ…ƒ…CÐÐ ,€vv ç 'ƒ „„……,ÐÐ G€vv8)›o( ©©%vv „„……GÐÔ€3^þ \ò3ôЧÔ8A.€MODIFICATION€OF€ASSISTANCE€AGREEMENT€NO.Ô€3ôЧò \3^þÔÐ ›o) Ѐ€€€€€Ð C9&î* ˆ æ vv €t€‚ˆ‚ƒƒ…ƒ…CÐÐ  ã·*ƒ ……ÐÐ *€vv ã·* „„……*ÐÔ€3^þ \ò3ôЧÔ8B.€DATEDÔ€3ôЧò \3^þÔ€€€€€Ð O€vB&k?+ ˆ t vv €P€‚ˆ‚ƒƒ„„……OÐÔ€3^þ \ò3ôЧÔ9.€THIS€ITEM€APPLIES€TO€AMENDMENTS€OF€REQUEST€FOR€APPLICATIONÔ€3ôЧò \3^þÔ€€€€€€€€Ð O€vB&¼, ˆ P v €&€‚ˆ‚ƒƒ„„……OЀ€Ô€3¼¾Œ»ò3ôЧÔð&ðÔ€3Eþ \»3¼¾ŒÔ€€The€above€numbered€Request€is€amended€as€set€forth€in€Item€10.€€The€hour€and€date€specified€for€receipt€of€Applications€€Ô€3¼¾Œ» \3EþÔð&ðÔ€3Eþ \»3¼¾ŒÔ€€is€extended,€€Ô€3¼¾Œ» \3EþÔð&ðÔ€3Eþ \»3¼¾ŒÔ€€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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