Common use of Rights to Inventions Made Under a Contract or Agreement Clause in Contracts

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Debarment and Suspension (Executive Orders 12549 and 12689). A contract award (see 2 CFR 180.220) must not be made to parties listed on the government wide exclusions in the System for Award Management (XXX), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONS. Unless prohibited by Federal statutes or regulations, Recipient may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis. 2 CFR §200.208. Submission may be required more frequently if Subrecipient fails to meet a requirement of the Federal award. Subrecipient shall certify in writing to the State at the end of the Award that the project or activity was completed or the level of effort was expended. 2 CFR §200.201(3). If the required level of activity or effort was not carried out, the amount of the Award must be adjusted.

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Pursuant to Federal Rule (6) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. BF Does vendor agree? YES Initial of Authorized Company Official Federal Rule (7) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1251- 1387), as amended. —Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Pursuant to Federal Rule (7) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. BF Does vendor agree? YES Initial of Authorized Company Official Federal Rule (8) Debarment and Suspension (Executive Orders 12549 and 12689). A 12689)—A contract award $25,000 or greater (see 2 CFR 180.220) must not be made to parties listed on the government wide governmentwide exclusions in the System for Award Management (XXX), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Pursuant to Federal Rule (8) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies that they are not debarred from receiving a contract from the federal government as provided therein. Does vendor agree they are not debarred as specified above ? YES BF Initial of Authorized Company Official Federal Rule (9) Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONSPursuant to Federal Rule (9) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term and after the awarded term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies to the terms included or referenced in Federal Rule 9 above. Unless prohibited Does vendor certify to the provisions in Federal Rule (9) above? YES BF_ Initial of Authorized Company Official Federal Rule (10) 2 CFR 200.233 Retention of all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Pursuant to Federal Rule (10) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that the awarded vendor retain all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Does vendor agree? YES BF Initial of Authorized Company Official Federal statutes or regulationsRule (11) Mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, Recipient may require Subrecipient 89 Stat. 871). Pursuant to submit certifications Federal Rule (12) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor will be in compliance with mandatory standards and representations required by policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, 89 Stat. 871). Does vendor agree? YES BF Initial of Authorized Company Official Federal statutes or regulations on an annual basis. Rule (12) 2 CFR §200.208200.322 Procurement of recovered materials. Submission may be required more frequently if Subrecipient fails to meet A non-Federal entity that is a requirement state agency or agency of a political subdivision of a state and its contractors must comply with section 6002 of the Federal awardSolid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. Subrecipient shall certify The requirements of Section 6002 include procuring only items designated in writing to the State at the end guidelines of the Award Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the project or activity was completed highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the level of effort was expended. 2 CFR §200.201(3). If the required level of activity or effort was not carried out, the amount value of the Award must quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. [78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014] Pursuant to Federal Rule (12) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor will be adjustedin compliance with mandatory standards and policies relating to Procurement of recovered materials which are listed above. Does vendor agree they will comply? YES BF Initial of Authorized Company Official Company Name Print name of authorized representative XxxxXxxxx.Xxx LLC Xxxxxxx Xxxxxxxxx Signature of authorized representative Date

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Pursuant to Federal Rule (6) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. RH Does vendor agree? YES Initial of Authorized Company Official Federal Rule (7) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1251- 1387), as amended. —Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Pursuant to Federal Rule (7) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. RH Does vendor agree? YES Initial of Authorized Company Official Federal Rule (8) Debarment and Suspension (Executive Orders 12549 and 12689). A 12689)—A contract award $25,000 or greater (see 2 CFR 180.220) must not be made to parties listed on the government wide governmentwide exclusions in the System for Award Management (XXX), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Pursuant to Federal Rule (8) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies that they are not debarred from receiving a contract from the federal government as provided therein. Does vendor agree they are not debarred as specified above ? YES RH Initial of Authorized Company Official Federal Rule (9) Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONSPursuant to Federal Rule (9) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term and after the awarded term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies to the terms included or referenced in Federal Rule 9 above. Unless prohibited Does vendor certify to the provisions in Federal Rule (9) above? YES RH_ Initial of Authorized Company Official Federal Rule (10) 2 CFR 200.233 Retention of all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Pursuant to Federal Rule (10) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that the awarded vendor retain all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Does vendor agree? YES _RH Initial of Authorized Company Official Federal statutes or regulations, Recipient may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis. Rule (11) 2 CFR §200.208200.322 Procurement of recovered materials. Submission may be required more frequently if Subrecipient fails to meet A non-Federal entity that is a requirement state agency or agency of a political subdivision of a state and its contractors must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. [78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014] Pursuant to Federal awardRule (11) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor will be in compliance with mandatory standards and policies relating to Procurement of recovered materials which are listed above. Subrecipient shall certify Does vendor agree they will comply? YES RH Initial of Authorized Company Official Company Name Print name of authorized representative Enplug, Inc Xxxxx Xxxx Signature of authorized representative Date 09/22/2016 Signature above acknowledges all provisions in writing this four page document and the vendor/proposer/bidder responses herein to the 11 rules. SUSPENSION OR DEBARMENT CERTIFICATE Non-Federal entities are prohibited from contracting with or making sub-awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement for goods or services equal to or in excess of $25,000.00. Contractors receiving individual awards for $25,000.00 or more and all sub-recipients must certify that the organization and its principals are not suspended or debarred. By submitting this offer and signing this certificate, this bidder: Certifies that no suspension or disbarment is in place, which would preclude receiving a federally funded contract under the XXXXX, §200.212 Suspension and debarment. Vendor Name: Vendor Address: Vendor E-mail Address: Vendor Telephone: Enplug, Inc. 0000 Xxxxxxx Xxxxxxx, Xxxxx 000 xxxxx@xxxxxx.xxx 000-000-0000 Authorized Company Official’s Name: Xxxxx Xxxx Signature of Company Official: Date: 09/22/2016 FELONY CONVICTION NOTICE Statutory citation covering notification of criminal history of contractor is found in the Texas Education Code #44.034. Following is an example of a felony conviction notice: State at of Texas Legislative Senate Bill No. 1, Section 44.034, Notification of Criminal History, Subsection (a), states “a person or business entity that enters into a contract with a school district must give advance notice to the end district if the person or an owner or operator of the Award business entity has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony.” Subsection (b) states “a school district may terminate a contract with a person or business entity if the district determines that the project person or activity was completed business entity failed to give notice as required by Subsection (a) or misrepresented the level conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of effort was expended. 2 CFR §200.201(3). If the required level contract.” THIS NOTICE IS NOT REQUIRED OF A PUBLICLY-HELD CORPORATION Complete only one of activity the three below: A or effort was not carried outB or C. I, the amount undersigned agent for the firm named below, certify that the information concerning notification of felony convictions has been reviewed by me and the Award must be adjusted.following information furnished is true to the best of my knowledge. Xxxxx Xxxx Official:

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Pursuant to Federal Rule (6) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. LL Does vendor agree? YES Initial of Authorized Company Official Federal Rule (7) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1251- 1387), as amended. —Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Pursuant to Federal Rule (7) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. LL Does vendor agree? YES Initial of Authorized Company Official Federal Rule (8) Debarment and Suspension (Executive Orders 12549 and 12689). A 12689)—A contract award $25,000 or greater (see 2 CFR 180.220) must not be made to parties listed on the government wide governmentwide exclusions in the System for Award Management (XXX), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Pursuant to Federal Rule (8) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies that they are not debarred from receiving a contract from the federal government as provided therein. Does vendor agree they are not debarred as specified above ? YES LL Initial of Authorized Company Official Federal Rule (9) Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONSPursuant to Federal Rule (9) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term and after the awarded term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies to the terms included or referenced in Federal Rule 9 above. Unless prohibited Does vendor certify to the provisions in Federal Rule (9) above? YES LL_ Initial of Authorized Company Official Federal Rule (10) 2 CFR 200.233 Retention of all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Pursuant to Federal Rule (10) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that the awarded vendor retain all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Does vendor agree? YES LL Initial of Authorized Company Official Federal statutes or regulationsRule (11) Mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, Recipient may require Subrecipient 89 Stat. 871). Pursuant to submit certifications Federal Rule (12) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor will be in compliance with mandatory standards and representations required by policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, 89 Stat. 871). Does vendor agree? YES LL Initial of Authorized Company Official Federal statutes or regulations on an annual basis. Rule (12) 2 CFR §200.208200.322 Procurement of recovered materials. Submission may be required more frequently if Subrecipient fails to meet A non-Federal entity that is a requirement state agency or agency of a political subdivision of a state and its contractors must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. [78 FR 78608, Dec. 26, 2013, as amended at 00 XX 00000, Xxx. 19, 2014] Pursuant to Federal awardRule (12) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor will be in compliance with mandatory standards and policies relating to Procurement of recovered materials which are listed above. Subrecipient shall certify Does vendor agree they will comply? YES LL Initial of Authorized Company Official Company Name Parents K-12 LLC d/b/a InSync Education Print name of authorized representative Xxxxxx Xxxxxx Signature of authorized representative Xxxxxx Xxxxxx Date 9/11/2015 Signature above acknowledges all provisions in writing this four page document and the vendor/proposer/bidder responses herein to the State at the end 12 rules. SUSPENSION OR DEBARMENT CERTIFICATE Non-Federal entities are prohibited from contracting with or making sub-awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement for goods or services equal to or in excess of the Award $25,000.00. Contractors receiving individual awards for $25,000.00 or more and all sub-recipients must certify that the project organization and its principals are not suspended or activity was completed debarred. By submitting this offer and signing this certificate, this bidder: Certifies that no suspension or disbarment is in place, which would preclude receiving a federally funded contract under the level XXXXX, §200.212 Suspension and debarment. Vendor Name: Vendor Address: Vendor E-mail Address: Vendor Telephone: Parents K-12 LLC d/b/a InSync Education 0000 Xxxxxxx Xxxx Way xxxxxx.xxxxxx@xxxxxxxxx.xxx 000-000-00000 Authorized Company Official’s Name: Xxxxxx Xxxxxx Signature of effort was expendedCompany Official: Xxxxxx Xxxxxx Date: 9/11/2015 References Entity Name: Laredo Independent School District Contact Name and Title: Xxxxxxx Xxxxxxx, Executive Director Curriculum and Instruction City and State: Laredo, TX Phone Number: 000.000.0000 Years Serviced: 2014-Present Description of Services: Access to InSync Education’s software and professional development services Entity Name: School District of Osceola County Contact Name and Title: Xxxxx Xxxxxxx, Superintendent City and State: Kissimmee, FL Phone Number: 000.000.0000 Years Serviced: 2010-present Description of Services: Access to InSync Education’s software and professional development services Entity Name: School District of Palm Beach County Contact Name and Title: Xxxxxxxxx Xxxxxx, Executive Director City and State: Palm Beach, FL Phone Number: 000.000.0000 Years Serviced: 2011-present Description of Services: Access to InSync Education’s software and professional development services Entity Name: Hillsborough County Schools Contact Name and Title: Xxxx Xxxxxx, Superintendent City and State: Tampa, FL Phone Number: 000.000.0000 Years Serviced: 2011-present Description of Services: Access to InSync Education’s software and professional development services Entity Name: Polk County Public Schools Contact Name and Title: Xxxx Xxxx, Director City and State: Bartow, FL Phone Number: 000.000.0000 Years Serviced: 2013-present Description of Services: Access to InSync Education’s software and professional development services • 3,000 + TEKS and STAAR aligned resources • Online interactive assessments • High quality, scientific- based classroom instruction • Tiered instruction for all learning levels • Text and Audio support in English and Spanish • Extends instructional time for student remediation and enrichment • Real-time data allows teachers, principals & district admin to track student progress FEATURES AND BENEFITS: Teachers InSync with TEKS and STAAR aligned resources Students and Parents InSync with digital activities in multiple languages (text & audio) • Improve academic performance • Increase the use of quality data to drive instruction • Increased learning time • Increase family and community engagement CRITICAL SUCCESS FACTORS: • Family engagement: helps familiarize parents with TEKS/ STAAR • Visual representations • Prior knowledge activation • Learning preferences • Metacognition • Academic vocabulary • Real-world applications UNIVERSAL DESIGN MODEL: DISTRICT CUSTOMIZATION FEATURES: • Alignment to district pacing guides/ scope and sequence • Upload district content (videos, jpegs, word docs, pdf’s and more) • Automatic data sync of students • Customized Professional Development sessions for Teachers, Administration and Parents • Customized district reports Everyone InSync from any computer, tablet, or mobile device PROGRAM TOPICS: • Mathematics • Reading/Language Arts • Science • Social Studies • College & Career Preparation • RTI • Health & Safety • Homework Help • Life Skills • Next Grade Readiness • Test-Taking Tips InSync Education provides a cohesive approach to instruction in the classroom and extension into the home. 2 CFR §200.201(3). If the required level of activity or effort was not carried outBy providing targeted classroom activities, resources to support parental involvement and differentiation, the amount student learning experience becomes seamless. Contact us: Xxxx Xxxx, Vice President 210.260.8238 • xxxx.xxxx@xxxxxxxxx.xxx Xxxxxx Xxxxxxx, Director of the Award must be adjusted.Sales 713.419.4204 • xxxxxx.xxxxxxx@xxxxxxxxx.xxx Xxxxx Xxxxxxxxxxxxx, Implementation, Operations & Support 434.944.6361 • xxxxx.xxxxxxxxxxxxx@xxxxxxxxx.xxx InSync Education 0000 Xxxxxxxxx Xx. Xxxxxxxxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Email: xxxx@xxxxxxxxx.xxx

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Clean Air Act (42 U.S.C. 7401-7401- 7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1251- 1387), as amended. Contracts and subgrants of amounts in excess of $150,000 —Contractor must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Debarment and Suspension (Executive Orders 12549 and 12689). A 12689)—A contract award (see 2 CFR 180.220) must not be made to parties listed on the government government-wide exclusions Excluded Parties List System in the System for Award Management (XXX), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part Part 1986 Comp., p. 189) and 12689 (3 CFR part Part 1989 Comp., p. 235), “Debarment and Suspension.” The Excluded Parties List System in XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors 1352)—Contractors that apply or bid for an award exceeding of $100,000 or more must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONSSee §200.322 Procurement of recovered materials. Unless prohibited Contractor must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired by the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. Other Provisions Required by Federal statutes or regulations, Agency: 41 USC §4712 Enhancement of Recipient may require and Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis. 2 CFR §200.208. Submission may be required more frequently if Subrecipient fails to meet a requirement of the Federal award. Subrecipient shall certify in writing to the State at the end of the Award that the project or activity was completed or the level of effort was expended. 2 CFR §200.201(3). If the required level of activity or effort was not carried out, the amount of the Award must be adjusted.Employee Whistleblower Protection:

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Pursuant to Federal Rule (6) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. Does vendor agree? YES RJS Initial of Authorized Company Official Federal Rule (7) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1251- 1387), as amended. —Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Pursuant to Federal Rule (7) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. Does vendor agree? YES _RJS Initial of Authorized Company Official Federal Rule (8) Debarment and Suspension (Executive Orders 12549 and 12689). A 12689)—A contract award $25,000 or greater (see 2 CFR 180.220) must not be made to parties listed on the government wide governmentwide exclusions in the System for Award Management (XXX), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Pursuant to Federal Rule (8) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies that they are not debarred from receiving a contract from the federal government as provided therein. Does vendor agree they are not debarred as specified above ? YESRJS Initial of Authorized Company Official Federal Rule (9) Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONSPursuant to Federal Rule (9) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term and after the awarded term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies to the terms included or referenced in Federal Rule 9 above. Unless prohibited Does vendor certify to the provisions in Federal Rule (9) above? YES RJS_ Initial of Authorized Company Official Federal Rule (10) 2 CFR 200.233 Retention of all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Pursuant to Federal Rule (10) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that the awarded vendor retain all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Does vendor agree? YES _R_JS Initial of Authorized Company Official Federal statutes or regulationsRule (11) Mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, Recipient may require Subrecipient 89 Stat. 871). Pursuant to submit certifications Federal Rule (12) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor will be in compliance with mandatory standards and representations required by policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, 89 Stat. 871). Does vendor agree? YES _R_JS Initial of Authorized Company Official Federal statutes or regulations on an annual basis. Rule (12) 2 CFR §200.208200.322 Procurement of recovered materials. Submission A non-Federal entity that is a state agency or agency of a political subdivision of a state and its contractors must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. [78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014] Pursuant to Federal Rule (12) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor will be in compliance with mandatory standards and policies relating to Procurement of recovered materials which are listed above. Does vendor agree they will comply? YES RJS Initial of Authorized Company Official Company Name Print name of authorized representative Xxxxxx School Solutions Xxxxxx Xxxxx Signature of authorized representative Date 10/6/2015 Signature above acknowledges all provisions in this four page document and the vendor/proposer/bidder responses herein to the 12 rules. The Interlocal Purchasing System - (TIPS) Region VIII RFP Cafeteria Point of Sale May 15, 2014 27 xxx.xxxxxxxxxxxxxxxxxxxxx.xxx SUSPENSION OR DEBARMENT CERTIFICATE Non-Federal entities are prohibited from contracting with or making sub-awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement for goods or services equal to or in excess of $25,000.00. Contractors receiving individual awards for $25,000.00 or more and all sub-recipients must certify that the organization and its principals are not suspended or debarred. By submitting this offer and signing this certificate, this bidder: Certifies that no suspension or disbarment is in place, which would preclude receiving a federally funded contract under the XXXXX, §200.212 Suspension and debarment. Vendor Name: Xxxxxx School Solutions 0000 Xxxxxxxx Xxxx, Xxxxx 000, Xxxxxxx Xxxxx, XX 00000 Vendor Address: xxxxxx@xxxxxxxxxxxxxx.xxx Vendor E-mail Address: 916-577-2900 ext. 611 Vendor Telephone: Authorized Company Official’s Name: Xxxxxx Xxxxx Signature of Company Official: 10/6/2015 Date: References ** Must have at least 3 References. References must be School, City, County, University, State Agency or Other Government. Organization City State Contact Name Contact Phone USD 229 - Blue Valley Schools Overland Park KS Xxxxxxx Xxxxxxx 000-000-0000 Sacramento City USD Sacramento CA Xxxxxx Xxxxxxx 000-000-0000 Evansville Vanderburgh School Corporation Evansville IN Xxxxx Xxxxxx 000-000-0000 Xxxxxx Public Schools Conway AR Xxxxxx Xxxxxxx 000-000-0000 Warranty Information Xxxxxx does not make, and hereby disclaims, any and all express and/or implied warranties regarding the services or any material provided by Xxxxxx to Purchaser pursuant to this Agreement, including, but not limited to, warranties of merchantability, fitness for a particular purpose, and non-infringement, and warranties arising from a course of dealing, usage or trade practice. Further, Xxxxxx does not warrant that the Software Products will meet any exact user requirements, and that the software will operate error free or uninterrupted. In the event an error is discovered in one of the Software Products currently covered by MSF, and the error is confirmed, Xxxxxx will make reasonable efforts to provide Purchaser with a correction. It is acknowledged by the parties hereto that the Hardware provided by Xxxxxx to Purchaser pursuant to this agreement was manufactured and delivered to Purchaser by a third party manufacturer and Xxxxxx is reselling it to Purchaser. As such, Purchaser makes no warranties, express or implied, with respect to the Hardware, including, without limitation, their merchantability or fitness for a particular purpose. Any warranty Purchaser has with respect to the Hardware shall be solely provided by the manufacturer(s). Purchaser may return Hardware within thirty (30) days of receipt of Hardware only if Hardware is in original packaging and in original condition. All returns are subject to approval and a fifteen percent (15%) restocking fee will be required more frequently if Subrecipient fails charged to the Purchaser for each item returned. Purchaser will pay all shipping charges related to return Hardware. Hardware items sold by Xxxxxx have a one year manufacturer warranty. Connect with us: (866) 450-­‐6696 x00xxxxxxxxx@xxxxxxxxxxxxxx.xxx The Interlocal Purchasing System (TIPS) Region VIII RFP Cafeteria Point-­‐of-­‐Sale eTrition Less Time Managing, More Time Doing Developed by school nutritionists, eTrition incorporates 40+ years of K-12 user experience into a fully integrated, web-based nutrition solution. Focused on ease-of-use and customization, real-time information is available online at any time, from any computer. Districts can choose from a variety of modules to tailor the system for e?cient workflows, flexibility, and the ability to meet major reporting requirements. Authorized staff have the ability to input, retrieve, share and analyze student, financial and nutritional data for current or prior school years, as well as manage Free and Reduced Meal applications. Utilize your district’s pre-existing technology infrastructure and platform to avoid costly equipment purchases and capitalize on the benefits of a requirement web-based .NET application. Offered in SaaS and Self-Hosted options, eTrition is browser agnostic and features: • Centralized SQL server database • Point-of-Sale • Reporting • Menu planning • USDA-approved for nutrient analyses required in school meal programs • Production and inventory • Financial accounting • Free and Reduced application processing through XXXxxxXxx.xxx • Online payments through XXXxxxxxXxx.xxx Key Benefits: • Faster, more e?cient serving lines. • Continuous access with “Safety Net” serving if the network fails or disconnects. • Browser-based access so students receive service at any cafeteria in your system. • Updates are made in just one place – allowing cafeteria computers to be configured simply. • Sensitive data is encrypted and not available to unauthorized users. • Modular approach covers your district’s unique needs. Xxxxxx School Solutions Designed for K-12 school districts to unleash amazing productivity through better technology Xxxxxx School Solutions is a division of Xxxxxx Computer Systems (Xxxxxx), a fully owned subsidiary of Constellation Software Incorporated. Constellation Software Inc. (CSI) is an international provider of market leading software and services to a select number of industries, both in the public and private sectors. Xxxxxx School Solutions offers enterprise solutions in the areas of financial management, human resources, student information, and school nutrition. Through strategic partnerships, we have expanded our scope and reach, positioning the division to provide technology for schools and school districts of every size and demographic profile throughout the United States and Canada. Located in Rocklin, California, with additional support o?ces in Niagara Falls, New York; Parsons, Kansas; Wichita, Kansas and Scottsdale, Arizona, the Xxxxxx School Solutions - School Nutrition Solutions business unit offers comprehensive software and hardware solutions to meet the needs of school nutrition programs. Xxxxxx School Solutions is comprised of a team of experts with a wealth of knowledge on the intricacies of the Federal awardK-12 market. Subrecipient shall certify Leveraging our many years of combined experience, we seek to position our customers to thrive in writing an increasingly challenging world as they manage the nutritional needs of hundreds of students, while satisfying federal and state reporting and auditing requirements. Xxxxxx is uniquely qualified to provide your school district with the State at the end computer software, hardware, support and maintenance to run a successful K-12 nutrition program: • Financially strong with no debt • Over 1,500 successful point of sale installations • Longest history with 40+ years of K-12 point of sale experience • Installations in districts with over 180,000 students • Microsoft Gold ISV Partner • Member of the Award Microsoft Partner Research Panel The Xxxxxx School Solutions corporate philosophy is to build and maintain customer loyalty by providing seamless implementations, training that the project or activity was completed or the level of effort was expended. 2 CFR §200.201(3). If the required level of activity or effort was not carried outmeets and exceeds your district’s needs, the amount of the Award must be adjustedand ongoing support services which include database/systems management and custom reporting.

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award meets the definition of Contract is funded by a federal “funding agreement” as defined under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amendedAct. Contracts and subgrants of amounts If this Contract is in excess of $150,000 150,000, the Contractor must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or orders, and regulations issued pursuant to under the Clean Air Act (42 U.S.C. USC 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. USC 1251-1387). Violations must be reported to the Federal federal awarding agency and the Regional Office regional office of the Environmental Protection Agency (EPA)Agency. Debarment and Suspension (Executive Orders 12549 and 12689)Suspension. A “contract award award” (see 2 CFR 180.220) must not be made to parties listed on the government government-wide exclusions in the System for Award Management (XXX), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352)Amendment. Contractors that apply or bid for an award exceeding If this Contract exceeds $100,000 100,000, bidders and the Contractor must file the certification required certificationunder 31 USC 1352. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee Procurement of any agencyRecovered Materials. Under 2 CFR 200.322, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds entity that takes place in connection is a state agency or agency of a political subdivision of a state and its contractors must comply with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONS. Unless prohibited by Federal statutes or regulations, Recipient may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis. 2 CFR §200.208. Submission may be required more frequently if Subrecipient fails to meet a requirement section 6002 of the Federal awardSolid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. Subrecipient shall certify The requirements of Section 6002 include procuring only items designated in writing to the State at the end guidelines of the Award Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the project or activity was completed highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the level of effort was expended. 2 CFR §200.201(3). If the required level of activity or effort was not carried out, the amount value of the Award must be adjustedquantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines.

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Pursuant to Federal Rule (6) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. AA Does vendor agree? YES Initial of Authorized Company Official Federal Rule (7) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1251- 1387), as amended. —Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Pursuant to Federal Rule (7) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. AA Does vendor agree? YES Initial of Authorized Company Official Federal Rule (8) Debarment and Suspension (Executive Orders 12549 and 12689). A 12689)—A contract award $25,000 or greater (see 2 CFR 180.220) must not be made to parties listed on the government wide governmentwide exclusions in the System for Award Management (XXX), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Pursuant to Federal Rule (8) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies that they are not debarred from receiving a contract from the federal government as provided therein. Does vendor agree they are not debarred as specified above ? YES AA Initial of Authorized Company Official Federal Rule (9) Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONSPursuant to Federal Rule (9) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term and after the awarded term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies to the terms included or referenced in Federal Rule 9 above. Unless prohibited Does vendor certify to the provisions in Federal Rule (9) above? YES AA_ Initial of Authorized Company Official Federal Rule (10) 2 CFR 200.233 Retention of all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Pursuant to Federal Rule (10) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that the awarded vendor retain all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Does vendor agree? YES _AA Initial of Authorized Company Official Federal statutes or regulations, Recipient may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis. Rule (11) 2 CFR §200.208200.322 Procurement of recovered materials. Submission may be required more frequently if Subrecipient fails to meet A non-Federal entity that is a requirement state agency or agency of a political subdivision of a state and its contractors must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. [78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014] Pursuant to Federal awardRule (11) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor will be in compliance with mandatory standards and policies relating to Procurement of recovered materials which are listed above. Subrecipient shall certify Does vendor agree they will comply? YES AA Initial of Authorized Company Official Company Name DEMLAN SOLUTIONS, INC. Print name of authorized representative Xxx Xxxxxxxx Signature of authorized representative Date 07/13/2016 Signature above acknowledges all provisions in writing this four page document and the vendor/proposer/bidder responses herein to the 11 rules. SUSPENSION OR DEBARMENT CERTIFICATE Non-Federal entities are prohibited from contracting with or making sub-awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement for goods or services equal to or in excess of $25,000.00. Contractors receiving individual awards for $25,000.00 or more and all sub-recipients must certify that the organization and its principals are not suspended or debarred. By submitting this offer and signing this certificate, this bidder: Certifies that no suspension or disbarment is in place, which would preclude receiving a federally funded contract under the XXXXX, §200.212 Suspension and debarment. Vendor Name: Vendor Address: DEMLAN SOLUTIONS, INC. 0000 Xxxxxxxxxx Xxxxx Xx Xxxxx 000, Xxxx Xxxxx, XX 00000 Vendor E-mail Address: Vendor Telephone: xxxx@xxxxxxxxxxxxxxx.xxx / xxx@xxxxxxxxxxxxxxx.xxx 0-000-000-0000 / 0-000-000-0000 Authorized Company Official’s Name: Xxx Xxxxxxxx Signature of Company Official: Date: 07/13/2016 FELONY CONVICTION NOTICE Statutory citation covering notification of criminal history of contractor is found in the Texas Education Code #44.034. Following is an example of a felony conviction notice: State at of Texas Legislative Senate Bill No. 1, Section 44.034, Notification of Criminal History, Subsection (a), states “a person or business entity that enters into a contract with a school district must give advance notice to the end district if the person or an owner or operator of the Award business entity has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony.” Subsection (b) states “a school district may terminate a contract with a person or business entity if the district determines that the project person or activity was completed business entity failed to give notice as required by Subsection (a) or misrepresented the level conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of effort was expended. 2 CFR §200.201(3). If the required level contract.” THIS NOTICE IS NOT REQUIRED OF A PUBLICLY-HELD CORPORATION Complete only one of activity the three below: A or effort was not carried outB or C. I, the amount undersigned agent for the firm named below, certify that the information concerning notification of felony convictions has been reviewed by me and the Award must be adjusted.following information furnished is true to the best of my knowledge. Xxx Xxxxxxxx Official:

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Pursuant to Federal Rule (F) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror agrees to comply with all applicable requirements as referenced in Federal Rule (F) above. Does offeror agree? YES MRM Initials of Authorized Representative of offeror (G) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. —Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-non- Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1251- 1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA)) Pursuant to Federal Rule (G) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term of an award for all contracts by Participating Agency member resulting from this procurement process, the offeror agrees to comply with all applicable requirements as referenced in Federal Rule (G) above. Does offeror agree? YES MRM Initials of Authorized Representative of offeror (H) Debarment and Suspension (Executive Orders 12549 and 12689). A 12689)—A contract award (see 2 CFR 180.220) must not be made to parties listed on the government wide exclusions in the System for Award Management (XXX), in accordance with the OMB Executive Office of the President Office of Management and Budget (OMB) guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Pursuant to Federal Rule (H) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror certifies that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any federal department or agency. If at any time during the term of an award the offeror or its principals becomes debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any federal department or agency, the offeror will notify the Participating Agency. Does offeror agree? YES MRM Initials of Authorized Representative of offeror (I) Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONS. Unless prohibited Pursuant to Federal Rule (I) above, when federal funds are expended by Federal statutes or regulationsParticipating Agency, Recipient may require Subrecipient to submit certifications the offeror certifies that during the term and representations required after the awarded term of an award for all contracts by Federal statutes or regulations on an annual basis. 2 CFR §200.208. Submission may be required more frequently if Subrecipient fails to meet a requirement Participating Agency resulting from this procurement process, the offeror certifies that it is in compliance with all applicable provisions of the Federal award. Subrecipient shall certify in writing to the State at the end of the Award that the project or activity was completed or the level of effort was expended. 2 CFR §200.201(3Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). If the required level of activity or effort was not carried out, the amount of the Award must be adjusted.The undersigned further certifies that:

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Pursuant to Federal Rule (6) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. Does vendor agree? YES Initial of Authorized Company Official Federal Rule (7) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1251- 1387), as amended. —Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Pursuant to Federal Rule (7) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires that the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting from this procurement process the vendor agrees to the terms listed and referenced therein. Does vendor agree? YES Initial of Authorized Company Official Federal Rule (8) Debarment and Suspension (Executive Orders 12549 and 12689). A 12689)—A contract award $25,000 or greater (see 2 CFR 180.220) must not be made to parties listed on the government wide governmentwide exclusions in the System for Award Management (XXX), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Pursuant to Federal Rule (8) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies that they are not debarred from receiving a contract from the federal government as provided therein. Does vendor agree they are not debarred as specified above ? YES Initial of Authorized Company Official Federal Rule (9) Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONSPursuant to Federal Rule (9) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that during the term and after the awarded term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor certifies to the terms included or referenced in Federal Rule 9 above. Unless prohibited Does vendor certify to the provisions in Federal Rule (9) above? YES Initial of Authorized Company Official Federal Rule (10) 2 CFR 200.233 Retention of all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Pursuant to Federal Rule (10) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires the proposer certify that the awarded vendor retain all required records for three years after grantees or subgrantees make final payments and all other pending matters are closed. Does vendor agree? YES Initial of Authorized Company Official Federal statutes or regulationsRule (11) Mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, Recipient may require Subrecipient 89 Stat. 871). Pursuant to submit certifications Federal Rule (12) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor will be in compliance with mandatory standards and representations required by policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, 89 Stat. 871). Does vendor agree? YES Initial of Authorized Company Official Federal statutes or regulations on an annual basis. Rule (12) 2 CFR §200.208200.322 Procurement of recovered materials. Submission may be required more frequently if Subrecipient fails to meet A non-Federal entity that is a requirement state agency or agency of a political subdivision of a state and its contractors must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. [78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014] Pursuant to Federal awardRule (12) above, when federal funds are expended by TIPS OR ITS MEMBERS, TIPS OR ITS MEMBERS requires proposer certify that during the term of an award by the TIPS OR ITS MEMBERS resulting for this procurement process the vendor will be in compliance with mandatory standards and policies relating to Procurement of recovered materials which are listed above. Subrecipient shall Does vendor agree they will comply? YES Initial of Authorized Company Official Company Name Blades Group LLC, DBA ROAD RESCUE ASPHALT PATCH Print name of authorized representative Xxxxxx Xxxxxx Signature of authorized representative Date 10/08/2015 Signature above acknowledges all provisions in this four page document and the vendor/proposer/bidder responses herein to the 12 rules. SUSPENSION OR DEBARMENT CERTIFICATE Non-Federal entities are prohibited from contracting with or making sub-awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement for goods or services equal to or in excess of $25,000.00. Contractors receiving individual awards for $25,000.00 or more and all sub-recipients must certify that the organization and its principals are not suspended or debarred. By submitting this offer and signing this certificate, this bidder: Certifies that no suspension or disbarment is in place, which would preclude receiving a federally funded contract under the XXXXX, §200.212 Suspension and debarment. Vendor Name: BLADES GROUP LLC, DBA ROAD RESCUE ASPHALT PATCH Vendor Address: 0000 XX 000, XXXXXX, XX 00000 Vendor E-mail Address: XXXX@XXXXXXXXXXXXXXXXX.XXX Vendor Telephone: (000) 000-0000 Authorized Company Official’s Name: XXXXXX XXXXXX Signature of Company Official: Date: 10/07/2015 References ** Must have at least 3 References. References must be School, City, County, University, State Agency or Other Government. Organization City State Contact Name Contact Phone Hill County Precinct 1 Hill County Texas Xxxxx Xxxxxxx 254.874.5435 San Patricio County San Patricio County Texas Xxxx Xxxxxxx 000-000-0000 State of Idaho Boise Idaho Xxxxxxx Xxxx 000-000-0000 BLADES GROUP LLC, DBA ROAD RESCUE ASPHALT PATCH WARRANTY Road Rescue® warrants this product to be merchantable quality when used or applied in accordance with the instructions hereon. This product is not warranted as suitable for any purpose or use other than the general purpose for which it is intended. Liability under this warranty is LIMITED to the replacement of this product (as purchased) if found to be defective or at the company’s prerogative to refund the purchase price. In the event of a claim under this warranty, notice must be given to Road Rescue® in writing to at: Road Rescue®; 2858 XX 000; Xxxxxx, XX 00000. THIS WARRANY IS ISSUED AND ACCEPTED IN LIEU OF ALL OTHER EXPRESSED WARRANTIES AND EXPRESSLY EXCLUDES LIABILITY FOR CONSEQUENTIAL DAMAGES. RESIDENTIAL/COMMERCIAL GRADE ASPHALT PATCH PRODUCT DESCRIPTION & USE Road Rescue® Asphalt Patch is a naturally occurring asphalt material packaged for the State at the end purpose of the Award that the project or activity was completed or the level of effort was expended. 2 CFR §200.201(3permanently patching damaged areas in asphalt surfaces (driveways, parking lots, and roads). If By following three simple application steps, Road Rescue® can be applied in hot and cold, wet or dry conditions with no mixing required and is ready for traffic immediately. SIZE & YIELD • 50 lb. (22.7 kg) bags • Each 50 lb. (22.7 kg) bag when properly compacted and will cover an area of approximately 7 Ft2 (0.65 m2) when placed at a thickness of 1" (25.4 mm). APPLICATION • Sweep the required level area to be filled to remove all loose debris. • Fill the hole with Road Rescue® Asphalt Patch to a height of activity ½ inch above the surrounding pavement surface. • Either tamp or effort was not carried out, drive over Road Rescue® Asphalt Patch to compact it into the amount of the Award hole. Repairs over 1 square foot and 2 inches deep must be adjustedapplied in 2 inch layers until desired grade is achieved, packing down each layer before applying the next. Once the desired grade is achieved you may immediately open the area to traffic. Allow 30 days to cure before applying a sealer. If product has become compacted in the bag, you can break it apart by dropping the bag from 12 to 18 inches off the ground. Repeat if necessary. Use a shovel or hand trowel to further break apart compacted material. SHELF LIFE One year provided the bag is not opened resulting in the product being exposed to air. Road Rescue® packaging is UV resistant, allowing the product to be stored outdoors.

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Pursuant to Federal Rule (F) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror agrees to comply with all applicable requirements as referenced in Federal Rule (F) above. Does offeror agree? YES SB Initials of Authorized Representative of offeror (G) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. —Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-non- Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1251- 1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Debarment and Suspension ) Pursuant to Federal Rule (Executive Orders 12549 and 12689). A contract award (see 2 CFR 180.220G) must not be made to parties listed on above, when federal funds are expended by Participating Agency, the government wide exclusions in offeror certifies that during the System for Award Management (XXX), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names term of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a all contracts by Participating Agency member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded resulting from tier to tier up to the non-Federal award. CERTIFICATIONS. Unless prohibited by Federal statutes or regulations, Recipient may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis. 2 CFR §200.208. Submission may be required more frequently if Subrecipient fails to meet a requirement of the Federal award. Subrecipient shall certify in writing to the State at the end of the Award that the project or activity was completed or the level of effort was expended. 2 CFR §200.201(3). If the required level of activity or effort was not carried outthis procurement process, the amount offeror agrees to comply with all applicable requirements as referenced in Federal Rule (G) above. Does offeror agree? YES SB Initials of the Award must be adjusted.Authorized Representative of offeror

Rights to Inventions Made Under a Contract or Agreement. If the Federal Award award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and Subrecipient the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” Subrecipient the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency. Pursuant to Federal Rule (F) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror agrees to comply with all applicable requirements as referenced in Federal Rule (F) above. Does offeror agree? YES CP Initials of Authorized Representative of offeror (G) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. —Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-non- Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1251- 1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA)) Pursuant to Federal Rule (G) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term of an award for all contracts by Participating Agency member resulting from this procurement process, the offeror agrees to comply with all applicable requirements as referenced in Federal Rule (G) above. Does offeror agree? YES CP Initials of Authorized Representative of offeror (H) Debarment and Suspension (Executive Orders 12549 and 12689). A 12689)—A contract award (see 2 CFR 180.220) must not be made to parties listed on the government wide exclusions in the System for Award Management (XXX), in accordance with the OMB Executive Office of the President Office of Management and Budget (OMB) guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” XXX Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. Pursuant to Federal Rule (H) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror certifies that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any federal department or agency. If at any time during the term of an award the offeror or its principals becomes debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any federal department or agency, the offeror will notify the Participating Agency. Does offeror agree? YES CP Initials of Authorized Representative of offeror (I) Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award. CERTIFICATIONS. Unless prohibited Pursuant to Federal Rule (I) above, when federal funds are expended by Federal statutes or regulationsParticipating Agency, Recipient may require Subrecipient to submit certifications the offeror certifies that during the term and representations required after the awarded term of an award for all contracts by Federal statutes or regulations on an annual basis. 2 CFR §200.208. Submission may be required more frequently if Subrecipient fails to meet a requirement Participating Agency resulting from this procurement process, the offeror certifies that it is in compliance with all applicable provisions of the Federal award. Subrecipient shall certify in writing to the State at the end of the Award that the project or activity was completed or the level of effort was expended. 2 CFR §200.201(3Xxxx Anti-Lobbying Amendment (31 U.S.C. 1352). If the required level of activity or effort was not carried out, the amount of the Award must be adjusted.The undersigned further certifies that: