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525-010-44 SPECIFICATIONS 8 ESTIMATES 08/14 Page 3 of 6 Requirement Reference Local Agency Responsibilities District Monitoring Responsibilities Review bid document for inclusion of the provision Requirement Location Supplimental Condi ons SC 6 02 page 00800-5 10 E -Verify Florida Governor's Executive Order 11- 116 - Include the E -verify special provision, FDOT Standard Specifications 7-28 11 Equal Employment Opportunity 23 CFR 230 Include FDOT's Standard Specification 0073000 Legal Requirements And Responsibility To The Public — Title VI Assurance — DOT 1050.2, endix A. Review bid document for inclusion of this provision Bid Document Page 09470-1 through 00470-8, Appendix "C" pages 2X3 A, Py{;n ,i i :..1k , Appendix "C" page 23 #28-2 12. Equipment Rental Rates 23 CFR 635 120 48 CFR 31 Develop procedure based on 48 CFR 31 and include in bid document. Review bid document for inclusion of the proper payment provision for rental equipment 13. FHWA Form 1273 23 CFR 633 Must be included verbatim in all contracts and subcontracts Acceptable versions can be obtained at: www dot.state fl.us/specificationsoffice/Implemented/URLi nSpecs/files/df1273.pdf or http://www.fhwa.dot.gov/programadmin/contracts/1273.pdf Review final contracts for inclusion of FHWA Form 1273 Appen "D" 14 Foreign Contractor and Supplier Restriction 49 CFR 30 Proposal may not limit project to domestic -owned contractors only Proposal may not include the Florida orders on business with Syria, Cuba, Iran, and Sudan Develop procedure based on 23 CFR 635 127 and include in bid document (if Local Agency elects to use Incentive/ Disincentive) May use Section 1.2.7 of FDOT CPAM as a guide in this development. Review documents to ensure compliance Review bid document to ensure procedure was followed, if Local Agency elects to use Incentive/ Disincentive _ Not Applicable Not used - Not included i . bid/contract documents 15. Incentive/ Disincentive Clauses 23 CFR 635 127(d,f) 16. Indian Preference on Federal -Aid Projects (Labor & Employment) 23 CFR 635 117 If utilized, ensure FDOT obtains FHWA approval of provision complying with 23 CFR 635 117 Verify provisions meet federal requirements Not Applicable J 17 Liquidated Damages 23 CFR 635 127 Develop rates based on 23 CFR 635 127 and include in contract provisions Local Agency may use FDOT standard spec 8-10.2. Ensure that rates are included in the bid proposal Publi Works Agreement page 0053, Appendix "C" page �2 #24 , 18 Lobbying Certification 49 CFR 20 The Local Agency shall include certification in bid documents. Local Agency mase FDOT Form #375-030-33 and #375-030- 34 Certification must be uploaded to LAPIT with final contract package. The LocalAgency needs to certify it does not have State or local hiring preferences. Local preference also cannot be applied in a tie -breaking scenario in the event of identical bids. Review bid document for inclusion of the provision and certifications Review bid document to ensure exclusion of any local hiring preference Bidding Documents 004,14, Appendix "C" /i- / ( ` Appendix "C" page 24 #3,5 1 19 Local/State Hiring Preference 23 CFR 635 117