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A TRUE COPY
<br />CERTIFICATION ON LAST PAGE—
<br />RYAN
<br />AGERYAN L. BUTLER, CLERK
<br />FWC Agreement No. 24086
<br />A. Disclosure of Interested State Employees.
<br />This Agreement is subject to Chapter 112, F.S. Recipient shall provide the name of any officer,
<br />director, employee, or other agent who is affiliated with this project and an employee of the State
<br />of Florida. If the Agreement includes a Federal award, then the Agreement is also subject to
<br />Section 200.112, OMB Uniform Guidance (2 CFR 200). Recipient must disclose, in writing, any
<br />potential conflict of interest to the Commission in accordance with applicable Federal awarding
<br />agency policy.
<br />B. Convicted Vendors.
<br />The Recipient hereby certifies that neither it, nor any person or affiliate of Recipient, has been
<br />convicted of a Public Entity Crime as defined in section 287.133, F.S., nor placed on the convicted
<br />vendor list. Recipient shall have a continuing obligation to disclose, to the Commission, in writing,
<br />if it, its principals, recipient, subrecipient, contractor, or subcontractor, are on the convicted
<br />vendors list maintained by the Florida Department of Management Services pursuant to Section
<br />287.133(3)(d), F.S.
<br />Convicted Vendor List. Pursuant to Subsection 287.133(2)(a), F.S., a person or affiliate
<br />who has been placed on the convicted vendor list following a conviction for a public entity
<br />crime may not be awarded or perform work as a Recipient, supplier, subcontractor or
<br />consultant under a contract with any public entity and may not transact business with any
<br />public entity in excess of the threshold amount provided in Section 287.017, F.S., for
<br />Category Two for a period of thirty-six (36) months from the date of being placed on the
<br />convicted vendor list. The State of Florida, Department of Management Services, Division
<br />of State Purchasing provides listings for convicted, suspended, discriminatory and federal
<br />excluded parties, as well as the vendor complaint list at:
<br />https://www.dms.mvflorida.com/business operations/state purchasing/state agency resour
<br />ces/vendor registration and vendor lists
<br />ii. Notice of Conviction of Public Entity Crime. Any person must notify the Department of
<br />Management Services and the Commission, in writing, within thirty (30) days after
<br />conviction of a public entity crime applicable to that person or an affiliate of that person as
<br />defined in Section 287.133, F.S.
<br />iii. Vendors on Scrutinized Companies List. The Recipient certifies that it and any of its
<br />affiliates are not scrutinized companies as identified in Section 287.135, F.S. In addition,
<br />the Recipient agrees to observe the requirements of Section 287.135, F.S., for applicable
<br />sub -agreements entered into for the performance of work under this Agreement. Pursuant to
<br />Section 287.135, F.S., the Commission may immediately terminate this Agreement for
<br />cause if the Recipient, its affiliates, or its subcontractors are found to have submitted a false
<br />certification; or if the Recipient, its affiliates, or its subcontractors are placed on any
<br />applicable scrutinized companies list or engaged in prohibited contracting activity during
<br />Recipient/Subrecipient Agreement Last Revised: 3.20.2023 Page 15 of 34
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