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HomeMy WebLinkAboutRESPONSE - BID - 5865 FIBER OPTIC CABLE SINGLE MODE (17)Bid #5865
Addendum #2
BID SCHEDULE
100,000 Ft. of 48 strand fiber optic cable delivered to Fort Collins, Colorado.
$ 4'O /Ft. X 100,000 Ft = $ 90o00 -" Total
Mfr. ii�Rcante�RDG Mfr. # Q04V L-TS ONAOILD
Delivery in weeks: 41 WEEKS
This bid meets or exceeds the specifications? YES � NO
FIRM NAME MAYA T LBd4rn ZNc.
Are you a Corporation, Partnership, DBA, LLC, or PC
SIGNATURE�� G._ ZZAL ! R. C ICero
ADDRESS vZ TS PafmgFeLA 131,410 . '5L),Ye /oo
r—Axe /»Aicv , 93 FL_ 3 Z 7 V
PHONE/FAX # 40?- 80 q- Tr7-7 / zf07- 80y - 4 is 8
RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT
ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN
RECEIVED.
Attachment 4
Certification Regarding Lobbying
Certification for Contracts, Grants, Loans, and Cooperative Agreements
(To be submitted with each bid or offer exceeding $100,000)
The undersigned [Contractor] certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funs have been paid or will be paid, by or on behalf of the undersigned, to
any person for influencing or attempting to influence an officer or employee of an agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection
with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal
loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) if any funs other than Federal appropriated funds have been paid or will be paid to any person for
making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or
employee of Congress, or an employee of a Member of Congress in connection with this Federal
contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit
Standard Form--LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions
[as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg.
1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with
Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65, to be codified at 2 U.S.C. 1601,
et seq .)]
(3) The undersigned shall require that the language of this certification be included in the
award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts
under grants, loans, and cooperative agreements) and that all subrecipients shall certify and
disclose accordingly. This certification is a material representation of fact upon which reliance
was placed when this transaction was made or entered into. Submission of this certification is a
prerequisite for making or entering into this transaction imposed by 31, U.S.C.0 1352 (as amended by
the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
[Note: Pursuant to 31 U.S.C.1352(c)(1)-(2XA), any person who makes a prohibited expenditure or fails
to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less
than $10,000 and not more than $100,000 for each such expenditure or failure.]
The Contractor, MAYA TeL-6C orn TM C • , certifies or affirms the
Truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the
Contractor understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this
tlo and yjiscl sug rq, if any.
Cam— Signature of Contractor's Authorized Official
ro(4W (l • CrCefb /►1EWAgedVame and Title of Contractor's Authorized Official
UXIE oZOo/ Date
Page 6
All -Dielectric
Outdoor
Loose Tube Cables
2-288 Fibers
KRONE's line of outdoor all -dielectric loose tube cables are designed to meet all the
rigors of the outside plant environment. The cable core is protected from moisture with a
water swellabie tape, eliminating the need for a filling compound. Terminations require
less effort making the installation easier.
PE Outer Jacket
3.0mm (0.121n) Buller Tube
Aramid Yarn Strength Member
250pM UV Colored Optical Fiber
Central Stangth Member
Water Swellable Tape and Binder
Ripcord
OPTICAL PERFORMANCE
Maximum
Typical Guwmt&od Gigabit 10 Gigabit
•YYY Attenuations
Attenuations Bandwidth Etitenet Ethernet
Link Length Link Length
SINGLEMODE
131011550nm
13101155onm
I
SX WA
LX4" 10
I
010
N/A
km
1.011.0 dblkm
0.410.3 dbilun
LX 5000 m
ER 40
Ion
MULTIMODE
850/1300nm
85011300nm
850/1300nm
SX 550 m
SR 69
050
tm
3.511.5 dblktd
2.8/0.9 dblkm
500/500 MHz'km
LX 550 m
LX4 300
m
850/1300nm
850M300nm
85011300nm
SX 600 m
SR
50E
86m
3.5/1.5 db/km
2.810.9 db/km
500•I500 MHz•km
LX 2000 m
LX4 300
m
850/1m 300n
850M300nm
85011300nm
SX 600 m
SR 300
50U
tm
3.5M.5 dblkm
2.5/0.9 dblkm
2000"/500 MHz`km
LX 2000 m
LX4 300
m
850M300nm
950M300nm
85011300nm
SX 300 m
SR 28
062
3.511.5 db/km
2.710.8 dbAtm
200/500 MHekm
LX 600 m
In 300
m
8SW1300nm
85011300nm
850/1300nm
SX 500 m
SR 35
62E
3.5/1.5 db/km
2.7/0.8 dbAtm
20V1500 Mhz'km
LX 1000 m
LX4 300
In
Phone: (802) 442- 5411 KEVLAR Is a re&Wed tradem * of tre DuPont Co.
K R 4 N E Fax: (802) 447- 3845 KRONE OP" Systems reserves the right to modty tb
Web: www.krone.com °DPI"`°""" a our P °°"a. """'°'a w'°' "°""�a"°"•
All -Dielectric
Outdoor
Loose Tube Cables
2-288 Fibers
MECHANICAL & ENVIRONMENTAL•-.
Storage Temperature C (F) -40 to +75 (-40 to +167)
Operating Temperature C (F) -40 to +70 (40 to +158)
Installation Temperature C (F) -30 to +60 (-22 to +140)
PART
NUMBER
SELECTION
Numper er
Weight
Minimum Bend Radius
Maximum Pulling Load
Loaded
Installed
Short
Term
Lonj
1 Tenn
in
Kglkm
lb/1000ft
cm
in
cm
in
N
Ibf
N
Ibf
TSD
6
94
63
23.4
9.2
11.7
4.6
2700
607
aw
180
t
107
72
25.4
10.0
12.7
6.0
2700
607
800
180
1 rn
141
95
29.4
11.5
14.7
5.8
2700
607
800
180
66
176
118
33.6
13.2
16.8
6.6
2700
607
800
180
145
37.8
14.8
18.9
7.4
2700
607
800
180
98. 4
216
:18.9 jff4
228
153
37.8
14.8
18.9
7.4
2700
607
800
180
1rYj�"
; 21 &
315
211
43.8
17.2
21.9
8.6
2700
607
800
180
fiber designator from the optical performance table.
KRONE Phone: (802) 442- 5411 KEVIAR a registered trademark of Me DuPont
Fax: (802) 447- 3845 KRONE optical System. Inc reserves the right to modify #w
Web: www.krone.com e°eeni`a"°"aaour products without prior "ou"`a"°".
Bid #5865
Addendum #2
BID SCHEDULE
100,000 Ft. of 48 strand fiber optic cable delivered to Fort Collins, Colorado.
$ PTO 4. /Ft. X 100,000 Ft = $ 90,MO -O' Total
Mfr. l gNalADG Mfr. #LTS MAOl0
If
Delivery in weeks: WEEKS
This bid meets or exceeds the specifications? YES � NO
FIRM NAME MAMA -r64.EC&-n rmr—
Are you a Corporation, Partnership, DBA, LLC, or PC
C4
ADDRESS ITS t%MC w i34d0. 5w�te /oo
C-i4KE /Y>AAV i AP FL 37-7V &
PHONE/FAX # 4f0?-- goal SS77 Z elo7- FO if - 9 fa 8
RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT
ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN
RECEIVED.
Attachment 1
BUY AMERICA REQUIREMENTS 49 U.S.C. 5323(D - 49 CFR Part 661
Certification requirement for procurement of steel, iron, or manufactured products.
Certificale of Compliance with 49 U.S.C. 532V(1)
The bidder or offeror hereby certifies that it will meet the requirements of 49 U.S.C. 5323(jx1)
and the applicable regulations in 49 CFR Part 661.
Date S mE oZ-;L , cP= 4
Company Name /��4 4�A I Et�ECoin �ivc f'Y1i no,-:-4, Ownee( f3��irxsi
Title b651GAl, 6Af&1AlE64ZtN ,afla SALes / Atj#qe
.06K,
Page 28
Attachment 1
BUY AMERICA REQUIREMENTS 49 U.S.C. 53230) - 49 CFR Part 661
A bidder or offeror must submit to the FTA recipient the appropriate Buy America certification with ail
Bids on FTA-funded contracts, except those subject to a general waiver. Bids or offers that are not
accompanied by a completed Buy America certification must be rejected as nonresponsive. This
requirement does riot apply to lower tier subcontractors.
Certification requirement for procurement of steel. Iron, or manufactured products.
CWMC&te of Non-Compilance with 49 U.S.C. 5323(tx1)
The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C.
5323(jx1), but it may qualify for an exception pursuant to 49 U.S.C. 5323Qx2XB) or QX2XD) and the
regulations in 49 CFR 661.7.
L=
Sigru
Company Name _M AVA 7 LBcon-% ZNc.: MLAS
rme 7�651cyN, AOb 54465 ^24r*&Ejz.
Page 29
Attachment 1
CERTIFICATION REQUIREMENT FOR PROCUREMENT OF BUSES,
OTHER ROLUNG STOCK AND ASSOCIATED EQUIPMENT
CERTIFICATE OF COMPLIANCE WITH 49 U S.0 5323(.n(2)(Q
The bidder or offeror hereby certifies that it will comply with the requirements of 49 U.S.C.
5323(jX2XC) and the regulations at 49 CFR Part 661.
Date Z�L)I.IE Z Z a Zon c f
Signature
Company Name
Title b5--5.(CAJ. f:J1:Co/e/ Feln/ Ai'1D 'SA F,S i»RNA&EK
Page 1
Attachment 1
CERTIFICATION REQUIREMENT FOR PROCUREMENT OF BUSES,
OTHER ROLLING STOCK AND ASSOCIATED EQUIPMENT
CER77RCATE OF COMPLIANCE WITH 49 U.S.0 5323(n(2)(C)
The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C.
5323OX2XC), but may qualify for an exception pursuant to 49 U.S.C. 5323Qx2XB) or GX2XD)
and the regulations in 49 CFR 661.7.
Date % 0X(E Z2
Signature
Company Name %%1A Yr9 -79L-ec,, r ryG rn I
Title lUAIG Arl'D 7RLE5 />14R!/4 . ice
Page 2
CERTIFICATION OF COMPLIANCE MtITH FTA'S BUS TESTING REQUIRMENT
The undersigned [Contractor/Manufacturer] certifies that the vehicle offered in this procurement
with 49 U.S.C. A 5323(c) and FTA's implementing regulation at 49 CFR Part 665.
The undersigned understands that misrepresenting the testing status of a vehicle acquired with
Federal financial assistance may subject the undersigned to civil penalties as outlined in the
Department of Transportation's regulation on Program Fraud Civil Remedies, 49 CFR Part 31.
In addition, the undersigned understands that FTA may suspend or debar a manufacturer under
the procedures in 49 CFR Part 29.
Date
Sigrs
Company Name A AVA -79t z Conte TAx, MA
Title 115516W 441> Soft-Cs,VA 2
Page 3
ATTACHMENT 3
BUY AMERICA CERTIFICATE OF COMPLIANCE WITH FTA REQUIREMENTS FOR BUSES,
OTHER ROLLING STOCK, OR ASSOCIATED EQUIPMENT
(To be submitted with a bid or offer exceeding the small purchase threshold for Federal
assistance progrernA currently set at $100, 000.)
Certificate of Compliance
The bidder hereby certifies that it will comply with the requirements of 49 U.S.C. Section
5323(jx2XC), Section 165(bx3) of the Surface Transportation Assistance Act of 1982, as
amended, and the regulations of 49 C.F.R. 661.11:
Date—, 3MG
Signature 2 ems—� 1-014A.1 I?.l't�.�r,-�
Company Name ! ' IAYA 7ELECnn., JIe, MRIE
Title DE5160J f ENCaiA/C,64Z 1 VG AA7D 1544,=-
.5 10'lAlOv4 6F.lt
Page 4
MAYA TELECOM INC.
John Cicero
255 Primera Blvd.
Suite 100
Lake Mary, FL 32746
(407) 804-5577 ext. 223
(407) 804-9128 Fax
(407) 970-0894 Cell
John Stephen,
We acknowledge that we have received the addendum no.2 for Fiber Optic Cable, Single
Mode.
We would also like to acknowledge that we have received addendum no.1 from the
Purchasing Department on Administrative Services.
Thank you,
?ohn Cicero
ATTACHMENT 3
BUY AMERICA CERTIFICATE OF COMPLIANCE WITH FTA REQUIREMENTS FOR BUSES,
OTHER ROLLING STOCK, OR ASSOCIATED EQUIPMENT
(To be submitted with a bid or offer exceeding the small purchase threshold for Federal
assistance programs, currently set at $100,000)
CERTIFICATE OF NON-COMPLIANCE
The bidder hereby certifies that it cannot comply with the requirements of 49 U.S.C. Section
5323(jX2XC) and Section 165(bX3) of the Surface Transportation Assistance Act of 1982, as
amended, but may qualify for an exception to the requirements consistent with 49 U.S.C.
Sections 5323QX2XB) or GX2XD). Sections 165(bX2) or (bX4) of the Surface Transportation
Assistance Act, as amended, and regulations In 49 C.F.R. 661.7.
Date
SignE
. • - L �� iuhry
Title
Page 5
Attachment 4
Certification Regarding Lobbying
Certification for Contracts, Grants, Loans, and Cooperative Agreements
(To be submrfted with each bid or offer exceeding $100,000)
The undersigned [Contractor] certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to
any person for influencing or attempting to influence an officer or employee of an agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection
with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal
loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal contract, grant, loan, or cooperative agreement
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or
employee of Congress, or an employee of a Member of Congress in connection with this Federal
contract, grant, ban, or cooperative agreement, the undersigned shall complete and submit
Standard Form--LLL, "Disclosure Form to Report Lobbying; in accordance with its instructions
[as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg.
1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with
Section 10 of the Lobbying Disclosure Ad of 1995 (P.L 104-65, to be codified at 2 U.S.C. 1601,
et seq.)]
(3) The undersigned shall require that the language of this certification be included in the
award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts
under grants, bans, and cooperative agreements) and that all subrecipients shall certify and
disclose accordingly. This certification is a material representation of fad upon which reliance
was placed when this tiansaction was made or entered into. Submission of this certification is a
prerequisite for making or entering into this transaction imposed by 31, U.S.C.01352 (as amended by
the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
[Note: Pursuant to 31 U.S.C.1352(cx1 )42XA), any person who makes a prohibited expenditure or fails
to file or amend a required certification or disclosure form shall be subject to a civil penalty of rat less
than $10,000 and not more than $100,000 for each such expenditure or failure.]
The Contractor, MAMA TeL,6C ovn 2N C • certifies or affirms the
Truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the
Contractor understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this
c�rtrf_rFatioA and;tcigsurq, if any.
( Jd->� � _ - Signature of Contractor's Authorized Official
VoW W. Ctli� b6 4 5 MA+Wtg4Vame and Title of Contractor's Authorized Official
ZYL't lE ;,tow/ Date
Page 6
All -Dielectric
Outdoor
Loose Tube Cables
2-288 Fibers
KRONE's line of outdoor all -dielectric loose tube cables are designed to meet all the
rigors of the outside plant environment. The cable core is protected from moisture with a
water swellable tape, eliminating the need for a filling compound. Terminations require
less effort making the installation easier.
• Phone: (802) 442- 5411 KEVLAR Is a registered trademark of the DuPont Co.
:•:•: K R N E Fax: (802) 447- 3845 KRONE Optical Systems, Inc reserves the right to modify the
• Web: www.kron@.COm specifications of our products without prior notification.
All -Dielectric
Outdoor
Loose Tube Cables
2-288 Fibers
MECHANICAL-eNMENTAL
CHARACTERISTICS
-40 to +75 (40 to +167)
Storage Temperature
C (F)
Operating Temperature
C (F)
-40 to +70 (40 to +158)
Installation Temperature
C (F)
-30 to +60 (-22 to +140)
.,.
NUMBERSELECTION
Minimum Bend Radius
Maximum Pulling Load
P" Number
01am@ter
Weight
Loaded
Installed
Short Term
Long
Term
mm m
in
Kg/km
Ib11000111
cm
In
cm
in
N
Ibf
N
IV
`t
CTSDNAYY,Y'
11.
46
94
63
23.4
9.2
11.7
4.6
1 2700
607
800
180
GTSpNAYYY'
12.7 *'
50
107
72
25.4
10.0
12.7
5.0
2700
607
800
180
YYY'
14.71 't7 8
141
95
29.4
11.5
14.7
5.8
2700
607
800
180
YYY'
16.811, 6
178
118
33.6
13.2
16.8
6.6
2700
607
800
180
YYY'
18.9 Q' 4
216
145
37.8
14.8
18.9
7.4
2700
607
800
180
NAYYY`
18.9 4
228
153
37.8
14.8
18.9
7.4
2700
607
800
180
DNAYYY'
21.9 6
315
211
43.8
17.2
21.9
8.6
2700
607
800
180
fiber designator from the optical performance table.
Phone: (802) 442- 5411 KEVLAR Is a registered trademark of the DuPont Co.
• ::�::� KRONE Fax: (802) 447- 3845 KRONE Optical Systems, Inc reserves the right to modify the
Web:1NWW.krone.com specifications ofour products without prior notification.
Attachment 1
BUY AMERICA REQUIREMENTS -49 U.S.C. 53230) - 49 CFR Part 661
Certification requirement for procurement of steel, iron, or manufactured products.
Certificate of Compliance with 49 U.S.C. 53236)(1)
The bidder or offeror hereby certifies that it will meet the requirements of 49 U.S.C. 53230X1)
and the applicable regulations in 49 CFR Part 661.
Date SNg oZo1, A=4
Company Name �L6CDin c iYli,nor:-k, ()Wr+ea( 309inest.
Title L6st od, 6icl&tA1664Z1AJC-a AnD SAL-£S MAA164669,
Page 28
Attachment 1
BUY AMERICA REQUIREMENTS -49 U.S.C. 53230) - 49 CFR Part 661
A bidder or offeror must submit to the FTA recipient the appropriate Buy America certification with all
Bids on FTA-funded contracts, except those subject to a general waiver. Bids or offers that are not
accompanied by a completed Buy America certification must be rejected as nonresponsive. This
requirement does not apply to lower tier subcontractors.
Certification requirement for procurement of steel, Iron, or manufactured products.
Certificafe of Non -Compliance with 49 U.S.C. 5323(l)(1)
The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C.
5323Qx1), but it may qualify for an exception pursuant to 49 U.S.C. 53230X2XB) or 0)(2)(D) and the
regulations in 49 CFR 661.7.
Date
SignE
Company Name m
sgyA 1 azrecom
ZA/C,
Mit6
Title %)eG/CoAJ.,
f�i�JW#un)f.
owb SALES
1Yz4 1,o&E;m,
Page 29
Attachment 1
CERTIFICATION REQUIREMENT FOR PROCUREMENT OF BUSES,
OTHER ROLLING STOCK AND ASSOCIATED EQUIPMENT
CERTIFICATE OF COMPUANCE WITH 49 U.S.0 5323(J)(2)(C)
The bidder or offeror hereby certifies that it will comply with the requirements of 49 U.S.C.
5323OX2XC) and the regulations at 49 CFR Part 661.
Date -Z�Ul.IE _ Z Z , Zoo q
Signature
Company Name
Title bbSlCOn/, GNG,Ie/ E¢//UG AnD SA[.E3 1Y7A/1A&6r,
Page 1
Attachment 1
CERTIFICATION REQUIREMENT FOR PROCUREMENT OF BUSES,
OTHER ROLLING STOCK AND ASSOCIATED EQUIPMENT
CERTIFICATE OF COMPLIANCE WITH 49 U.S.0 5323(.0(2)(C)
The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C.
53230)(2)(C), but may qualify for an exception pursuant to 49 U.S.C. 5323OX2XB) or 0)(2XD)
and the regulations in 49 CFR 661.7.
Date
Signe
Company Name /,lAYA [WL-EGo.-n riJG Mae
Title_ Sic E�lGInlEE UAIG Aria SAijEs MAkl4CoSPZ
Page 2
Attachment 2
CERTIFICATION OF COMPLIANCE WITH FTXS BUS TESTING REQUIRMENT
The undersigned [Contractor/Manufacturer] certifies that the vehicle offered in this procurement
with 49 U.S.C. A 5323(c) and FTA's implementing regulation at 49 CFR Part 665.
The undersigned understands that misrepresenting the testing status of a vehicle acquired with
Federal financial assistance may subject the undersigned to civil penalties as outlined in the
Department of Transportation's regulation on Program Fraud Civil Remedies, 49 CFR Part 31.
In addition, the undersigned understands that FTA may suspend or debar a manufacturer under
the procedures in 49 CFR Part 29.
Date
Signa
Company Name MA VOR -OLZ --a , mR
Title h65/661 125-AlWkI5EEmn & A-4D SA44S /YI-►n/'A4GE2
Page 3
ATTACHMENT 3
BUY AMERICA CERTIFICATE OF COMPLIANCE WITH FTA REQUIREMENTS FOR BUSES,
OTHER ROLLING STOCK, OR ASSOCIATED EQUIPMENT
(To be submitted with a bid or offer exceeding the small purchase threshold for Federal
assistance programs, currently set at $f 00, 000.)
Certificate of Compliance
The bidder hereby certifies that it will comply with the requirements of 49 U.S.C. Section
5323(j)(2XC), Section 165(bx3) of the Surface Transportation Assistance Act of 1982, as
amended, and the regulations of 49 C.F.R. 661.11:
Date _'76"s ZZ , 7,004
Signature . /G. Lam- ,7 Of4A! K. C I C 4-V
Company Name A YA1 7Q e c onn T tG . M IA E
Title DE91fobU f EAJCPtAJeclZING AmZ> 54465 *,nAvyPa Fm
Page 4
ATTACHMENT
BUY AMERICA CERTIFICATE OF COMPLIANCE WITH FTA REQUIREMENTS FOR BUSES,
OTHER ROLLING STOCK, OR ASSOCIATED EQUIPMENT
(To be submitted with a bid or offer exceeding the small purchase threshold for Federal
assistance programs, currently set at $100,000.)
CERTIFICATE OF NON-COMPLIANCE
The bidder hereby certifies that it cannot comply with the requirements of 49 U.S.C. Section
5323OX2XC) and Section 165(bX3) of the Surface Transportation Assistance Act of 1982, as
amended, but may qualify for an exception to the requirements consistent with 49 U.S.C.
Sections 5323QX2XB) or OX2XD), Sections 165(bX2) or (bX4) of the Surface Transportation
Assistance Act, as amended, and regulations in 49 C.F.R. 661.7.
Date J )gs ZZ , ZONE
Company - - u s:
Title
Page 5