STATEMENT OF QUALIFICATION (SOQ) SUBMISSION REQUIREMENTS ARCHITECT OF RECORD (AOR) AND MAJOR SUBCONSULTANTS

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1 GREATER ORLANDO AVIATION AUTHORITY NOTICE OF PROFESSIONAL SERVICES FOR THE SOUTH TERMINAL C, PHASE 2 W-S00201 ARCHITECT OF RECORD AND MAJOR SUBCONSULTANTS ORLANDO INTERNATIONAL AIRPORT STATEMENT OF QUALIFICATION (SOQ) SUBMISSION REQUIREMENTS ARCHITECT OF RECORD (AOR) AND MAJOR SUBCONSULTANTS For scope of services and information regarding the Pre-Submittal Conference, refer to the Advertisement for subject services, which is available online at the Authority's website: The Authority intends to shortlist and then select an Architect of Record and Major Subconsultants for the Project. The Prime Architectural Design Consultant may be appointed as an advisor to the Authority s Professional Services Committee ( PSC ), which will review the qualifications, interview the shortlisted firms and recommend a ranking to the Authority Board for the selection of the Architect of Record and Major Subconsultants; the selected Architect of Record may also be appointed as a technical advisor to the PSC for the selection of the Major Subconsultants. The Authority intends for the Architect of Record to contract directly with the Major Subconsultants. The anticipated Major Subconsultant categories include, but are not limited to: Structural Engineering; Mechanical and Plumbing (M/P) Engineering; Electrical Engineering; Civil Engineering; and Aviation Ground Support Equipment (GSE) Specialty Engineer. The Architect of Record shall be responsible for identifying and retaining any additional subconsultants it believes are necessary for provision of the Services (such as associate architect, interior design, baggage system, estimating, scheduling, etc.). The Authority reserves the right to revise the structure of the contracting relationships during competitive negotiations. Written inquiries shall be directed to Mr. Mark W. Birkebak, AIA, Director of Engineering, Greater Orlando Aviation Authority at: WS201AOR-MS@goaa.org. Questions regarding the AOR selection received after 5:00 p.m. local time on February 23, 2018, will not be answered. Questions regarding the Major Subconsultant selections received after 5:00 p.m. local time on March 26, 2018, will not be answered. Interested Proposers shall submit twelve (12) printed copies and one (1) electronic PDF version* on compact disk (or single-layer DVD) of a Statement of Qualifications ("SOQ") to the Receptionist Office, Greater Orlando Aviation Authority, 5850-B Cargo Road, Orlando, FL on or before 2:00 p.m. local time on the following dates AOR SOQs - March 6, 2018 Major Subconsultant SOQs - April 3, 2018 Any SOQ received after the time and date stated above will not be considered and will be returned unopened. Page 1 of 12

2 The SOQs shall be submitted in sealed packages clearly labeled, SOQ FOR W-S00201 ARCHITECT OF RECORD FOR STC PHASE 2 or SOQ FOR W-S00201 MAJOR SUBCONSULTANT [Structural Engineering; Mechanical and Plumbing (M/P) Engineering; Electrical Engineering; Civil Engineering; or Aviation Ground Support Equipment (GSE) Specialty Engineer] STC PHASE 2 identifying the applicable subconsultant category. *PDF submission requirements: All documents shall be PDF/A compliant. PDF/A compliant documents have embedded fonts and do not reference external files. Scanned documents shall be created as PDF/A compliant, made text searchable and have a minimum resolution of 300 dpi. Submittals in PDF format shall have navigational bookmarks inserted in lieu of any tabs required in the hard copy. The entire submittal shall not exceed a single layer DVD disc. In cases where there are discrepancies between the PDF and hard copy, the hard copy shall take precedence. SOQs in print form shall include the following: one (1) volume, addressing each numbered subsection below in the order requested, indexed, and clearly identified. The information submitted for Items 1-2 (excluding tabs) shall not exceed 20 one-sided 8 1/2 x11 pages in Arial font with no smaller than 12 pitch font. SOQs that are not in compliance with the requirements may be downgraded accordingly. 1. Proposing Entity Structure - Proposer s Statement of the following: a) The name and address of the legal entity that will contract with the Authority if awarded the Agreement for the Project. b) Name, address, address and telephone/fax numbers of one (1) individual to whom all future correspondence and/or communications will be directed. c) A statement declaring the type of business relationship the Proposer will use (i.e., a single company, joint venture or other form of business relationship to perform the services for the Projects) and whether the entity is currently in existence or whether it will be formed upon award. If the Proposer is a joint venture or partnership, the Qualifying Experience in Section 3 may be satisfied by the joint venture, partnership or any member entity thereof. Please provide a copy of the joint venture or partnership agreement. In addition, the joint venture or partnership must be the proposed policyholder of the insurance required in Section 5 below. Joint Ventures are not preferred. 2. Executive Brief (Project Approach) - Include the following: a) A narrative explanation, outlining Proposer's comprehensive project approach to provide the required Services for the Project. b) A narrative explanation regarding why the Proposer should be selected for the Project, including an overview of the specific experience and expertise of the Proposer and its key personnel in design development and management of a design team for a world-class international airport terminal. Include a summary of all prior experience working together with the proposed joint venture members or partners to a partnership, if applicable. Include a summary of similar projects, highlighting any specific international airport Page 2 of 12

3 terminal expansion or development projects, with particular reference to scope, phasing, construction delivery methods and lessons learned. c) An Organizational Chart of no more than TEN (10) total key personnel for the Proposer and each proposed subconsultant category, and provide resumes showing the experience on similar projects. d) A narrative explanation of the Proposer's ability to perform the Services, including a specific staffing plan, demonstrating that the Proposer has adequate qualified staff to handle the volume of Services on an accelerated schedule. The plan must include a statement of the anticipated workload and capacity of the key personnel over the next three (3) years. Proposers have a continuing obligation to inform the Authority of any proposed key personnel changes. Any change in key personnel proposed for the Project prior to contract execution could result in the Authority re-ranking the Proposers. e) A narrative outlining the Proposer s experience in and approach to incorporating sustainable design principles into the Services, which may include LEED. f) A narrative outlining Proposer s experience in the use of technology, including threedimensional design with clash analysis, on similar Projects, and the lessons learned, if any, of employing such technology on the Services. g) A two (2) page description of the Proposer s quality control program for providing the proposed Services, including the use of technology. Include the proposed method for communication and coordinating with the Authority, its other consultants, the Contractor and other interested governmental agencies. h) A statement describing the services the Proposer will perform in-house and the services the Proposer anticipates to be performed by subconsultants. AOR SOQs should not propose any subconsultants to perform the roles of the Major Subconsultants. i) AOR SOQs must include a statement that the Proposer (1) understands the Prime Architectural Design Consultant may participate in the selection process for the Architect of Record, (2) intends to contract directly with the Authority and will subcontract directly with each of the selected Major Subconsultants, (3) agrees that it will be contractually responsible for all subconsultant work on the Project, including the work performed by the Major Subconsultants and (4) understands the Technology and Multi-Media Systems Specialty Engineer role and will collaborate on all design. Major Subconsultant SOQs must include a statement that the Proposer (1) understands the Prime Architectural Design Consultant and the AOR may participate in the selection process for the Major Subconsultants, (2) understands and agrees that it will enter into a contractual relationship with the AOR (and not the Authority). 3. Qualifying Experience Include USGSA Form 330 for the Proposer, subconsultants and key personnel. a) For the AOR, it is preferred that Proposers and their key personnel have prior experience as an Architect of Record (or similar role) on THREE (3) similar projects Page 3 of 12

4 within the last TEN (10) years, all of which had a construction value of not less than Three Hundred Million Dollars ($300,000,000) with at least one being an airport terminal project. For the Major Subconsultants, it is preferred that Proposers and their key personnel have prior experience as a Prime Consultant or as a Major Subconsultant on a minimum of THREE (3) similar projects within the last TEN (10) years, including one airport project and one project with a minimum construction value for the relevant discipline of not less than Two Million Dollars ($2,000,000). Clearly identify the qualifying projects in the USGSA Form 330. b) List other similar projects, which Proposer believes represents its skill and experience in working on projects of this size and complexity. Clearly identify the specific project and description in the USGSA Form 330 for each similar project. c) Proposers should have prior experience 1) coordinating with, 2) meeting the funding requirements of, 3) and complying with the rules and regulations of the following: the Federal Aviation Administration (FAA), the Transportation Security Administration (TSA), the United States Customs and Border Protection (CBP), the Florida Department of Transportation (FDOT), South Florida Water Management District (SFWMD), Department of Environmental Protection (DEP), the Orlando Utilities Commission (OUC), and other authorities having jurisdiction. Clearly identify the specific project and description in the USGSA Form 330. d) For each qualifying project, provide the name, title, address, address and phone/fax numbers for a reference contact person of the Proposer s client, preferably the owner of the facility, who is familiar with the Proposer s role on that project. Reference checks will be conducted on those projects and may be conducted on other projects. 4. Small/Minority Business Participation - All Proposers are hereby notified that they must comply with: 1) the Minority and Women Business Enterprise ( MWBE ) program requirement as defined in the Authority s MWBE Policy, 2) the Local Developing Business/Veteran Business Enterprise ( LDB/VBE ) program requirement as defined in the Authority s LDB/VBE Policy and 3) the Disadvantaged Business Enterprise (DBE), if applicable, program requirement as defined in the Authority s DBE Policy. The Policies, Forms and certified MWBE, LDB/VBE, and DBE Directories are available on-line at the Authority s web site: For these Services, the Authority has established an MWBE Participation Goal of 20% and an LDB/VBE Participation Goal of 5% for the Architect of Record. The Authority has established the following MWBE and LDB/VBE Participation Goals for each of the following Major Subconsultants: MWBE Goal LDB/VBE Goal Page 4 of 12

5 Structural Engineer 15% 5% M/P Engineer 20% 5% Electrical Engineer 20% 5% Civil Engineer 20% 5% GSE Specialty 15% 3% Proposers are encouraged to include Veteran Business Enterprises ("VBE") in their small business participation plan. The Authority will count those businesses towards the LDB Goal. Proposers will be notified if funding requires the Authority to establish a DBE Participation Goal for any portion of the Project. In that case, the Proposer/Consultant may be required to retain DBE-certified subconsultants. Proposers will be evaluated on both the level and quality of participation proposed for small businesses, including DBE, MWBE and LDB firms. Include a written action plan that demonstrates the Proposer s understanding of the MWBE, LDB/VBE, and DBE participation programs and how the Proposer could achieve the participation goals for these Services. The Proposer shall specifically identify in the written action plan: a) Proposer s overall plan and outreach program to meet or exceed all participation goals established by the Authority. b) Proposer s specific approach to maximize small business participation at the first sub-tier level comprised of subconsultants Proposer includes on its team, including identifying the subconsultant firm and anticipated work scope. AOR SOQs should not propose any subconsultants to perform the roles of the Major Subconsultants. c) Proposer s plan to increase or enhance the level of small business participation, such as assisting small businesses with obtaining appropriate levels of insurance coverage, lowering subconsultant insurance thresholds to accommodate greater participation, and breaking out contract work items into economically feasible units to facilitate small business participation. Questions concerning the MWBE, LDB/VBE, and DBE programs can be addressed to the Aviation Authority's Office of Small Business Development, Attn. Mr. George Morning, Director, Greater Orlando Aviation Authority, Orlando International Airport, 5850-B Cargo Road, Orlando, FL 32827; Phone: (407) , george.morning@goaa.org, or to Mr. Somdat Jiawan, Manager, Small Business Programs, at Phone: (407) , sjiawan@goaa.org. Proposers shall be solely responsible for confirming MWBE, LDB/VBE, and DBE subcontractors' experience, capacity, certification, and any other information related to the Project. 5. Insurance Requirements Proposer shall provide a narrative on Proposer s proposed or recommended risk management and insurance coverage methodology for the Project, including its insurance coverage plan for the subconsultants (which should address at a minimum the balancing of risk management requirements for the Project and the Authority s goal of maximizing MWBE, LDB/VBE, and DBE participation). Page 5 of 12

6 Proposer shall also include evidence of its ability to obtain the following insurance coverage, either by means of any existing policy or other verifiable proof (Agent/Broker commitment letter): For AOR SOQs: a) Professional Liability Minimum of $25,000,000 per claim and annual aggregate, with maximum deductible or self-insured retention in an amount not exceeding $100,000. b) Commercial General Liability (CGL) Minimum of $25,000,000 per occurrence and annual aggregate, with maximum deductible or self-insured retention in an amount not exceeding $100,000. c) Automobile Liability Minimum of $5,000,000 per occurrence, with maximum deductible or self-insured retention in an amount not exceeding $100,000. d) Worker s Compensation - (statutory limit) Employer s Liability: $500,000 - each accident $500,000 disease - policy limit $500,000 disease - each employee For Major Subconsultant SOQs: a) Professional Liability Minimum of $2,000,000 per claim and annual aggregate, with maximum deductible or self-insured retention in an amount not exceeding $100,000. b) Commercial General Liability (CGL) Minimum of $5,000,000 per occurrence and annual aggregate, with maximum deductible or self-insured retention in an amount not exceeding $100,000. c) Automobile Liability Minimum of $5,000,000 per occurrence, with maximum deductible or self-insured retention in an amount not exceeding $100,000. d) Worker s Compensation - (statutory limit) Employer s Liability: $500,000 - each accident $500,000 disease - policy limit $500,000 disease - each employee Policy terms must be acceptable to the Authority and must comply with the Authority s requirements for insurance. The Authority reserves the right to increase insurance thresholds to an amount commensurate with the actual project scope awarded. 6. Licensure AOR Proposers must have a Certificate of Authorization from the State of Florida, Department of Business and Professional Regulation to offer architectural services. Major Subconsultant Proposers must have a Certificate of Authorization from the State of Florida, Department of Business and Professional Regulation to offer engineering services. All Proposers should have experience with all applicable federal, State of Florida, Orange County, Florida, and City of Orlando codes, regulations and laws. Include the following: Page 6 of 12

7 a) A copy of the current, active Certificate of Authorization for the Proposer (in the legal name of the Proposer), b) Copies of current, active professional licenses held by the proposed key personnel, as available and applicable, and c) A copy of the current, active Florida Division of Corporations Certificate of Status or other evidence that the Proposer is authorized to conduct business in Florida. A printout from the website is sufficient. 7. Financial Statements Proposer s most recent audited annual financial statements for the last two years in order to evaluate the Proposer s ability to perform these services. If audited annual financial statements are not available, provide balance sheets, income statements, and cash flow statements for the last two years. This financial documentation shall be submitted in a sealed envelope, and included in one copy of the printed SOQ (do not include in the pdf). The sealed envelope should be clearly labeled as follows: "Confidential Financial Records Submitted under Seal and Exempt from Florida Public Records Disclosure". Include the SOQ title and Proposer's name on the sealed envelope. (Reference Florida Statutes Section (1)(c) for exemption on financial records.) 8. Claim Information - Disclose all lawsuits, arbitrations and claims filed or raised by or against Proposer over the last Five (5) years, specifically identifying: a. The project involved. b. The parties involved. c. The nature of the claim(s). d. Amount at issue. e. Disposition or status. f. Litigation, case style, number and jurisdiction. If Proposer is a joint venture or partnership, provide the above information for each member of the joint venture or partnership. If Proposer is a newly-formed entity, please provide the above information also for any predecessor and affiliated entity. 9. Required Certifications Include Exhibit A signed by a person with authority to bind the Proposer. 10. Any additional information, which may be requested by the Authority at the Pre-Submittal Conference. EVALUATION AND AWARD CRITERIA Following submission, the Authority s Professional Services Committee (PSC) intends to shortlist no less than three (3) Proposers for the AOR and for each Major Subconsultant. Among the factors that will be considered in selecting the Proposers who will be shortlisted are their qualifications, Project approach, ability to provide the required services, prior experience on similar projects, their past performance with the Authority (if applicable), their past performance with other entities, level and quality of small business participation, risk management and insurance plan, the responses to the inquiries set forth above, the ability of professional personnel, willingness to meet time and budget requirements, recent, current and Page 7 of 12

8 projected workloads, and volume of work previously awarded to each firm. The Authority reserves the right to solicit from available sources relevant information concerning a Proposer s past performance and may consider such information in its selection of short listed Proposers. Shortlisted Proposers will be scheduled for an interview, presentation or both. Following shortlisting, and interviews or presentations, the Authority shall make a final ranking and select in order of preference, based on the above information, weighing of CCNA (Consultants Competitive Negotiation Act) factors, and interview results, in order to select for award the most highly qualified Proposer(s) to perform the requested services. The Authority reserves the right to select one or more Architect(s) of Record. The Authority intends but is not obligated to entire into a non-exclusive agreement with the selected AOR Proposer(s). The extent and scope of the services, along with the fees for such services will be negotiated. Should the parties be unable to negotiate a satisfactory contract, at a price the Authority determines to be fair, competitive and reasonable, negotiations with the selected Proposer shall be terminated and the Authority may then undertake negotiations with the second most qualified firm, and if necessary, additional Proposers in accordance with the ranking. The selected AOR shall negotiate a subconsultant agreement with each top-ranked Major Subconsultant. Should the parties be unable to negotiate a satisfactory contract, at a price the Authority determines to be fair, competitive and reasonable, negotiations shall be terminated and the AOR may then undertake negotiations with the second most qualified firm, and if necessary, additional Proposers in accordance with the ranking. Upon successful completion of negotiations, the Authority shall have the right, but not the obligation, to approve all or any portion of the Project or Services, subject to the availability of funding. The Authority reserves the right to waive any informality in the SOQ, to reject any and all SOQ, to readvertise for SOQ or to elect not to proceed with the Project for any reason. All recommendations and decisions regarding award of the Project shall be made at open public meetings in accordance with the requirements of Florida Statute , and all interested parties are invited to attend such meetings. In accordance with Florida Statute (10), the Authority declares that all or any portion of the documents and work papers prepared and submitted pursuant to this invitation shall be subject to re-use by the Authority. LOBBYING IS PROHIBITED. Proposers are hereby advised that individuals, who conduct lobbying activities with Aviation Authority employees or Board members, must register with the Aviation Authority each year prior to conducting any lobbying activities. A statement of expenditures incurred in connection with those lobbying instances should also be filed prior to April 1st of each year for the preceding year. As of January 16, 2013, lobbying any Aviation Authority Staff, who are members of any committee responsible for ranking Proposals, Letters of Interest, Statements of Qualifications or Bids and thereafter forwarding those recommendations to the Board and/or Board Members, is prohibited from the time that a Request for Proposals, Request for Letters of Interests, Request for Qualifications or Request for Bids is released to the time that the Aviation Authority Board makes an award. As adopted by the Aviation Authority Board on September 19, 2012, lobbyists are now required to sign-in at the Aviation Authority offices prior to any meetings with Staff or Board members. In the event a lobbyist meets with or otherwise communicates with Staff or an Aviation Authority Board member at a location other than the Aviation Authority offices, the lobbyist shall file a Notice of Lobbying (Form 4) detailing each instance of lobbying to the Director of Board Services within seven (7) calendar days of such lobbying. The policy, forms, and instructions are available in the Aviation Authority s offices and the web site. Please contact the Director of Board Services. Page 8 of 12

9 ADDITIONAL INFORMATION Proposer s personnel will be required to meet the Greater Orlando Aviation Authority s (Authority) requirements for security background checks. All personnel requiring unescorted access to a secure or sterile area of the airport must undergo a Criminal History Records Check (CHRC) and are subject to the requirements of Title 49 of the Code for Federal Regulations Part 1542 or 1544 and the Airport Security Improvement Act of Pursuant to Section (2)(a), Florida Statutes, interested Proposers who have been placed on the convicted vendor list following a conviction for a public entity crime may not submit a proposal on a contract to provide services for a public entity, may not be awarded a consultant contract and may not transact business with a public entity for services in excess of the threshold amount set forth in Section , Florida Statutes, for Category Two, for a period of 36 months from the date of being placed on the convicted vendor list. By submitting a Proposal, the Proposer certifies that it is not included on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. Authority Contracts require Contractors/Consultants to comply with the requirements of E-Verify. Contractor/Consultants will be required to utilize the U.S. Department of Homeland Security s Employment Eligibility Verification System (e-verify), in accordance with the terms governing the use of the system, to confirm the employment eligibility of persons employed by the Contractor/Consultant, during the term of the Contract, to perform employment duties within Florida. Prime Contractors/Consultants are required to include an express provision in their Subconsultant/Subcontractor Agreements requiring the Subconsultants/Subcontractor to do the same. The FDOT's Restrictions on Consultants' Eligibility to Compete for Department Contracts Procedure (Topic ) applies to these Services. GREATER ORLANDO AVIATION AUTHORITY By: Frank Kruppenbacher Aviation Authority Chairman Page 9 of 12

10 EXHIBIT A REQUIRED CERTIFICATIONS The Proposer certifies that the following statements are true: 1. SCRUTINIZED COMPANIES LIST: The Proposer is not on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, as defined in Section , Florida Statutes (2015). 2. CERTIFICATION REGARDING DEBARMENT AND SUSPENSION, (Non- Procurement) Title 2 CFR Part 180 & Title 2 CFR Part 1200 The contract that ultimately results from this solicitation is a covered transaction as defined by Title 2 CFR Part 180. The Proposer certifies, by submission of this proposal or acceptance of this contract, that neither it nor its Principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntary excluded from participation in this transaction by any Federal department or agency. It further agrees that by submitting this proposal that, if it is the successful Proposer, it will comply with Title 2 CFR Part 1200 and Title 2 CFR Part 180, Subpart C by administering each lower tier subcontract that exceeds $25,000 as a covered transaction. CERTIFICATION REGARDING DEBARMENT AND SUSPENSION (NON- PROCUREMENT) TITLE 2 CFR PART 1200 AND TITLE 2 CFR PART 180, SUBPART C The successful Proposer by administering each lower tier subcontract that exceeds $25,000 as a covered transaction must verify each lower tier participant of a covered transaction under the project is not presently debarred or otherwise disqualified from participation in this federally assisted project. The successful Proposer shall accomplish this by: (i) Checking the System for Award Management at website: (ii) Collecting a certification statement similar to the previous paragraph and (iii) Inserting a clause or condition in the covered transaction with the lower tier contract. If the FAA later determines that an individual failed to tell a higher tier that they were excluded or disqualified at the time they entered the covered transaction with that person, the FAA may pursue any available remedy, including suspension and debarment. 3. CERTIFICATION REGARDING FOREIGN TRADE RESTRICTIONS (49 CFR PART 30) The Proposer, by submission of an offer and/or execution of a contract, certifies that it: a. is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade representative (USTR); b. has not knowingly entered into any contract or subcontract for this project with a contractor that is a citizen or national of a foreign country on said list, or is owned or South Terminal C - Phase 1 Architect of Record Services (WS110) Submission Requirements Page 1 of 3

11 controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list. c. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract shall be awarded to a Proposer who is unable to certify to the above. If the Proposer knowingly procures or subcontracts for the supply of any product or service of a foreign country on said list for use on the project; the Federal Aviation Administration may direct, through the sponsor, cancellation of the contract at no cost to the Government. Further, the Proposer agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The Contractor may rely upon the certification of a prospective Subcontractor unless it has knowledge that the certification is erroneous. The Contractor shall provide immediate written notice to the Owner if the Contractor learns that its certification or that of a Subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The Subcontractor agrees to provide immediate written notice to the Contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the Contractor or Subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the Owner, cancellation of the contract or subcontract for default at no cost to the Government. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a Contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code, Section CERTIFICATION REGARDING USE OF CONTRACT FUNDS FOR LOBBYING (49 CFR 20) The prospective Proposer certifies, by signing and submitting this proposal, to the best of his or her knowledge and belief, that: a. 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 any Federal 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 South Terminal C - Phase 1 Architect of Record Services (WS110) Submission Requirements Page 2 of 3

12 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. b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal 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. c. 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 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. d. The prospective Proposer also agrees by submitting his or her proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such recipients shall certify and disclose accordingly. 5. CONFLICT OF INTEREST. The Proposer certifies that it is and will remain in compliance with FDOT Procedure No By: Date: Proposer Print Name: Title: South Terminal C - Phase 1 Architect of Record Services (WS110) Submission Requirements Page 3 of 3