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DocuSign Envelope ID: B22DA9B6-17B9-4FOE-8EDE-OAF33D1D7861 <br /> of forty hours without payment of the overtime wages required by the clause set <br /> forth in paragraph (b)(1) of 29 C.F.R. <br /> §5.5. <br /> iii. Withholding for unpaid wages and liquidated damages. The (write in the name of <br /> the Federal agency or the loan or grant recipient)shall upon its own action or upon <br /> written request of an authorized representative of the Department of Labor <br /> withhold or cause to be withheld, from any moneys payable on account of work <br /> performed by the Provider or sub-Provider under any such contract or any other <br /> Federal contract with the same prime Provider, or any other federally- assisted <br /> contract subject to the Contract Work Hours and Safety Standards Act, which is <br /> held by the same prime Provider,such sums as may be determined to be necessary <br /> to satisfy any liabilities of such Provider or sub-Provider for unpaid wages and <br /> liquidated damages as provided in the clause set forth in paragraph (b)(2) of 29 <br /> C.F.R. §5.5. <br /> iv. Subcontracts. The Provider or sub-Provider shall insert in any subcontracts the <br /> clauses set forth in paragraph (b)(1) through (4) of 29 C.F.R. §5.5 and also a <br /> clause requiring the sub-Providers to include these clauses in any lower tier <br /> subcontracts. The prime Provider shall be responsible for compliance by any sub- <br /> Provider or lower tier sub-Provider with the clauses set forth in paragraphs (b)(1) <br /> through(4) of 29 C.F.R. §5.5. <br /> i. Byrd Anti-Lobbing Amendment, 31 U.S.C. 1352 (as amended . Providers who apply <br /> or bid for an award of$100,000 or more shall file the required certification. Each tier <br /> certifies to the tier above that it will not and has not used Federal appropriated funds to <br /> pay any person or organization for influencing or attempting to influence an officer or <br /> employee of any agency, a Member of Congress, officer or employee of Congress, or an <br /> employee of a Member of Congress in connection with obtaining any Federal contract, <br /> grant,or any other award covered by 31 U.S.C. § 1352. Each tier shall also disclose any <br /> lobbying with non-Federal funds that takes place in connection with obtaining any Federal <br /> award. Such disclosures are forwarded from tier to tier up to the recipient who in turn <br /> will forward the certification(s)to the awarding agency. <br /> j. Clean Air And Federal Water Pollution Control Act <br /> (Applicable only if the contract is more than$150,000) <br /> i. Clean Air Act. <br /> (a) The Provider agrees to comply with all applicable standards, orders, or <br /> regulation issue pursuant to the Federal Water Pollution Control Act, as <br /> amended, 33 U.S.C. 1251 et seq. <br /> (b) The Provider agrees to include these requirements in each subcontract <br /> exceeding $150,000 financed in whole or in part with Federal assistance <br /> 10 <br />