RFQ for Engineering Services CDBG-NR (2nd Posting)

North Carolina

Date of Issue: December 30, 2025

Qualification Packets Due: January 22, 2026

Time: 2:00 pm

Request for Qualifications

For Engineering Services

Related to the

Community Development Block Grant-

Neighborhood Revitalization (CDBG-NR) Project

If you have received this RFQ from a source other than the Wayne County Purchasing Department, it is the responsibility of the proposer to ensure that all addenda have been received. Bidders can notify Mandy Trujillo by email at amanda.trujillo@waynegov.com to ensure that your company is added to the distribution list.

However, it is still the responsibility of the proposer to ensure that all addenda are received prior to submitting a qualification packet.

I. INTRODUCTION

The County of Wayne has received a Community Development Block Grant-Neighborhood Revitalization (CDBG-NR) grant in the amount of $750,000 (representing 100% of project cost) from the North Carolina Department of Commerce (NCDOC) for the 2021 CDBG-NR Project which includes 2 housing units to be demolished and reconstructed and 4 units to be rehabilitated within a designated project area. In addition, storm drainage improvements will be made within the project area. The County is proposing to install 475 LF of storm drainage pipe and undertake 375 LF of ditch clearance and restoration. Total budget for drainage improvements, including engineering services, is $165,000. Drainage work to be completed within the next 10 months.

II. PURPOSE

The County of Wayne is soliciting requests for qualifications for professional engineering services to assist the County in subsequent engineering design and bid package services, surveying, and construction inspection services related to this project in compliance with all applicable federal requirements and regulations under the NC CDBG-NR program. Engineering payment terms will be negotiated with the selected firm. The fee for professional engineering services will be paid with CDBG-NR funds. This is the second request for proposals.

III. SCOPE OF SERVICES

Engineering services shall include, but are not limited to, standard tasks necessary for the implementation of the project in conformance with the following CDBG compliance areas:

1. Preparing the final design and construction bid package in conformance with applicable regulations and requirements.

2. Submitting plans to County for review and approval.

3. Supervising the bid advertising, tabulation, and award process, including preparing the advertisements for bid solicitations, conducting bid opening, recommending award of bid, preparing the construction contract and related documents, and issuing the notice to proceed.

4. Conducting the pre-construction conference.

5. Surveying (including existing drainage easement), field staking, on-site review of construction work, and preparation of inspection reports. Surveying to include boundary surveys of housing lots as needed for housing assistance.

6. Reviewing and approving all contractor requests for payment, change orders, and submitting approved requests to the County.

7. Providing reproducible plan drawings to the County upon project completion.

8. Conducting final inspection, approval of completed construction work, and preparation of related closeout construction documents.

Attached is a Project Area Map showing location of the storm drainage improvements.

IV. STATEMENT OF QUALIFICATIONS REQUIREMENTS

Interested Firms desiring to provide services should include the following with its Statement of Qualifications:

1. Firm name, address, telephone, fax number, contact person and e-mail address;

2. Year established and former firm names;

3. Names of principles of the firm and states in which they are registered;

4. Types of services for which the firm is qualified;

5. Understanding of the scope of work/services;

6. List of staff members and resumes of those persons who will be assigned to work with the County on the various projects. Include an Organizational Chart but do not include resumes or list of personnel who will not be assigned to these projects.

7. List of current ongoing projects. Include: Project start date; expected completion date, total project cost, your ability to devote staff resources to complete this project.

8. List and describe all of your firm’s previous experience in the above referenced scope of work. For each project listed, the information should include:

• Name and location of the project and the date the work was completed.

• Name and telephone number of the facilities maintenance director or staff person whom your firm worked with on the project (projects references).

• Name of the project manager assigned to each listed project.

• Total final combined design and construction dollar amount of the work performed.

• Number of change orders and total amount of change orders.

9. Names of outside consultants (sub-consultants) who would be involved to provide services required for these projects. Provide a one-page synopsis for each consultant to include the following information:

• Individual’s proposed role in the project.

• A resume or brief description of the individual’s previous experience as it relates to his/her role in the project.

• For any proposed sub consultants, indicate how long your firm has worked with the sub-consultant on previous projects.

10. Documentation of compliance with state and federal debarment and eligibility requirements.

V. EVALUATION PROCESS

Following the deadline for submittal of qualifications, a review of the submitted qualifications will be by a selection committee established by the County. The selection committee will review, analyze and rank all submittals based on their response to the information requested. Proposals will be considered on an equal competitive basis. The following criteria will be used in the evaluation process:

1. Qualifications, Competence and Reputation of Firm and Personnel 20 points

2. Prior Related Experience on Similar CDBG Engineering Projects 20 points

3. Qualifications of Actively Involved Staff assigned to Project 20 points

4. Firm’s Capability to Meet Time and Project Budget Requirements 15 points

5. Present and Projected Workload of Firm 15 points

6. Recent and Current Work for the County 10 points

The selection committee may conduct discussions with the firm(s) submitting responses regarding the contract and shall select from among the firm(s) deemed most qualified to provide the required services. At the discretion of the County, the discussions with the firm(s) may consist of written questions and responses, and/or personal interviews with members of the firm(s). If personal interviews are required by the County, the persons proposed to be responsible for performing the work required herein shall attend the interview. If requested, firms should be prepared to submit financial status information, which shall be held in confidence.

VI. AWARD PROCESS

The County will negotiate a stipulated sum fee for basic services and a rate schedule to be utilized for additional services and contingent additional services at a compensation which is considered to be fair and reasonable to the County. These rates shall include all disciplines (example: architect, project manager, engineer, construction observer, administrative staff, etc.). In making this decision, the County will take into account the established value, general scope, the complexity, and the professional nature of the services to be rendered. Should the County be unable to negotiate a satisfactory contract with the firm considered to be most qualified, negotiations with that firm shall be formally terminated.

Negotiations will then proceed with the remaining ranked firms in the same manner until an agreement is reached, unless it is determined by the committee that it is in the best interest of the County that the process be terminated or modified.

Wayne County reserves the right to reject any and/or all submittals, and to waive defects, technicalities and/or irregularities in any submittal. The County reserves the right to finalize a contract with one firm based on all factors involved in the written qualification submittal without further discussion or interviews.

VII. SUBMITTAL INSTRUCTIONS

The above information must be submitted no later than January 22, 2026, 2:00 p.m. to Mandy Trujillo, Procurement Specialist, Finance Dept., Wayne County Court House, 224-226 East Walnut Street, 4th Floor, Goldsboro, NC 27530 or delivered to Same. For more information, contact Mandy Trujillo at Amanda.Trujillo@waynegov.com or 919-705-1714.

Submit three (3) hard copies and one (1) electronic copy on a flash drive. Mark the outside of the sealed envelope “Request for Qualifications for CDBG Grant Engineering Services”

The County of Wayne is an Equal Opportunity Employer and invites the submission of qualifications from small and minority and women-owned firms, veteran-owned firms, historically underutilized businesses, and certified/registered Section 3 businesses concerns.

VIII. STANDARD TERMS AND CONDITIONS

1. Payment Terms. Payment terms are Net 30 days after receipt of applicable invoice.

2. Compliance with All Laws. Contractor warrants that all performance hereunder shall be in accordance with all applicable federal, state and local laws, regulations and orders. If the source of funds for this contract is federal funds, the following federal provisions apply pursuant to 2 C.F.R. § 200.326 and 2 C.F.R. Part 200, Appendix II (as applicable): Equal Employment Opportunity (41 C.F.R. Part 60); Davis-Bacon Act (40 U.S.C. 3141-3148); Copeland “Anti-Kickback” Act (40 U.S.C. 3145); Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708); Clean Air Act (42 U.S.C. 7401-7671q.); the Federal Water Pollution Control Act (33 U.S.C. 1251-1387); Debarment and Suspension (Executive Orders 12549 and 12689); Byrd Anti-Lobbying Amendment (31 U.S.C. 1352); Procurement of Recovered Materials (2 C.F.R. § 200.322); and Record Retention Requirements (2 CFR § 200.324).

3. E-verification. Contractor and any of its subcontractors must comply with the requirements of the North Carolina General Statutes, if applicable, which requires certain employers to verify the work authorization of each newly hired employee through the federal E-Verify program operated by the United State Department of Homeland Security and other federal agencies.

4. Iran Divestment Act Certification. Contractor hereby certifies that Contractor, and all subcontractors, are not on the Final Iran Divestment List (“List”) created by the North Carolina State Treasurer pursuant to NCGS 147, Article 6E. Contractor shall not utilize any subcontractor that is identified on the List.

5. Indemnification. Contractor shall indemnify and hold harmless Wayne County, its officers, agents, employees and assigns from and against all claims, losses, costs, damages, expenses, attorneys’ fees and liability that any of them may sustain (a) arising out of Contractor’s failure to comply with any applicable law, ordinance, or regulation or (b) arising directly or indirectly out of Contractor’s performance or lack of performance of their terms and conditions of the Contract. In event Contractor, its employees, agents, subcontractors and or lower-tier subcontractors enter premises occupied by or under the control of Wayne County in the performance of the Contract Documents, Contractor agrees that it will indemnify and hold harmless Wayne County, its officers, agents, employees and assigns, from any loss, costs, damage, expense or liability by reason of property damage or personal injury of whatsoever nature or kind arising out of, as a result of, or caused by the negligence or willful misconduct of such entrant.

6. Insurance. The Contractor certifies that it currently has and agrees to purchase and maintain during its performance under this contract the following insurance from one or more insurance companies acceptable to Wayne County and authorized to do business in the State of North Carolina.

a. Worker’s Compensation: Coverage to apply for all employees for statutory limits in compliance with the applicable state and federal laws. The policy must include the employers’ liability with a limit $1,000,000 each accident. This insurance must include a waiver of subrogation in favor of the County.

b. Commercial General Liability: Shall have minimum limits of $1,000,000 per occurrence combined single limit for bodily injury liability and property damage liability.

c. Commercial Auto Liability: Shall have minimum limits of $1,000,000 each accident combined single limit for bodily injury liability and property damage liability. This shall include owned vehicles, hired and non-owned vehicles, and employee non-ownership.

d. The Contractor shall furnish a copy of an original Certificate of Insurance, naming the Wayne County as an additional insured. Should any of the policies be canceled before expiration date, the issuing company will provide by mail thirty (30) days written notice to the certificate holder. This contractor shall furnish insurance in satisfactory limits, and on forms and of companies which are acceptable to the Wayne County and shall require and show evidence of insurance coverage on behalf of any subcontractors (if applicable), before entering any agreement to sublet any part of the work to be completed under this contract.

7. Termination for Convenience. In addition to all of the other rights that Wayne County may have to cancel this Agreement, Wayne County shall have the further right, without assigning any reason therefore, to terminate any work under the Contract Documents, in whole or in part, at any time by providing written notice to Contractor. If the Contract is terminated by Wayne County in accordance with this Paragraph, Contractor will be paid for Services actually provided up through the date of termination at the rates provided herein.

8. Termination for Default. Wayne County may terminate this Contract, in whole or in part, for failure of the Contractor to perform any of the provisions hereof. In addition to any other remedies available to Wayne County in law or equity in connection with an uncured breach of the Contract by Contractor, Wayne County may procure upon such terms as Wayne County shall deem appropriate, services substantially similar to those so terminated, in which case Contractor shall be liable to Wayne County for any excess costs for such similar supplies or services and any expenses incurred in connection therewith.

9. Contract Funding. It is understood and agreed between Contractor and Wayne County that Wayne County’s obligation under the Contract is contingent upon the availability of appropriated funds from which payment for Contract purposes can be made. No legal liability on the part of Wayne County for any payment may arise until funds are made available to Wayne County’s Finance Officer and until Contractor receives notice of such availability. Should such funds not be appropriated or allocated, the Contract shall immediately be terminated. Wayne County shall not be liability to Contractor for damages of any kind (general, special, consequential or exemplary) as a result of such termination.

10. Contract Modifications. The contract may be amended only by written amendment duly executed by both Wayne County and Contractor. However, minor modifications may be made by Wayne County’s Project Coordinator to take advantage of unforeseen opportunities that: (a) do not change the intent of the Contract or the scope of Contractor’s performance; (b) do not increase Contractor’s total compensation or method of payment; and (c) either improve the overall quality of the product or service to Wayne County without increasing the cost, or reduce the total cost of the product or service without reducing the quantity or quality. All such minor modifications to the Contract must be recorded in writing and signed by both the Project Coordinator and Contractor, and placed on file with the Contract. No price adjustments will be made unless the procedure has been included in the Contract and a maximum allowable amount stipulated.

11. Independent Contractor. Contractor is an independent contractor and not an employee of Wayne County. The conduct and control of the work will lie solely with Contractor. The Contract shall not be construed as establishing a joint venture, partnership or any principal-agent relationship for any purpose between Contractor and Wayne County. Employees of Contractor shall remain subject to the exclusive control and supervision of Contractor, which is solely responsible for their compensation.

12. Permits and Licenses. Contractor will, at his own expense, obtain all necessary permits, give all notices, pay all license fees and comply with all laws, rules, ordinances, and regulations relating to the preservation of the public health or applicable to the services or business carried on under this contract. The burden of determining applicability of licensing requirements, laws, ordinances, and regulations for the Contractor and his employees rests with the Contractor.

13. Nondiscrimination. During the performance of the Contract, Contractor shall not discriminate against or deny the Contract’s benefits to any person on the basis of sexual orientation, national origin, race, ethnic background, color, religion, gender, age, or disability.

14. Conflict of Interest. Contractor represents and warrants that no member of Wayne County or any of its employees or officers who may obtain a direct benefit, personal gain or advantage for themselves or a relative or associate as a result of the Contract, subcontract or other agreement related to the Contract is in a position to influence or has attempted to influence the making of the Contract, has been involved in making the Contract, or will be involved in administering the Contract. Contractor shall cause this paragraph to be included in all Contracts, subcontracts and other agreements related to the Contract.

15. Gratuities to Wayne County. The right of Contractor to proceed may be terminated by written notice of Wayne County determines that Contractor, its agent or another representative offered or gave a gratuity to an official or employee of Wayne County in violation of the policies of Wayne County.

16. Kickbacks to Contractor. Contractor shall not permit any kickbacks or gratuities to be provided, directly or indirectly, to itself, its employees, subcontractors or subcontractor employees for the purpose of improperly obtaining or rewarding favorable treatment in connection with a Wayne County contract or in connection with a subcontract relating to a Wayne County Contract. When Contractor has grounds to believe that a violation of this clause may have occurred, Contractor shall promptly report to Wayne County in writing the possible violation.

17. Monitoring and Evaluation. Contractor shall cooperate with Wayne County, or with any other person or agency as directed by Wayne County, in monitoring, inspecting, auditing or investigating activities related to the Contract. Contractor shall permit Wayne County to evaluate all activities conducted under the Contract. Wayne County has the right at its sole discretion to require that Contractor remove any employee of Contractor from GCS Property and from performing services under the Contract following a provision of notice to Contractor of the reasons for Wayne County’s dissatisfaction with the services of Contractor’s employee.

18. Financial Responsibility. Contractor is financially solvent and able to perform under the Contract. If requested by Wayne County, Contractor agrees to provide a copy of its latest audited annual financial statements or other financial statements as deemed acceptable by Wayne County’s Finance Officer. In the event of any proceedings, voluntary or involuntary, in bankruptcy or insolvency by or against Contractor, the inability of Contractor to meet its debts as they become due or in the event of the appointment, with or without Contractor’s consent, of an assignee for the benefit of creditors or of a receiver, then Wayne County shall be entitled, at its sole option, to cancel any unfilled part of the Contract without any liability whatsoever.

19. Dispute Resolution and Contract Situs. This Agreement shall be governed and will be construed in accordance with the laws of the State of North Carolina. Each party agrees that exclusive venue for all actions, relating in any manner to this Agreement will be in the General Court of Justice in Wayne County, North Carolina.

20. No Third Party Benefits. The Contract shall not be considered by Contractor to create any benefits on behalf of any third party. Contractor shall include in all contracts, subcontracts, or other agreements relating to the Contract an acknowledgment by the contracting parties that the Contract creates no third party benefits.

21. Force Majeure. “Force Majeure” shall mean any delays caused by acts of God, riot, war, terrorism, inclement weather, labor strikes, material shortages and other causes beyond the reasonable control of the affected party. If either party is unable to perform its obligations or in the case of Wayne County, to accept the Services because of Force Majeure, the time for such performance by such party or in the case of Wayne County, acceptance of Services will be equitably adjusted by allowing additional time for performance or acceptance of services equal to any periods of Force Majeure.

22. General Provisions. Wayne County’s remedies as set forth herein are not exclusive. Any delay or omission in exercising any right hereunder, or any waiver of any single breach or default hereunder, shall not be deemed to be a waiver of such right or of any other right, breach or default. If Wayne County should prevail in any action instituted by Contractor hereunder, Wayne County shall be entitled to recover costs and reasonable attorney’s fees. Contractor may not assign, pledge, or in any manner encumber Contractor’s rights under this Order, or delegate the performance of any of its obligations hereunder, with Wayne County’s prior, express, written consent.

23. Entire Contract. This Contract constitutes and expresses the entire agreement and understanding between the parties concerning the subject matter of this Contract. This document, including exhibits, if any, any purchase order used in connection with this Contract and any other document expressly incorporated in this Contract by reference supersede all prior and contemporaneous discussion, promises, representations, agreements, and understandings relative to the subject matter of this Contract.

IX. ADDITIONAL TERMS AND CONDITIONS

A. NON-COLLUSION AFFIDAVIT

Each qualification package must be accompanied by a notarized affidavit on non-collusion, executed by the firm or in the case of a corporation, by a duly authorized representative of said corporation. The Non-Collusion Affidavit is provided herein.

B. ADDENDA/CHANGES

Any additions, deletions, modifications or changes made to this RFQ shall be processed through Wayne County Finance Department. Any deviation from this procedure may result in the disqualification of the firm’s submittal or the cancellation of any contract resulting from this RFQ.

C. INSURANCE

The selected firm shall purchase and maintain in force, at his own expense, such insurance as will protect the firm and the County, to include professional liability (E&O), from claims which may arise out of or result from the firm’s execution of the work, whether such execution be by himself, his employees, agents, subcontractors/engineers, or by anyone for whose acts any of them may be liable. The insurance coverage shall be such as to fully protect the County, and the general public from any and all claims for injury and damage resulting by any actions on the part of the firm or its forces as enumerated above.

The selected firm shall furnish a copy of an original Certificate of Insurance, naming as an additional insured. Should any of the policies be canceled before the expiration date, the issuing company will provide thirty (30) days written notice to the certificate holder. The firm shall furnish insurance in satisfactory limits, and on forms and of companies which are acceptable to Wayne County’s Purchasing Manager and shall require and show evidence of insurance coverage on behalf of any subcontractors/engineers (if applicable), before entering any agreement to sublet any part of the work to be completed under this contract.

X. CONTACT POLICY

After the date and time established for receipt of proposals by the County, any contact initiated by any firm with any County representatives, other than the Purchasing Manager listed herein, concerning this RFQ is prohibited. Any such unauthorized contact may cause the disqualification of the firm from this qualification process.

The County is an Equal Opportunity Employer and invites the submission of proposals from small and minority and women-owned firms, veteran-owned firms, historically underutilized businesses, and certified/registered Section 3 business concerns.

This information is available in Spanish or any other language upon request. Please contact Mandy Trujillo at 919-705-1714 or at County Courthouse, 224 E. Walnut St, Goldsboro, NC 27533, for accommodations for this request.

Esta información está disponible en español o en cualquier otro idioma bajo petición. Por favor, póngase en contacto con Mandy Trujillo al 919-705-1714 o en County Courthouse, 224 E. Walnut St, Goldsboro, NC 27533 de alojamiento para esta solicitud.

STATE OF NORTH CAROLINA

COUNTY OF _______________ AFFIDAVIT

***************************

I, _____________________________ (the individual attesting below), being duly authorized by and on behalf of

_________________________ (the entity bidding on project hereinafter “Employer”) after first being duly sworn hereby swears or affirms as follows:

1.Employer understands that E-Verify is the federal E-Verify program operated by the United States Department of Homeland Security and other federal agencies, or any successor or equivalent program used to verify the work authorization of newly hired employees pursuant to federal law in accordance with NCGS §64-25(5).

2. Employer understands that Employers Must Use E-Verify. Each employer, after hiring an employee to work in the United States, shall verify the work authorization of the employee through E-Verify in accordance with NCGS §64-26(a).

3. Employer is a person, business entity, or other organization that transacts business in this State and that employs 25 or more employees in this State. (Mark Yes or No)

a. Yes_____, or b. No_____

4. Employer’s subcontractors comply with E-Verify, and if Employer is the winning bidder on this project, Employer will ensure compliance with E-Verify by any subcontractors subsequently hired by Employer

This the ______ day of _____________________, 20____.

_______________________________

Signature of Affiant

Print or type Name: _______________

State of

County of __________________

SWORN to and subscribed before me, ________________________. this the ______ day of

(Notary Public)

_______________, 20____, by ____________________.

(Affiant)

______________________________________

Notary Public

My commission expires:______________________

RESPONDER’S CERTIFICATION FORM

I have carefully examined the Request for Qualifications, the sample Agreement for engineering services and any other documents accompanying or made a part of this Request for Qualification.

I hereby propose to furnish the engineering services for in accordance with the instructions, terms, conditions, and requirements incorporated in this Request for Qualification. I certify that all information contained in this response is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit this response on behalf of the firm as its act and deed and that the firm is ready, willing and able to perform if awarded the contract.

NAME OF FIRM: _____________________________________________

BY: (printed name)_____________________________________________

SIGNATURE: _________________________________________________

MAILING ADDRESS: ____________________________________________

CITY/STATE/ZIP CODE: _________________________________________

TELEPHONE NUMBER: __________________________________________

FAX NUMBER: _________________________________________________

Acknowledgement of Addenda

Responder hereby acknowledges receipt of all Addenda through and including:

Addendum No. Date Acknowledgement

__________ __________ _______________

__________ __________ _______________

__________ __________ _______________

__________ __________ _______________

NON-COLLUSION AFFIDAVIT

State of

____________________________, being first duly sworn, deposes and says that:

l. He/She is the ___________________ (title) of ___________________________(firm’s name), the responder that has submitted the attached response;

2. He/She is fully informed respecting the preparation and contents of the attached response and of all pertinent circumstances respecting such response;

3. Such response is genuine and is not a collusive or sham response;

4. Neither the said responder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other responder firm or Person to submit a collusive or sham response in connection with the contract for which the attached response has been submitted or to refrain from responding in connection with such contract, or has in any manner, directly or indirectly sought by agreement or collusion of communication or conference with any other responder, firm or person to fix the price or prices in the attached response, if applicable, or of any other responders, or to fix any overhead, profit or cost element of the response price of the response, if applicable, of any other responder or to secure through collusion, conspiracy, connivance or unlawful agreement any advantage against the County of Onslow or any person interested in the proposed contract; and

________________________________

Signature

_________________________________

Title

NOTARIZE

Subscribed and sworn to before me,

This ______ day of ____________________, 20___

Notary Public ______________________________

My Commission Expires: ______________________

CERTIFICATIONS REGARDING DEBARMENT, SUSPENSION AND OTHER

RESPONSIBILITY MATTERS

SERVICE PROVIDER should refer to the regulations cited below. SERVICE PROVIDER should also review the instructions for certification included in the regulations before completing this form. Signature on this form provides for compliance with certification requirements implementing Federal Executive Order 12549 and guidance issued in the Federal Register, Volume 70, No. 168, pages 51863 through 51880 for “Government wide Debarment and Suspension (Non-procurement).” The certification shall be treated as a material representation of fact upon which reliance will be placed when the NC Department of Public Safety or its grantee (COUNTY) determines to award the covered contract, transaction, grant or cooperative agreement.

DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS

As required by Executive Order 12549, Debarment and Suspension, for prospective participants SERVICE PROVIDER in primary covered transactions.

(1) The prospective primary participant (SERVICE PROVIDER) certifies to the best of its knowledge and belief, that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by a Federal department or agency;

(b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction or records, making false statements, or receiving stolen property:

(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and

(d) Have not within a three-year period preceding this proposal had one or more public transactions (Federal, State, or local) terminated for cause or default.

(2) Where the prospective primary participant (SERVICE PROVIDER) is unable to certify to any of the statements in this certification, such prospective participant (SERVICE PROVIDER) shall attach an explanation to this proposal.

As the duly authorized representative of the SERVICE PROVIDER, I hereby certify that I will comply with the above applicable certification(s).

NAME OF SERVICE PROVIDER	GRANT NUMBER AND PROJECT NAME Wayne County 2021 CDBG-NR Project Grant Number 20-C-3645
PRINTED NAME AND TITLE OF AUTHORIZIED REPRESENTATIVE
SIGNATURE	DATE