DOJ_RESIDENCY_FORM.pdf
PDF 17 KB Posted
- Attached to
- FCI Seagoville Hot Water Generator Replacement
- Solicitation number
- 15B51426Q00000023
About this file
This is a Department of Justice Residency Requirement Certification Form required for all purchase card transactions for services subject to DOJ residency requirements. The form applies to both individual service providers and companies contracting with the Bureau of Prisons (BOP).
Individuals signing the certification must attest that during three of the five years immediately prior to responding to the solicitation, they have either legally resided in the United States, worked for the U.S. overseas in a Federal or military capacity, or been a dependent of a Federal or military employee serving overseas. For companies, the certification requirement applies to contract employees providing services to the BOP, with the same three qualifying criteria applicable during the three-of-five-year period. An authorized company representative may submit a single certification on behalf of the company, and by doing so, the company agrees to provide BOP with contract employees meeting the DOJ Residency Requirement. The form requires the name/vendor information, date, and signature of the individual or vendor representative.
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Other files
| File | Type | Posted |
|---|---|---|
| RFQ 15B51426Q00000025 001- SEA.pdf | ||
| 26Z5AP8 Hot Water Gen Pictures.pdf | ||
| NCIC Form.pdf | ||
| RFQ 15B51426Q00000023 - SEA.pdf |
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Text version
Attachment II
DEPARTMENT OF JUSTICE
RESIDENCY REQUIREMENT CERTIFICATION FORM (JUNE 2004)
This certification is required to be completed for all purchase card transactions for services that are subject to the DOJ Residency Requirement.
If the service is to be provided by an individual, that individual must sign the certification and return it to the cardholder for filing with the purchase card acquisition form. If the service is to be provided by a company, one certification may be submitted by an authorized company representative. By submitting this certification, the company is agreeing to provide the BOP with contract employees that meet the DOJ Residency Requirement.
Individuals
By signing this certification I certify that for three of the five years immediately prior to responding to this solicitation, I have: 1) legally resided in the United States (U.S.); 2) worked for the U.S. overseas in a Federal or military capacity; or 3) have been a dependent of a Federal or military employee serving overseas.
Companies
By signing this certification I certify that for three of the five years immediately prior to responding to this solicitation, the contract employees providing services to the BOP have: 1) legally resided in the United States (U.S.); 2) worked for the U.S. overseas in a Federal or military capacity; or 3) have been a dependent of a Federal or military employee serving overseas.
Name of Individual/Vendor Date
Signature of Individual or Vendor Representative
File details come from the government source that posted it. Updated .