DOJ_RESIDENCY_FORM.pdf
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- Attached to
- FCI Seagoville Building Elevator Renovation
- Solicitation number
- 15B51426Q00000025
About this file
This is a Department of Justice Residency Requirement Certification Form used for purchase card transactions involving services subject to DOJ residency requirements.
The form applies to both individual service providers and companies contracting with the Bureau of Prisons (BOP). For individual providers, the signatory must certify that during three of the five years immediately preceding solicitation response, 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, an authorized representative may submit a single certification on behalf of the vendor, certifying that contract employees providing services to BOP meet the same residency criteria. The form requires completion of name/vendor identification, date, and signature fields. By submitting the certification, companies agree to provide BOP with contract employees meeting the DOJ Residency Requirement.
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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 .