Residency Requirement Certification Form.pdf

PDF 23 KB Posted

Attached to
Amendment 1 Purchase of one 500-Gallon Gas Fired Water Heater at FDC Honolulu.
Solicitation number
15BH0N24Q00000004
Issued by

About this file

This document provides details for a federal contract solicitation to replace a 500-gallon gas-fired water heater at the Federal Detention Center in Honolulu, Hawaii. The Bureau of Prisons is soliciting quotations for the purchase, delivery, and initial training for a 500-gallon gas-fired water heater with a closing date of responses by April 15, 2022. The award will be made to the responsible offeror with the most advantageous price and past performance considered to be most beneficial to the government. Offerors must meet the specifications in the attachments in order to be considered. The solicitation is set aside as a total small business and pricing will be FOB destination.

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DEPARTMENT OF JUSTICE

RESIDENCY REQUIREMENT CERTIFICATION FORM

The residency requirement certification must be completed and returned with the offer/bid/quote for individuals applying for a contract. Companies must submit a completed certification for each of their employees performing work, prior to performance. In order to facilitate the clearance process, companies should submit the certifications as soon as it is apparent which employees will be performing the work but no later than one week prior to performance. Documentation to substantiate residency may be requested at anytime prior to award for contacts with individuals, an d prior to performance for awards other than individuals.

I certify that for three of the five years immediately prior to responding to this solicitation, I have:

1) 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 Vendor/Individual Date

Signature of Individual

File details come from the government source that posted it. Updated .