Amendment to RFQ to extend closing.pdf

(If applicable)

(If other than Item 6)

(Number, street, country, state and ZIP Code)

(SEE ITEM 11)

(SEE ITEM 13)

(If required)

(Specify authority)

(such as changes in paying office, appropriation date, etc.)

(Specify type of modification and authority)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

and THIS REQUIREMENT HAS BEEN CHANGED FROM TOTAL SMALL BUSINESS SET-ASIDE TO UNRESTRICTED.

(Type or print) (Type or print)

(Signature of person authorized to sign) (Signature of Contracting Officer)

Previous edition unusable

JONATHAN GANT

Digitally signed by JONATHAN

GANT

Date: 2021.08.27 07:25:12 -04'00' insert the period of time within which the Contracting Officer may exercise the option insert the period of time within which the Contracting Officer may exercise the option

60 days unless a different number of days is inserted insert date

[Contracting Officer check as appropriate.] et seq.

Contracting Officer check as appropriate et seq.

et seq.

et seq et seq.

et seq.

Comptroller General Examination of Record et seq et seq

Definitions

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, substantial or essential component

Prohibition

Procedures https:// www.sam.gov

Representations

Disclosures

Procedures https:// www.sam.gov

Representations https://www.sam.gov

Affiliates

Annual Representations and Certifications http:// www.sam.gov

Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.

Small business concern.

Veteran-owned small business concern. Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.

Service-disabled veteran-owned small business concern. Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.

Small disadvantaged business concern. Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.

Women-owned small business concern. Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.

[Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.]

The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture:

Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.

The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture:

Women-owned business concern (other than small business concern). Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.

Tie bid priority for labor surplus area concerns

HUBZone small business concern Complete only if the offeror represented itself as a small business concern in paragraph (c)

(1) of this provision.

The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture

Representations required to implement provisions of Executive Order 11246

Affirmative Action Compliance

Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352).

Buy American Certificate.

List as necessary

Buy American--Free Trade Agreements--Israeli Trade Act Certificate

List as necessary

Buy American--Free Trade Agreements--Israeli Trade Act Certificate, Alternate I

Buy American--Free Trade Agreements--Israeli Trade Act Certificate, Alternate II

Buy American--Free Trade Agreements--Israeli Trade Act Certificate, Alternate III

List as necessary

Trade Agreements Certificate

Certification Regarding Responsibility Matters (Executive Order 12689).

The tax liability is finally determined

The taxpayer is delinquent in making payment

Examples

Listed End Products (Executive Order 13126) The Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b)

Listed end products.

Certification. If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.

Place of manufacture.

Certificates regarding exemptions from the application of the Service Contract Labor Standards

The contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.

Taxpayer Identification Number (TIN) (26 U.S.C. 6109, 31 U.S.C. 7701).

Taxpayer Identification Number (TIN).

Type of organization.

Common parent.

Restricted business operations in Sudan

Prohibition on Contracting with Inverted Domestic Corporations.

Representation.

Prohibition on contracting with entities engaging in certain activities or transactions relating to Iran.

CISADA106@state.gov

Representation and Certifications https://www.treasury.gov/resource-center/ sanctions/SDN-List/Pages/default.aspx) e.g

Ownership or Control of Offeror.

Do not use a "doing business as" name

Do not use a "doing business as" name

Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law.

Predecessor of Offeror

Do not use a "doing business as" name

Public Disclosure of Greenhouse Gas Emissions and Reduction Goals

Representation [Offeror to check applicable block(s) in paragraph (t)(2)(i) and (ii)] i.e., i.e., Representation e.g., Covered Telecommunications Equipment or Services-Representation https://www.sam.gov