Exhibit C - Certification.docx

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Attached to
Cleaning Industrial Kitchen Hoods & Ducts, Rome, Italy
Solicitation number
191T7025Q0005
Issued by

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This document is a Certification form for contractors regarding compliance with federal anti-discrimination laws, specifically for the U.S. Embassy in Rome, Italy. The certification requires contractors to affirm that they: 1) comply with all applicable federal anti-discrimination laws, 2) understand that this compliance is material to government payment decisions under the False Claims Act, and 3) do not operate any Diversity, Equity, and Inclusion (DEI) programs that violate federal anti-discrimination laws. The form must be completed by an authorized representative, signed, and returned to the Contracting Officer, and is associated with Solicitation Number 191T7025Q0005 for cleaning services of industrial kitchen hoods and ducts at the American Embassy and Residences in Rome, Italy.

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U.S. Embassy Rome, Italy GSO/Acquisitions

CERTIFICATION REGARDING COMPLIANCE WITH APPLICABLE FEDERAL ANTI-DISCRIMINATION LAW

All Department of State contractors must certify that they do not operate any programs promoting DEI that violate any applicable anti-discrimination laws and agree that such certification is material for purposes of the government’s payment decision and therefore subject to the False Claims Act. See 31 U.S.C. 3729(b)(4).

DIRECTIONS FOR CONTRACTORS and/or OFFERORS

1.Read the entire certification provided below.

2.After you have read the provisions, please check the appropriate boxes.

3.Upon completion of Step 2, fill out the representation below. NOTE: This certification is made by a person with the authority to bind the contractor or offeror.

4.Return completed form to the Contracting Officer/POC shown in the e-mail.

CERTIFICATION:

The Contractor or prospective offeror certifies they:

☐ are in compliance in all respects with all applicable Federal anti-discrimination laws is material to the government’s payment decisions for purposes of section 31 USC 3729(b)(4) (False Claims Act); and

☐ do not operate any programs promoting Diversity, Equity, and Inclusion that violate any applicable Federal anti-discrimination laws.

Contractor or Offeror Name (Printed or Typed): ___________________________________________

Authorized Representative Name and Title: ______________________________________________

Authorized Representative Signature and Date: ____________________________________________

Solicitation or Contract Number: ___________________________________________________ image1.jpeg

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