CERTIFICATION REGARDING COMPLIANCE WITH APPLICABLE FEDERAL ANTI-DISCRIMINATION LAW.pdf
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- Solicitation number
- 191Z2525R0002
- Issued by
-
Department of State
About this file
This is a certification form from the U.S. Consulate General Erbil requiring Department of State contractors to certify their compliance with federal anti-discrimination laws. The form is associated with solicitation number 191Z2525R0002 for Custodial and Garbage Removal Services.
The certification requires contractors to confirm two specific points: 1) that they are in compliance with all applicable Federal anti-discrimination laws, which is material to government payment decisions under the False Claims Act (31 U.S.C. 3729(b)(4)), and 2) that they do not operate any Diversity, Equity, and Inclusion (DEI) programs that violate applicable Federal anti-discrimination laws. The form must be completed by an authorized representative with the authority to bind the contractor, requiring the contractor's name, representative's name and title, signature, date, and the solicitation number.
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Text version
U.S. Consulate General Erbil
CERTIFICATION REGARDING COMPLIANCE WITH APPLICABLE FEDERAL ANTI-DISCRIMINATION LAW
All Department of State contractors must cer�fy that they do not operate any programs promo�ng DEI that violate any applicable an�-discrimina�on laws and agree that such cer�fica�on 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 en�re cer�fica�on provided below.
2.A�er you have read the provisions, please check the appropriate boxes.
3.Upon comple�on of Step 2, fill out the representa�on below. NOTE: This certification is made by a person with the authority to bind the contractor or offeror.
4.Return completed form to the Contrac�ng Officer/POC shown in the e-mail.
CERTIFICATION:
The Contractor or prospec�ve offeror cer�fies they:
☐ are in compliance in all respects with all applicable Federal an�-discrimina�on laws is material to the government’s payment decisions for purposes of sec�on 31 USC 3729(b)(4) (False Claims Act); and
☐ do not operate any programs promo�ng Diversity, Equity, and Inclusion that violate any applicable Federal an�-discrimina�on laws.
Contractor or Offeror Name (Printed or Typed): ___________________________________________
Authorized Representa�ve Name and Title: ______________________________________________
Authorized Representa�ve Signature and Date: ____________________________________________
Solicita�on or Contract Number: __191Z2525R0002_____________________________________
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