CERTIFICATION REGARDING COMPLIANCE WITH APPLICABLE FEDERAL ANTI-DISCRIMINATION LAW_.pdf

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Attached to
RFQ for Step-Down Transformer
Solicitation number
19AJ2025Q0004
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This is a certification form from the U.S. Embassy Baku, Azerbaijan regarding compliance with Federal anti-discrimination laws. The document requires Department of State contractors and prospective offerors to certify two key items: 1) they are in compliance with all applicable Federal anti-discrimination laws, which is material to government payment decisions under the False Claims Act (31 USC 3729(b)(4)), and 2) they do not operate any DEI programs that violate Federal anti-discrimination laws.

The certification form includes four steps for completion: reading the certification, checking appropriate boxes, filling out contractor representation details (including contractor name, authorized representative information, signature, and date), and returning the completed form to the Contracting Officer/POC via email. This certification is associated with solicitation 19AJ2025Q0004 for a Step-Down Transformer procurement at the U.S. Embassy in Baku.

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Solicitation package 19AJ2025Q0004.pdf PDF

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U.S. Embassy Baku, Azerbaijan

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: ___________________________________________________

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