Vendor Certification - Compliance with Federal Anti-Discrimination Law.pdf

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Attached to
Workers Compensation Insurance for the U. S. Embassy Canberra Australia
Solicitation number
19AS2025Q0012
Issued by

About this file

This document is a Certification Regarding Compliance with Applicable Federal Anti-Discrimination Law from the U.S. Embassy in Canberra, Australia. The form requires contractors or offerors to certify two key points: (1) compliance with all federal anti-discrimination laws, and (2) that they do not operate any Diversity, Equity, and Inclusion (DEI) programs that violate federal anti-discrimination laws. The certification is considered material to the government's payment decisions and is subject to the False Claims Act (31 U.S.C. 3729(b)(4)).

The form provides specific instructions for completion, including reading the entire certification, checking appropriate boxes, and ensuring the representation is made by an authorized person with the authority to bind the contractor or offeror. The document is associated with Solicitation Number 19AS2025Q0012 for Workers Compensation Insurance for the U.S. Embassy in Canberra, Australia, which will cover locally employed employees for the period of July 01, 2025 to June 30, 2026.

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Embassy of the United States of America Canberra, Australia

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:

CERTIFICATION REGARDING COMPLIANCE WITH APPLICABLE FEDERAL ANTI- DISCRIMINATION LAW
DIRECTIONS FOR CONTRACTORS and/or OFFERORS
CERTIFICATION:

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