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

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Attached to
Health and Life insurance services for locally employed staff and retirees of the U. S. Mission in Ecuador
Solicitation number
19EC7524R0001
Issued by

About this file

This is a certification form from the U.S. Embassy in Quito requiring Department of State contractors to certify their compliance with federal anti-discrimination laws. The form is specifically focused on contractors confirming two key elements: 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 USC 3729(b)(4)), and 2) that they do not operate any Diversity, Equity, and Inclusion (DEI) programs that violate federal anti-discrimination laws.

The form requires contractors to check two certification boxes and provide their company name, authorized representative details, signature, date, and the associated solicitation/contract number. This certification appears to be related to solicitation #19EC7524R0001 for health and life insurance services for locally employed staff at the U.S. Mission in Ecuador. The document includes the official U.S. State Department seal and requires submission to the Contracting Officer/POC specified in the related email.

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U.S. EMBASSY QUITO

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 .