AA25-07 Compliance Certification -- APPLICABLE FEDERAL ANTI-DISCRIMINATION LAW.pdf
PDF 179 KB Posted
- Solicitation number
- 19WA8025Q0015
- Issued by
-
Department of State
About this file
This is a certification form from the U.S. Embassy in Windhoek, Namibia, requiring Department of State contractors to certify their compliance with federal anti-discrimination laws. The form is specifically focused on ensuring contractors do not operate any Diversity, Equity, and Inclusion (DEI) programs that violate applicable anti-discrimination laws, with this certification being subject to the False Claims Act (31 U.S.C. 3729(b)(4)).
The document requires contractors to complete two certifications: 1) that they are in compliance with all applicable Federal anti-discrimination laws, and 2) that they do not operate any DEI programs violating federal anti-discrimination laws. Contractors must submit the completed form to whkproc@state.gov, with signatures from an authorized representative who has the authority to bind the contractor. The form is associated with solicitation number 19WA8025Q0015 for Water Damage Repair Services at the U.S. Embassy in Windhoek.
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Text version
Embassy of the United States of America Windhoek, Namibia
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 whkproc@state.gov .
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: ___________________________________________________ mailto:whkproc@state.gov
File details come from the government source that posted it. Updated .