Enclosure B - Supplier RepsCerts (AMS-Form-050).pdf
PDF 3 MB Posted
- Attached to
- Amendment 1 - Renewable Energy Credits (FY'2024) Federal contract opportunity
- Solicitation number
- 445300
- Issued by
- Department of Energy Office of Science
About this file
This document is the Annual Representations and Certifications (AMS-Form-050) that offerors must complete as part of a federal contract opportunity.
The key details are:
- This form requires offerors to provide representations and certifications on various topics such as small business status, compliance with federal laws and regulations, and information about executive compensation.
- The form is divided into several sections, including Section A for small business offerors, Section B for additional representations and certifications required for work under U.S. government prime contracts, and Section C for the authorized signature of the offeror.
- The related federal contract opportunity is for the Department of Energy Office of Science to purchase 20,400 Renewable Energy Credits for Fiscal Year 2024, with Solicitation Number 445300.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| PO No.445300 - Attachment (A) BSA Technical Specification.pdf | ||
| Enclosure C - Quotation Pricing Sheet (AMS-Form-043).pdf | ||
| BNL RFQ No.4453300 - Solicitation - Renewable Energy Credits.pdf | ||
| Enclosure A - Draft Purchase Order No.445300.pdf |
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Text version
ANNUAL REPRESENTATIONS ERTIFICATIONS
Offeror: Offerors Offeror
All Offerors Section A.1. Section C all Small Business Offerors Section A.
Section A.1.:
A.1. Part I:
A.1. Part II:
Offeror
Offeror’s
AMS-Form-050 Rev. 1.0 - 09/2023
Offeror Yes No
Yes Offeror Offeror’s
Offeror
Section A. .: Applicable Only to Small Business Offerors
Offeror Offeror
Offeror
Offeror Offeror’s Section C, “Authorized Signature of Offeror ” Offeror Offeror Offeror
A. .1. Reference:
Offeror Offeror Offeror
Offeror
AND
Offeror Offeror
Offeror
Representations
NAICS Code : Small Business Concern ( Yes):
Offeror
Offeror
Offeror
Offeror
Offeror
Offeror
Offeror
Offeror
Offeror
Offeror and
Offeror
Offeror
Definitions and and and
Notice and
A. .2. Reference:
Offeror Offeror’s
Section B: Additional Representations and Certifications Required for Work Under U.S. Government Prime Contracts
B.1. FAR 52.203-11 (SEP 2007)
Offeror’s designated representative hereby certifies that he or she has read and understands (a) – (e), below.
Offeror
Offeror Offeror
Offeror Offeror
B.2 FAR 52.204-10 ( )
B. Offeror’s
Offeror Offeror
Offeror’s
Offeror’s Offeror
Yes No Yes
Offeror Offeror
Offeror
Yes No
Offeror’s Offeror
Yes No
Yes
No Offeror
Yes No
Yes Offeror
No
Offeror Offeror’s Offeror’s Offeror
Offeror Offeror’s
Executive Name: Executive Total Compensation:
Offeror Offeror
B. . FAR 52.209-5 ( )
Offeror:
Offeror
Offeror
This Certification Concerns a Matter Within the Jurisdiction of an Agency of the United States and the Making of a False, Fictitious, or Fraudulent Certification May Render the Maker Subject to Prosecution Pursuant to 18 U.S.C. 1001.
Offeror Offeror
Offeror’s Offeror Offeror
Offeror
Offeror
B. . FAR 52.209-7 ( ) —
Offeror
Definitions
Offeror Offeror
Offeror Offeror
Offeror Offeror
Offeror
B. . FAR 52.222-22 (FEB 1999)
Offeror
B. . FAR 52.222-25 (APR 1984)
Offeror
OR
B. . Government Property Certification
Offeror
Section C: Authorized Signature of Offeror
Certification of Offeror or Offeror’s Authorized Representative:
Offeror Offeror Offeror’s
Offeror
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