1.10.2- Attachment C- Statement of Contractor Assurance.pdf
PDF 172 KB Posted
- Solicitation number
- 70FBR626R00000021
- Issued by
-
Federal Emergency Management Agency
About this file
This is a Statement of Contractor Assurance form for Federal contract #70FBR626R0000021. The form is a template requiring offerors to certify their qualifications and eligibility at the time of offer submission by initialing seven key assurance areas. Offerors must affirm they possess adequate financial resources to perform the contract, capability to meet delivery and performance schedules with committed partners and subcontractors, and necessary organizational structure, experience, controls, and technical skills. Additionally, offerors must certify a satisfactory performance record, satisfactory integrity and business ethics record, and full disclosure of any bankruptcies, governmental fines, or legal proceedings that could materially impact project implementation. Lastly, offerors must confirm they are qualified and eligible to receive an award under applicable federal laws and regulations including Equal Opportunity, Clean Air and Water, and Small Business Subcontracting requirements. The form requires signature and date from the contractor's point of contact upon completion.
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Text version
Statement of Contractor Assurance
For
Contract # 70FBR626R0000021
By submitting this offer, the offeror, [enter firm’s name] certifies that, at the time of submission, they:
a. Have adequate financial resources to perform the contract (see FAR 9.104-3(a)); _____Initial
b. Have the capability to comply with the required or proposed delivery or performance schedule (has commitments from their partners and subcontractors to deliver all commodities/services proposed); and otherwise meet or exceed the general standards required by FAR 9.104-1._____Initial
c. Have the necessary organization, experience, accounting and operational controls, and technical skills, or the ability to obtain them (including, as appropriate, such elements as production control procedures, property control systems, quality assurance measures, and safety programs applicable to materials to be produced or services to be performed by the prospective contractor and subcontractors). (See FAR 9.104-3(a)); ________Initial
d. Have a satisfactory performance record (See FAR 9.104-3(b) and Subpart 42.15). A prospective contractor shall not be determined responsible or non-responsible solely on the basis of a lack of relevant performance history, except as provided in FAR 9.104-2;______ Initial
e. Have a satisfactory record of integrity and business ethics (for example see FAR 42.15);
______Initial
f. Have disclosed any filings for bankruptcy, fines levied by governmental agencies, or legal proceeding against any participating organization, employees, corporate officer, or entity that might have a material effect on the proposer’s ability to implement the proposed project, as required by FAR 52.212-3(h), Certification Regarding Responsibility Matters.
________Initial
g. Are otherwise qualified and eligible to receive an award under applicable laws and regulations (e.g., Equal Opportunity, Clean Air and Water, Small Business Subcontracting, etc.). _____Initial
[Contractor POC Name & Date]
File details come from the government source that posted it. Updated .