Attachment_2_-_Reps_and_Certs_Document.pdf

Definitions

Attachment 2 - Reps and Certs Document

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS -- COMMERCIAL ITEMS

(JAN 2017)

Annual Representations and Certifications

Offeror to identify the applicable paragraphs at (c) through (t) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.

Small business concern

Veteran-owned small business concern Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision

Service-disabled veteran-owned small business concern Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision

Small disadvantaged business concern Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision

Women-owned small business concern Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision

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The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture:

Women-owned business concern (other than small business concern Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision

Tie bid priority for labor surplus area concerns

HUBZone small business concern Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision

Affirmative Action Compliance

Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352)

Buy American Certificate i.e.

List as necessary

Buy American-Free Trade Agreements-Israeli Trade Act Certificate

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List as necessary i.e.

List as necessary

Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate I

List as necessary

Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate II

Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate III

Trade Agreements Certificate

List as necessary

Certification Regarding Responsibility Matters (Executive Order 12689

The tax liability is finally determined

The taxpayer is delinquent in making payment

Examples

Listed End Products (Executive Order 13126) The Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b)

Listed end products

Certification If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block

Place of manufacture.

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Certificates regarding exemptions from the application of the Service Contract Labor Standards

The contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.

Taxpayer Identification Number (TIN) ( , 31 U.S.C. 7701)

Taxpayer Identification Number (TIN)

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Type of organization

Common parent

Restricted business operations in Sudan

Representation

Representation and Certifications e.g.

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Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law

Predecessor of Offeror

Public Disclosure of Greenhouse Gas Emissions and Reduction Goals

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Representation Offeror to check applicable block(s) in paragraph (t)(2)(i) and (ii) i.e i.e.

Representation e.g

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