9. Delinquent Tax Liability Form.docx
DOCX document 28 KB Posted
- Attached to
- Injury Prevention Academic Advisor Services
- Solicitation number
- 75H70424Q00032
About this file
This document is a federal government contract solicitation for Injury Prevention Academic Advisor Services. The Indian Health Service (IHS) is seeking an academic coordinator/advisor to support training components of the IHS Injury Prevention Program. The advisor will be the primary coordinator and facilitator for the IHS Injury and Violence Prevention Fellowship, and will serve as coordinator and advisor for academic review and revisions to other IPS courses. The advisor must have expertise in areas such as American Indian/Alaska Native culture, public health, epidemiology, facilitation methods, and curriculum planning. The contract is for a full and open competition under NAICS code 611430 with a size standard of $15 million. Offerors must complete and return the Delinquent Tax Liability Form and other required contracting forms. The government will award the contract to the responsible offeror whose quote is the lowest price technically acceptable.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service
| Indian Health Service |
| Rockville MD 20857 |
Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law
(FAR 52.209-11)
**All vendors responding to this solicitation are required to complete and return this form. No exceptions.**
(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that--
(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or
(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.
(b) The Offeror represents that—
(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and
(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.
Business Name Certifying Signature
Duns Number Print Name image1.png
File details come from the government source that posted it. Updated .