Attachment 3 - Felony and Tax Liability Representation Cert 25R004 fillable.pdf

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Attached to
Financial & Performance Management System (FPMS) Software as a Service (SaaS) Subscriptions and Support Services
Solicitation number
15JPSS25R00000004
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This is a fillable certification form (Attachment 3) related to representations regarding delinquent tax liability and felony convictions for the Financial & Performance Management System (FPMS) SaaS solicitation #15JPSS25R00000004.

The form requires offerors to certify two key items: 1) that they are not a corporation with unpaid federal tax liability that has been assessed and is not being paid according to an agreement, and 2) that they are not a corporation convicted of a felony under federal law within the previous 24 months. The form includes spaces for the authorized representative's printed name, title, and signature, along with checkboxes for the representations.

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Attachment 3

15JPSS25R00000004 Financial & Performance Management System (FPMS) SaaS

52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (February 2016)

(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.

Printed Name & Title

Signature

Printed Name Title:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off

File details come from the government source that posted it. Updated .