Attachment 3 - Form E.O.14173.pdf
PDF 176 KB Posted
- Attached to
- MSB Chiller Replacement, Rome, Italy
- Solicitation number
- 191T7025Q0012
- Issued by
-
Department of State
About this file
This document is a Certification Regarding Compliance with Applicable Federal Anti-Discrimination Law from the U.S. Embassy in Rome, Italy, specifically for the GSO/Acquisitions department. The certification requires contractors to affirm two key points: (1) compliance with all federal anti-discrimination laws, and (2) confirmation that they do not operate any Diversity, Equity, and Inclusion (DEI) programs that violate anti-discrimination laws. The form emphasizes that this certification is material to government payment decisions and is subject to the False Claims Act (31 U.S.C. 3729(b)(4)). Contractors must read the entire document, check appropriate boxes, and have an authorized representative complete and sign the form, which will then be returned to the Contracting Officer via email.
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U.S. Embassy Rome, Italy GSO/Acquisitions
CERTIFICATION REGARDING COMPLIANCE WITH APPLICABLE FEDERAL ANTI-DISCRIMINATION LAW
All Department of State contractors must certify that they do not operate any programs promoting DEI that violate any applicable anti-discrimination laws and agree that such certification is material for purposes of the government’s payment decision and therefore subject to the False Claims Act. See 31 U.S.C. 3729(b)(4).
DIRECTIONS FOR CONTRACTORS and/or OFFERORS
1.Read the entire certification provided below.
2.After you have read the provisions, please check the appropriate boxes.
3.Upon completion of Step 2, fill out the representation below.
NOTE: This certification is made by a person with the authority to bind the contractor or offeror.
4.Return completed form to the Contracting Officer/POC shown in the e-mail
CERTIFICATION:
The Contractor or prospective offeror certifies they:
☐ are in compliance in all respects with all applicable Federal anti-discrimination laws is material to the government’s payment decisions for purposes of section 31 USC 3729(b)(4) (False Claims Act); and
☐ do not operate any programs promoting Diversity, Equity, and Inclusion that violate any applicable
Federal anti-discrimination laws.
Contractor or Offeror Name (Printed or Typed): ___________________________________________
Authorized Representative Name and Title: ______________________________________________
Authorized Representative Signature and Date: ____________________________________________
File details come from the government source that posted it. Updated .