Attachment 4 Contractors Tax Exemtion Declaration.docx

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Attached to
Amendment to SOL: LCS Funded- WRM Vehicle Maintenance KUNSAN AB- Korean Vendor Only
Solicitation number
W90VN6-25-Q-A005-P00001
Issued by

About this file

This is a tax exemption declaration form template for contractors working under a U.S.-ROK (Republic of Korea) Status of Forces Agreement contract. The form requires contractors to detail various taxes that would normally apply but are excluded from their proposal, including Customs Tax, Special Excise Tax, Value Added Tax (VAT), and Special Excise (Petroleum) Tax for fuel products like gasoline and diesel.

The form is related to a vehicle maintenance contract solicitation amendment (W90VN6-25-Q-A005-P00001) for LCS WRM at Kunsan Air Base, restricted to Korean vendors only. Contractors must certify that all supplies and services are proposed exclusive of VAT, Customs Tax (except for ROK MND-funded contracts), and Special Excise Tax. The form requires detailed breakdowns of tax calculations, unit costs, and quantities for various categories, as well as identification of the oil company refinery for petroleum products.

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ATTACHMENT: CONTRACTOR’S TAX EXEMPTION DECLARATION

(1) References:

(i) Contract clause, "FAR 52.229-06 Taxes—Foreign Fixed-Price Contracts (Jan 1991)."

(ii) US-ROK Status of Forces Agreement (SOFA), Articles IX and XVI.

(iii) ROK Customs Law, Law No. 1976, promulgated on 29 November 1967, as amended.

(iv) ROK Value Added Tax Law, Law No. 2934, promulgated on 22 December 1976 (effective date 1 July 1977), as amended.

(v) ROK Special Excise Tax Law, Law No. 2935, promulgated on 22 December 1976 (effective date 1 July 1977), as amended.

(2) Contractor shall state the types and estimated amount of taxes that would normally apply to such transactions but are excluded from this proposal.

(i) Customs Tax (except for ROK MND-funded contracts or delivery orders):

Name Number Cost/Unit of Item of Units w/o Tax % of Tax Tax/Unit Tax Total

This item will be imported specifically for this contract? Yes _________ No ________

(ii) Special Excise Tax:

Name Number Cost/Unit of Item of Units w/o Tax % of Tax Tax/Unit Tax Total

Name of item manufacturer

(iii) Value Added Tax (VAT):

Input VAT on materials purchased for this contract. _________ Input VAT on transportation leased/rented for this contract. _________ Input VAT on equipment leased/rented for this contract. _________ Input VAT on services purchased for this contract. _________ Output VAT on total contract amount. _________

(iv) Special Excise (Petroleum) Tax:

No. of Unit Price Total Tax Liters w/o Tax Tax/Unit Amount

Regular Gasoline __________ (L) ₩_________ ₩________ ₩_________

Premium Gasoline __________ (L) ₩_________ ₩________ ₩_________

Diesel __________ (L) ₩_________ ₩________ ₩_________

Other __________ (L) ₩_________ ₩________ ₩_________

(3) Name of Oil Company Refinery from which POL products will be purchased:

Oil Company: _________________________________________ (Name only)

(4) I certify by this submission that all supplies and services to be purchased for this contract have been proposed exclusive of Value Added Tax, applicable Customs Tax (except for ROK MND-funded contracts and delivery orders), and Special Excise Tax.

Contractor’s Signature

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