Attachment 4 - Key Indvidual Certification.pdf
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- Solicitation number
- 72052221R00007
About this file
This document includes an attachment to a request for proposals and details of the related federal contract opportunity. The attachment is a key individual certification requiring signatures from certain individuals of bidding organizations, certifying they have not been involved with narcotics or drug trafficking within the last ten years.
The federal contract opportunity is a solicitation from USAID Honduras seeking professional and technical services to implement the "Justicia Efectiva Contra la Criminalidad y Corrupcion" Activity over five years. The goal of this Activity is to advance an effective criminal justice system in Honduras that upholds independence and integrity while increasing oversight and public support for the rule of law. USAID anticipates awarding one combination cost reimbursement and IDIQ contract to provide said services, subject to funding availability.
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Text version
RFP No. 72052221R00007
ATTACHMENT 4
KEY INDIVIDUAL CERTIFICATIONS NARCOTICS OFFENSES and DRUG TRAFFICKING
Certificate can be accessed at http://inside.usaid.gov/ADS/200/20657m1.pdf http://inside.usaid.gov/ADS/200/20657m1.pdf
Mandatory Reference: 206 Supplementary Reference: N/A File Name: ads15/20657m1
KEY INDIVIDUAL CERTIFICATION
NARCOTICS OFFENSES AND DRUG TRAFFICKING
I hereby certify that within the last ten years:
1. I have not been convicted of a violation of, or a conspiracy to violate, any law or regulation of the United States or any other country concerning narcotic or psychotropic drugs or other controlled substances.
2. I am not and have not been an illicit trafficker in any such drug or controlled substance.
3. I am not and have not been a knowing assistor, abettor, conspirator, or colluder with others in the illicit trafficking in any such drug or substance.
Signature: ________________________ Date:
Name: ___________________________
Title/Position: ____________________________
Organization: _____________________________
Address: ________________________________
Date of Birth: ______________________________
NOTICE:
1. You are required to sign this Certification under the provisions of 22 CFR Part 140, Prohibition on Assistance to Drug Traffickers. These regulations were issued by the Department of State and require that certain key individuals of organizations must sign this Certification.
2. If you make a false Certification you are subject to U.S. criminal prosecution under 18 U.S.C. 1001.
File details come from the government source that posted it. Updated .