Attachment 4 - PWS Compliance Form.pdf

PDF 360 KB Posted

Attached to
Up to 60-month lease of 32 MFDs for Japan
Solicitation number
SP7000-26-Q-1016
Issued by

About this file

This is a Performance Work Statement Compliance Form template for federal contract solicitation SP7000-26-Q-1016, dated May 1, 2026.

The form serves as a vendor's acknowledgment and commitment to comply with all sections of the Performance Work Statement without caveats or deviations, with a single exception for PWS section XV (Supply Chain Risk Management). Vendors are required to complete the template by inserting their company name, addresses, and signature information, then submit it as part of their solicitation response. The form confirms that vendors have submitted all required documentation related to PWS section XV Supply Chain Risk Management requirements. This is a compliance certification document only and does not address specific products, services, deliverables, or performance objectives.

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SP7000-26-Q-1016 Attachment 4 – Performance Work Statement Compliance Form Page 1 of 1

Source Selection Information - See FAR 2.101 and 3.104.

Date: May 1, 2026

Performance Work Statement Compliance Form

_________________________ (Vendor) _________________________ (Vendor’s Address) _________________________ (Vendor’s Address)

Subject: Performance Work Statement Compliance

Reference: SP7000-26-Q-1016

_________________________ (Vendor) hereby agrees to comply with all sections set forth in the Performance Work Statement (PWS) without any caveats/deviations with the exception of PWS section XV Supply Chain Risk Management.

As part of our solicitation response, this document confirms the documentation required in PWS section XV Supply Chain Risk Management has been submitted.

_________________________ (Vendor Signature) _________________________ (Vendor POC/Title)

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