Attachment B- Statement of Contractor Assurance_9405.pdf
PDF 292 KB Posted
- Solicitation number
- 70FBR626R00000021
- Issued by
-
Federal Emergency Management Agency
About this file
This is a Statement of Contractor Assurance form for Contract #70FBR626R0000019. The document is a template that requires offerors to certify their qualifications and eligibility at the time of offer submission by initialing seven specific assertions regarding contractor responsibility.
The form requires offerors to confirm: adequate financial resources to perform the contract; capability to comply with required delivery or performance schedules and commitments from partners and subcontractors; necessary organization, experience, accounting and operational controls, and technical skills; satisfactory performance record; satisfactory record of integrity and business ethics; disclosure of any bankruptcy filings, governmental fines, or legal proceedings that could materially affect the proposer's ability to implement the project; and qualification and eligibility under applicable laws and regulations including Equal Opportunity, Clean Air and Water, and Small Business Subcontracting requirements. Each certification must be individually initialed by the contractor point of contact, and the form must be signed with the contractor's name and date. This is a standard responsibility certification template and does not contain specific product or service requirements, response dates, or pricing information.
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Text version
Statement of Contractor Assurance
For
Contract # 70FBR626R0000019
By submitting this offer, the offeror, [enter firm’s name] certifies that, at the time of submission, they:
a. Have adequate financial resources to perform the contract (see FAR 9.104-3(a)); _____Initial
b. Have the capability to comply with the required or proposed delivery or performance schedule (has commitments from their partners and subcontractors to deliver all commodities/services proposed); and otherwise meet or exceed the general standards required by FAR 9.104-1._____Initial
c. Have the necessary organization, experience, accounting and operational controls, and technical skills, or the ability to obtain them (including, as appropriate, such elements as production control procedures, property control systems, quality assurance measures, and safety programs applicable to materials to be produced or services to be performed by the prospective contractor and subcontractors). (See FAR 9.104-3(a)); ________Initial
d. Have a satisfactory performance record (See FAR 9.104-3(b) and Subpart 42.15). A prospective contractor shall not be determined responsible or non-responsible solely on the basis of a lack of relevant performance history, except as provided in FAR 9.104-2;______ Initial
e. Have a satisfactory record of integrity and business ethics (for example see FAR 42.15);
______Initial
f. Have disclosed any filings for bankruptcy, fines levied by governmental agencies, or legal proceeding against any participating organization, employees, corporate officer, or entity that might have a material effect on the proposer’s ability to implement the proposed project, as required by FAR 52.212-3(h), Certification Regarding Responsibility Matters.
________Initial
g. Are otherwise qualified and eligible to receive an award under applicable laws and regulations (e.g., Equal Opportunity, Clean Air and Water, Small Business Subcontracting, etc.). _____Initial
[Contractor POC Name & Date]
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