Attachment_I_Other_Transaction_Certifications.docx
DOCX document 40 KB Posted
- Solicitation number
- DARPA-PA-26-05
About this file
This is an Other Transaction Certifications form required for submission with proposals to DARPA solicitation DARPA-PA-26-05 (Mathematics of Boosting Agentic Communication - MATHBAC). The document serves as a template for offerors to provide mandatory certifications and representations regarding their eligibility and compliance with federal requirements.
The form requires the official representative of the submitting organization to certify non-debarment status pursuant to Executive Order 12549, commitment to maintaining a drug-free workplace under Public Law 100-690, and compliance with DoD Directive 5500.11 regarding nondiscrimination. For proposals exceeding $100,000, offerors must certify compliance with Section 1352 of Title 31, U.S.C., regarding the prohibition on using federal appropriated funds to influence federal contracting decisions, and must disclose any lobbying activities on Standard Form LLL if non-federal funds were used for such purposes. Additionally, corporate offerors must represent their status regarding unpaid federal tax liabilities and felony convictions under federal law within the preceding 24 months, with the form providing checkboxes for affirming or denying each condition. The certification requires the signature and typed identification of the official responsible for the transaction and the organization's name, along with the date of submission.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| DARPA-PA-26-05 MATHBAC Amendment 01 Summary of Changes.pdf | ||
| FAQ_MATHBAC_11JUNE2026.pdf | ||
| DARPA-PA-26-05-Amendment-01.pdf | ||
| Attachment_E_Proposal_Instructions_and_Volume_II_Template_Price.docx | DOCX document | |
| DARPA-PA-26-05.pdf | ||
| Attachment_D_Proposal_Instructions_and_Volume_I_Template__Technical_and_Management.docx | DOCX document | |
| Attachment_A_Abstract_Summary_Side_Template.pptx | PPTX presentation | |
| Attachment_G_Model_Other_Transaction_for_Research_Agreement_MATHBAC_.docx | DOCX document | |
| Attachment_C_Proposal_Summary_Slide_Template.pptx | PPTX presentation | |
| Attachment_X_Proposal_Overview_and_Proposed_Metrics.pptx | PPTX presentation | |
| Attachment_F_Streamlined_Cost_Buildup_Workbook.xlsx | XLSX spreadsheet | |
| Attachment_B_Abstract_Instructions_and_Template.docx | DOCX document | |
| Attachment_H_Task_Description_Document_TDD_Template.docx | DOCX document |
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DARPA-PA-26-05
DARPA-PS-24-11
OTHER TRANSACTION CERTIFICATIONS
Program Solicitation No.: DARPA-PA-26-05
Offeror:
Proposal Identification: MATHBAC
1. The undersigned certifies, to the best of his or her knowledge and belief, that this institution, organization, and its principals:
(a) Pursuant to Executive Order 12549 and implementing rule, are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered transactions by any Federal department or agency.
(b) Pursuant to Public Law 100-690 and implementing final rule, effective 24 July 1990, will provide a drug-free workplace. The place of performance is:
[Street Address] [City, County, State] [Zip code]
(c) Is in compliance with the provisions of DoD Directive 5500.11, “Nondiscrimination in Federally Assisted Programs”, which implements Title VI of the Civil Rights Act of 1964.
2. The following certification applies only to actions exceeding $100,000.00:
Section 1352, Title 31, U.S.C. (Public Law 101-121, Section 319) entitled, "Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions."
(1) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an Officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal Grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, cooperative agreement, or other transaction.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the Federal contract, grant, loan, cooperative agreement, or other transaction, the undersigned shall complete and submit Standard Form LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, cooperative agreements and other transactions) and that all subrecipients shall certify and disclose accordingly.
| This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U. S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure. | |
| 3. | REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW |
(a) In accordance with Section 101(a) of the Continuing Appropriations Act, 2016, Pub. L. 114-53, and any subsequent FY2016 appropriations act that extends to FY2016 funds the same restrictions as are contained in Sections 744 and 745 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), none of the funds made available by this or any other Act may be used to enter into a contract with any corporation that—
(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless the agency has considered suspension or debarment of the corporation and made a determination that this further action is not necessary to protect the interests of the Government; or
(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless the agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.
(b) The Offeror represents that –
(1) It is ☐ is not ☐ a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.
(2) It is ☐ is not ☐ a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.
| ____________________________________________________ | _ | __________________________________ |
| [Typed Name and Title of Official Responsible for This Transaction] | [Name of Organization/Institution] |
| _____________________________________________________ | _______________________ _ | |
| [Signature of Official responsible for this transaction] | [Date] |
File details come from the government source that posted it. Updated .