B08_Atch_12_-_52_209-7_Response_Form.docx
DOCX document 21 KB Posted
- Attached to
- LAKE26-0039-PARA FIRE SUPRESSION SYSTEM Federal contract opportunity
- Solicitation number
- 140P8126R0002
About this file
This is a certification response form for Federal Acquisition Regulation (FAR) clause 52.209-7, which requires offerors to disclose information regarding responsibility matters. The form is part of RFP No. 140P8126R0002 issued by the Department of the Interior National Park Service Pacific West Region for the Lake26-0039-Para Fire Suppression System project at Grand Canyon-Parashant National Monument.
The form requires the submitting company to certify whether it currently holds active Federal contracts and grants valued over $10,000,000. If the offeror indicates it has such contracts or grants, it must represent that all information entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the offer submission date. Specifically, offerors must disclose any proceedings within the past five years that resulted in criminal convictions, civil findings of fault and liability with monetary payments of $5,000 or more, administrative findings with fines or penalties of $5,000 or more (or damages exceeding $100,000), or dispositions by consent or compromise with acknowledged fault. The form also requires the offeror's authorized representative to sign and date the certification, and includes fields for company name, type name, company name, and Unique Entity ID. This is a standard template document with no specific pricing, timeline, or deliverable information unique to this particular solicitation.
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|---|---|---|
| B09_Amd_0001_Atch_1_-_Specifications_Revision_0001.pdf | ||
| Sol_140P8126R0002_Amd_0001.pdf | ||
| B08_Atch_4_-_Dellenbaugh_Transportation_Map.pdf | ||
| B08_Atch_9_-_Past_Performance_Questionnaire.docx | DOCX document | |
| B08_Atch_3_-_Product_Data.pdf | ||
| B08_Atch_5_-_Construction_Wage_Determination_5_18_26.pdf | ||
| B08_Atch_6_-_Proposal_Submission_Cover_Page___ToC.docx | DOCX document | |
| Sol_140P8126R0002.pdf | ||
| B08_Atch_10_-_Key_Personnel___Trades_Form.docx | DOCX document | |
| B08_Atch_11_-_SF_24_Bid_Bond.pdf | ||
| B08_Atch_13_-_52_209-13_Response_Form.docx | DOCX document | |
| B08_Atch_1_-_Specifications.pdf | ||
| B08_Atch_8_-_Project_Experience_Questionnaire.docx | DOCX document | |
| B08_Atch_14_-_General_References_Form.docx | DOCX document | |
| B08_Atch_15_-_Subcontracting_Percentage_Worksheet.xlsx | XLSX spreadsheet | |
| B08_Atch_2_-_Drawings.pdf | ||
| B08_Atch_7_-_Price_Schedule.xlsx | XLSX spreadsheet |
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Text version
RFP No. 140P8126R0002, 52.209-7 Certification Company Name: _________________________________ 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018) (DEVIATION MAY 2026)
(a) Definitions. As used in this provision— Administrative proceeding means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.
Federal contracts and grants with total value greater than $10,000,000 means—
(1) The total value of all current, active contracts and grants, including all priced options; and
(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules).
Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).
(b) The offeror [_] has [_] does not have current active Federal contracts and grants with total value greater than $10,000,000.
(c) If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:
(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions:
(i) In a criminal proceeding, a conviction.
(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.
(iii) In an administrative proceeding, a finding of fault and liability that results in–
(A) The payment of a monetary fine or penalty of $5,000 or more; or
(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.
(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.
(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.
(d) The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management, which can be accessed via https://www.sam.gov (see 52.204-7).
(End of provision)
Submitted by:
_________________________________________________ (signature) ____________ (date)
_________________________________________________ (type name)
_________________________________________________ (company name)
_________________________________________________ (Unique Entity ID)
File details come from the government source that posted it. Updated .