B08_SOL_W912PF22Q0018_Attachment 1_Antimafia.pdf
PDF 115 KB Posted
- Attached to
- REPAIR OF FIRE PREVENTION AND PROTECTION SYSTEM AT USAG-ITALY (VICENZA) AND POGGIO RENATICO (FE), ITALY
- Solicitation number
- W912PF22Q0018
About this file
This solicitation seeks repair and emergency services for fire prevention and protection systems at U.S. Army installations in Vicenza and Poggio Renatico, Italy. The selected contractor shall provide all necessary personnel, equipment, supplies, transportation, and materials to repair fire suppression, fire alarm, mass notification, fire extinguishing, fire pump, emergency signage, hydrant, hose reel, emergency lighting, sprinkler, and related communication systems as defined in the Performance Work Statement. Emergency call services are also required. The contractor must repair and service the U.S. Government-owned systems, except for specified Government-furnished property and services. Interested offerors should refer to the attached Combined Synopsis/Solicitation and its attachments for more detailed requirements.
The second document is an affidavit template for Italian antimafia certification. It requires the signatory to attest that they are not subject to prohibitions, decertification or suspension under Article 67 of Italian Legislative Decree 159/2011. Personal data disclosed on the form will be processed and stored electronically solely for the purpose of the relevant procurement procedure.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 0001 W912PF22Q0018 Fire Alarm Suppression System.pdf | ||
| B08_TECH EXHIBIT C _ PRICE LIST_FINAL_20220818.xlsx | XLSX spreadsheet | |
| B08_TECH EXHIBIT C _ PRICE LIST_FINAL_20220729.xlsx | XLSX spreadsheet | |
| B08_SOL_W912PF22Q0018_Combined_8AUG.docx | DOCX document | |
| B08-SOL_W912PF22Q0018_Attachment2_SuitabilityKTR.pdf |
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Text version
W912PF22Q0018
ATTACHMENT 1
Autocertificazione della comunicazione antimafia.
Dichiarazione sostitutiva di certificazione (D.P.R. n. 445 del 28.12.2000)
Il/la sottoscritto/a (nome e cognome) C.F._ nato/a Prov. il residente a Prov. in via/piazza
n. , in qualità di (carica ricoperta) dell’impresa
(indicare la denominazione)
C.F.
avente la sede in n.
Prov. di Via consapevole delle sanzioni penali in caso di dichiarazioni false e della conseguente decadenza dai benefici eventualmente conseguiti (ai sensi degli artt. 75 e 76 D.P.R. 445/2000) sotto la propria responsabilità
DICHIARA
che nei propri confronti non sussistono le cause di divieto, di decadenza o di sospensione di cui all’art. 67 del D.lgs. n. 159 del 06/09/2011.
Il/la sottoscritto/a dichiara inoltre di essere informato/a, ai sensi del D.Lgs. n. 196/2003 (codice in materia di protezione di dati personali) che i dati personali raccolti saranno trattati, anche con strumenti informatici, esclusivamente nell’ambito del procedimento per il quale la presente dichiarazione viene resa.
data firma leggibile del dichiarante (2)
File details come from the government source that posted it. Updated .