B08-SOL_W912PF25QA053_Attachment9_Self Certification for Antimafia Communication.pdf

252 KB Posted

Attached to
Maintenance and Repair Service of HVAC (Heating Ventilation Air Conditioning) & Heating Systems at DMC
Solicitation number
W912PF25QA053
Issued by

About this file

Written by GovTribe AI ·

This document is an Attachment 9 self-certification form for antimafia communication, a standard Italian legal declaration. The form is part of the federal contract opportunity W912PF25QA053 for Maintenance and Repair Service of HVAC and Heating Systems at DMC, issued by the Department of the Army Materiel Command Army Contracting Command. The form requires a declarant to certify that they are not subject to any prohibition, decadence, or suspension under Article 67 of Legislative Decree 159 of 06/09/2011, and confirms their understanding that personal data will be processed exclusively within the context of the related procedural requirements.

View the file

Other files

File Type Posted
B08-Amendment 0002_Combined Synopsis Solicitation W912PF25QA053_202500828.docx DOCX document
B08-SOL_W912PF25QA53_Attachment2_Performance Work Statement - Revised 26 Aug 25.pdf PDF
B08-Amendment 0001_Combined Synopsis Solicitation W912PF25QA053_202500814.docx DOCX document
B08-SOL_W912PF25QA053_Attachment7_Piano di Primo Intervento Aggiornamento_Ott20 (It).pdf PDF
B08_SOL_W912PF25QA053_Attachment4b_FanCoils Splits List.pdf PDF
B08-SOL_W912PF25QA53_Attachment3_ Experience Questionnaire.pdf PDF
B08-SOL_W912PF25QA053_Attachment5_Hazards General List (Engl_It).pdf PDF
B08-SOL_W912PF25QA053_Attachment4c_Boilers List.pdf PDF
B08-SOL_W912pF25QA053_Attachment1 Pricing Worksheet M R HVAC and Heating Systems DMC.xlsx XLSX spreadsheet
B08-SOL_W912PF25QA053_Attachment4d_Check List Visual Inspection.pdf PDF
B08-SOL_W912PF25QA053_Attachment2_Performance Wok Statement.pdf PDF
B08-SOL_W912PF25QA053_Attachment8_DUVRI M R HVAC and Heating Systems DMC Signed.pdf PDF
Combined Synopsis Solicitation W912PF25QA053_202500805.docx DOCX document
B08-SOL_W912PF25QA053_Attachment6_First Aid Plan Review_Oct20 (Eng).pdf PDF
B08-SOL_W912PF25QA053_Attachment4e_Technical Inspection Report.pdf PDF
B08-SOL_W912PF25QA053_Attachment4a_HVAC Equipment List.pdf PDF
Show all 16

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

W912PF25QA053

ATTACHMENT 9

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 .