C4- Reps and Certs International Rider.pdf

This document is a Representations and Certifications form required for subcontract proposals submitted to SLAC National Accelerator Laboratory, which is operated for the U.S. Department of Energy by Stanford University under Contract DE-AC02-76-SF00515.

The form requires offerors to complete and sign certifications addressing six primary areas: (1) Type of Organization, requiring identification of business structure such as individual, corporation, partnership, or nonprofit; (2) Debarment and Suspension Status, certifying that the offeror and its principals are not debarred, suspended, or proposed for debarment by any federal agency, have not been convicted of fraud or criminal offenses within three years, and have not had contracts terminated for default; (3) Payments to Influence Federal Transactions, applicable to offers exceeding $100,000, certifying compliance with limitations on lobbying activities and requiring disclosure of certain payments; (4) Anti-Kickback certification for offers exceeding $100,000, certifying that no kickbacks have been provided or offered; (5) Buy American Certificate, certifying that end products are domestic unless listed as foreign, with a requirement to identify foreign end products and their country of origin; and (6) Employee-Vendor Relationship Certification, requiring disclosure of any conflicts of interest involving Stanford University employees, former employees, or near relatives who may have financial interests in or control over the offeror's organization. The document specifies that this certification must be signed and returned with the offeror's proposal and includes definitions for key terms such as "employee," "near relative," "control," and "significant final interest."