CERTIFICATION REGARDING COMPLIANCE WITH APPLICABLE FEDERAL ANTI-DISCRIMINATION LAW .docx

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Vehicle Insurance for Official Fleet
Solicitation number
19UK5625Q0026
Issued by

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The document is a Certification Regarding Compliance with Applicable Federal Anti-Discrimination Law for a vehicle fleet insurance contract with the U.S. Embassy in London. The certification requires contractors to affirm compliance with federal anti-discrimination laws and confirm they do not operate any Diversity, Equity, and Inclusion (DEI) programs that violate such laws. Contractors must complete and sign the form, acknowledging that this certification is material to government payment decisions under the False Claims Act.

The related solicitation (19UK5625Q0026) seeks a third-party vehicle insurance provider for the embassy's fleet, with a one-year base contract and a potential one-year option. The U.S. Government intends to award to the lowest-priced technically acceptable offeror who is registered in the System for Award Management (SAM) and possesses required UK insurance licenses. Quotations must be submitted electronically to Procurement_Box7@state.gov by 17:00 UK Time on April 14, 2025, with questions accepted until April 7, 2025. The contract will be a firm fixed-price type, and the award may be made without further discussions.

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Embassy of the United States of America

CERTIFICATION REGARDING COMPLIANCE WITH APPLICABLE FEDERAL ANTI-DISCRIMINATION LAW

All Department of State contractors must certify that they do not operate any programs promoting DEI that violate any applicable anti-discrimination laws and agree that such certification is material for purposes of the government’s payment decision and therefore subject to the False Claims Act. See 31 U.S.C. 3729(b)(4).

DIRECTIONS FOR CONTRACTORS and/or OFFERORS

1.Read the entire certification provided below.

2.After you have read the provisions, please check the appropriate boxes.

3.Upon completion of Step 2, fill out the representation below. NOTE: This certification is made by a person with the authority to bind the contractor or offeror.

4.Return completed form to the Contracting Officer/POC shown in the e-mail.

CERTIFICATION:

The Contractor or prospective offeror certifies they:

☐ are in compliance in all respects with all applicable Federal anti-discrimination laws is material to the government’s payment decisions for purposes of section 31 USC 3729(b)(4) (False Claims Act); and

☐ do not operate any programs promoting Diversity, Equity, and Inclusion that violate any applicable Federal anti-discrimination laws.

Contractor or Offeror Name (Printed or Typed): ___________________________________________

Authorized Representative Name and Title: ______________________________________________

Authorized Representative Signature and Date: ____________________________________________

Solicitation or Contract Number: 19UK5624P1028 image1.jpeg

File details come from the government source that posted it. Updated .