Contractor Assertion Template.docx

17 KB Posted

Attached to
FY26 Household Goods Packing DPM
Solicitation number
FA568226Q0012
Issued by

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Written by GovTribe AI ·

This is a Contractor Assertion Template for disclosing the use of Anthropic, PBC products or services in federal contracts. The template requires contractors to declare whether they provide covered products or services from Anthropic, PBC (or any affiliated entities) as part of their offered solutions to the Government, and whether they use such covered products or services in contract performance. Contractors must select "DOES" or "DOES NOT" for each assertion after conducting reasonable inquiry. If either assertion is affirmative, contractors must list affected contract numbers identified by the first six characters "FA5682," which corresponds to contracts administered by 31 CONS (Air Force Contracting Squadron). The template requires completion with the contractor's company name, Unique Entity Identifier (UEI), authorized representative name and title, signature, and date.

The related solicitation FA568226Q0012 is for Household Goods Packing, Containerization, and Local Drayage services under a Direct Procurement Method (DPM) for the Department of the Air Force, United States Air Forces in Europe - Air Forces Africa. The contractor will provide all personnel, equipment, facilities, supplies, and materials for preparing personal property of military members and civilian employees for shipment, storage, and related services for both inbound and outbound household goods and unaccompanied baggage movements, as well as local moves.

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Other files

File Type Posted
Solicitation Amendment FA568226Q00120007 SF 30.pdf PDF
1. Attachment A_Price Worksheet Rev.2_Protected.xlsx XLSX spreadsheet
Solicitation Amendment FA568226Q00120006 SF 30.pdf PDF
6. Attachment A-E2 OCONUS PACIFC EUROPE Priority Instruction Rev.2.pdf PDF
Solicitation Amendment FA568226Q00120005 SF 30.pdf PDF
6. Attachment A-E2 OCONUS PACIFC EUROPE Priority Instruction Rev.1.pdf PDF
FA568226Q0012 Questions and Answers 3 Sep 2026.pdf PDF
1. Attachment A_Price Worksheet Rev.1.xlsx XLSX spreadsheet
Solicitation Amendment FA568226Q00120004 SF 30 (1).pdf PDF
Solicitation Amendment 3 FA568226Q00120003 SF 30.pdf PDF
Solicitation Amendment FA568226Q00120002 SF 30.pdf PDF
Solicitation Amendment FA568226Q00120001 SF 30.pdf PDF
2. Appendix A-D Pre Award Survey Guidelines DD Form 1811.pdf PDF
12. Attachment A-G6 DPM Claims and Liability Procedures.pdf PDF
9. Attachment A-G3 Contractor Documents Requirement Listings.pdf PDF
1. Attachment A_Price Worksheet.xlsx XLSX spreadsheet
4. Appendix A-G Performance Work Statement.pdf PDF
10. Attachment A-G4 Definitions.pdf PDF
13. Attachment A-G7 DPM Third Party Payment System TPPS.pdf PDF
Solicitation - FA568226Q0012.pdf PDF
3. Appendix A-E Warehouse Inspection Guide Instructions for Preparation.pdf PDF
5. Attachment A-E1 OCONUS PACIFIC EUROPE Fire prevention and Warehouse Standards.pdf PDF
6. Attachment A-E2 OCONUS PACIFC EUROPE Priority Instruction.pdf PDF
7. Attachment A-G1 Forms.pdf PDF
8. Attachment A-G2 Publications and Commercial Standards.pdf PDF
11. Attachment A-G5 Acronyms.pdf PDF
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CONTRACTOR ASSERTION — ANTHROPIC, PBC PRODUCTS OR SERVICES

For purposes of this representation, "Covered Company" means Anthropic, PBC, and its subordinate, subsidiary, or affiliated offices or entities, doing business under various names, and all subsidiaries, successors, or assigns thereof. "Covered products or services" means any products or services provided by a Covered Company, or any equipment, system, or service that uses Covered Company products or services.

The Contractor has represented as follows regarding Covered Company products or services:

(1) The Contractor asserts that it DOES / DOES NOT [Contractor to select one] provide covered products or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(2) After conducting a reasonable inquiry for purposes of this representation, the Contractor represents that it DOES / DOES NOT [Contractor to select one] use covered products or services, or any equipment, system, or service that uses covered products or services.

If DOES is selected for either response, please list the affected contract numbers for only those contracts administered by 31 CONS (identified by the first 6 characters of the Contract number-- FA5682):

Company Name: ____________________________________

UEI: ____________________

Authorized Representative (Printed Name/Title): ____________________________________

Signature: ___________________________________________ Date: ____________________

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