DARPA-PA-27-02_Protein_Palace_Attachment_F_Other_Transaction_Certifications.docx
DOCX document 38 KB Posted
- Attached to
- Protein Palace
- Solicitation number
- DARPA-PA-27-02
About this file
This file is an Other Transaction (OT) Certifications form for the DARPA Protein Palace solicitation (DARPA-PA-27-02). The certification document requires offerors to attest to their eligibility and compliance with multiple federal requirements as a prerequisite for award consideration.
The form mandates certifications regarding: (1) non-debarment status pursuant to Executive Order 12549, with confirmation that the organization is not suspended, debarred, or excluded from federal transactions; (2) commitment to maintain a drug-free workplace per Public Law 100-690; and (3) compliance with DoD Directive 5500.11 nondiscrimination provisions implementing Title VI of the Civil Rights Act of 1964. For actions exceeding $100,000, offerors must certify compliance with Section 1352 of Title 31, U.S.C., regarding limitations on use of appropriated funds for lobbying activities, with penalties ranging from $10,000 to $100,000 for non-compliance. Additionally, corporations must represent whether they have unpaid federal tax liabilities that have been assessed with exhausted remedies or were convicted of felony criminal violations under federal law within the preceding 24 months. The form requires the signature and typed name of an official responsible for the transaction, the organization name, and the date of certification. This is a mandatory compliance document rather than a substantive proposal component.
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Text version
DARPA-PA-27-02
Attachment F – OT Certifications
DARPA-PS-24-11
OTHER TRANSACTION CERTIFICATIONS
Program Solicitation No.: DARPA-PA-27-02
Offeror:
Proposal Identification: Protein Palace
1. The undersigned certifies, to the best of his or her knowledge and belief, that this institution, organization, and its principals:
(a) Pursuant to Executive Order 12549 and implementing rule, are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered transactions by any Federal department or agency.
(b) Pursuant to Public Law 100-690 and implementing final rule, effective 24 July 1990, will provide a drug-free workplace. The place of performance is:
[Street Address] [City, County, State] [Zip code]
(c) Is in compliance with the provisions of DoD Directive 5500.11, “Nondiscrimination in Federally Assisted Programs”, which implements Title VI of the Civil Rights Act of 1964.
2. The following certification applies only to actions exceeding $100,000.00:
Section 1352, Title 31, U.S.C. (Public Law 101-121, Section 319) entitled, "Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions."
(1) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an Officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal Grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, cooperative agreement, or other transaction.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the Federal contract, grant, loan, cooperative agreement, or other transaction, the undersigned shall complete and submit Standard Form LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, cooperative agreements and other transactions) and that all subrecipients shall certify and disclose accordingly.
| This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U. S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure. | |
| 3. | REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW |
(a) In accordance with Section 101(a) of the Continuing Appropriations Act, 2016, Pub. L. 114-53, and any subsequent FY2016 appropriations act that extends to FY2016 funds the same restrictions as are contained in Sections 744 and 745 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), none of the funds made available by this or any other Act may be used to enter into a contract with any corporation that—
(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless the agency has considered suspension or debarment of the corporation and made a determination that this further action is not necessary to protect the interests of the Government; or
(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless the agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.
(b) The Offeror represents that –
(1) It is ☐ is not ☐ a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.
(2) It is ☐ is not ☐ a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.
| ____________________________________________________ | _ | __________________________________ |
| [Typed Name and Title of Official Responsible for This Transaction] | [Name of Organization/Institution] |
| _____________________________________________________ | _______________________ _ | |
| [Signature of Official responsible for this transaction] | [Date] |
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