B01-DRAFT RFP W912PF26RA001 - Attachment 5 (Self-Certification for Anti-mafia).docx

This file is an Anti-Mafia Self-Certification form in Italian, required as Attachment 5 to the draft RFP W912PF26RA001 for USAG Italy Security Guards. The form is a declaration substitute for certification (Dichiarazione sostitutiva di certificazione) under Italian law (D.P.R. n. 445/2000) that allows signatories to certify compliance with anti-mafia requirements without obtaining official certificates.

The certification requires the declarant to confirm, under penalty of perjury, that they are not subject to any prohibitions, forfeitures, or suspensions outlined in Article 67 of Italian Legislative Decree 159/2011 (the anti-mafia code). The form requires completion of personal information including the declarant's name, tax identification number (C.F.), birthplace, residence, position within the company, company name, company tax number, and company address. The declarant must also acknowledge awareness of penalties for false declarations and confirm understanding of data protection requirements under Italian law (D.Lgs. n. 196/2003). This template indicates that contractors responding to the final RFP for security guard services at USAG Italy will need to provide anti-mafia compliance documentation as part of their submission, reflecting Italian regulatory requirements for government contracting in that jurisdiction.