Attachment_B.pdf

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Attached to
SNOW REMOVAL--MT HOLLY, NJ
Solicitation number
EA-133W-16-RQ-0034
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TAX LIABILITY FORM MUST BE COMPLETED AND SUBMITTED WITH OFFER

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SOW_for_Snow_Removal_2016.docx DOCX document
PAST_PERFORMANCE_REFERENCE_FORM_V2.doc DOC document
Combined_Synopsis_Solicitation.doc DOC document
WD_05.docx DOCX document
Past_Performance.docx DOCX document

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Representation by Corporations Regarding an Unpaid Delinquent Tax Liability or a Felony Conviction Under Any Federal Law (Class Deviation) (March 2015)

(1) In accordance with 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 the Consolidated and Further Continuing Appropriations Act, 2015 funding may be used to enter into a contract with any corporation that-

(a) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where an awarding agency is aware of the conviction, unless the agency has considered suspension or debarment of the corporation and has made a determination that this further action is not necessary to protect the interests of the Government, or

(b) 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.

(2) The Offerer represents that, as of the date of this offer -

(a) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

(b) 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.

(End of provision)

COMPANY NAME:______________________________

NAME:________________________________________

COMPANY TITLE:_______________________________

DATE: _________________________________________

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