Executive Order 14173 certification form.pdf
PDF 251 KB Posted
- Attached to
- Catering services for U. S. Embassy Belgrade Federal contract opportunity
- Solicitation number
- 19RB1025Q0362
- Issued by
- Department of State US Embassy Belgrade
About this file
This document is a Certification Regarding Compliance with Applicable Federal Anti-Discrimination Law for the U.S. Embassy Belgrade. The certification requires contractors to affirm that they: 1) are in compliance with all applicable Federal anti-discrimination laws, and 2) do not operate any Diversity, Equity, and Inclusion (DEI) programs that violate Federal anti-discrimination laws. The form is linked to Solicitation Number 19RB1025P0362 and is part of the Department of State's contractual requirements, with the certification being material to government payment decisions and subject to the False Claims Act. Contractors must complete the form by checking appropriate boxes, providing company and authorized representative details, and returning it to the specified Contracting Officer.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 19RB1025Q0362_Questions and Answers.pdf | ||
| 19RB1025Q0362.pdf | ||
| 19RB1025Q0362_SiteVisit Registration Form.pdf | ||
| 19RB1025Q0362_Experience and Past Performance Form.pdf | ||
| 19RB1025Q0362_Question Submission Form.pdf |
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Text version
U.S. Embassy Belgrade 2025
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: 19RB1025P0362
File details come from the government source that posted it. Updated .