Exhibit I. Addendum to SAM Rep and Cert. Huntingdon County.pdf

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Attached to
X1DZ--Space for Lease at Huntingdon County, PA for 20, 162 Rentable / 14, 935 Net Usable Square Feet
Solicitation number
36C24423R0004
Issued by

About this file

This document contains an addendum to the System for Award Management representations and certifications for the acquisition of a leasehold interest in real property. The solicitation is for the lease of approximately 20,162 rentable/14,935 net usable square feet of space in Huntingdon County, Pennsylvania to be used by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4. Offerors must certify their active registration in the System for Award Management and represent whether they have any unpaid federal tax liability or have had any officers convicted of a felony within the past 24 months. The response is due by the date and time specified in solicitation number 36C24423R0004.

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Other files

File Type Posted
36C24423R0004_4.docx DOCX document
36C24423R0004 Amendment 0003.pdf PDF
Exhibit D. GSA Template 3516 Solicitation Provisions (Oct. 2023). Huntingdon.pdf PDF
Exhibit E. GSA Form 3517B General Clauses (Oct. 2023). Huntingdon.pdf PDF
36C24423R0004_3.docx DOCX document
RLP Amendment 0002.pdf PDF
Attachment 1. Questions_Answers. Huntingdon County.pdf PDF
Attachment 2. Huntingdon CBOC Pre-Proposal Presentation REV 10-4-23.pdf PDF
Attachment 2. Questions_Answers. Huntingdon County.pdf PDF
36C24423R0004_2.docx DOCX document
36C24423R0004 0001 Amendment.pdf PDF
Attachment 1. Pre-Proposal Meeting. Huntingdon County.pdf PDF
Exhibit D. GSA Form 3516 SOLICITATION PROVISIONS July 2021. Huntingdon County.pdf PDF
Exhibit B. Agency Specific Requirements. Huntingdon County.pdf PDF
Exhibit X. Interior Signage. Huntingdon County.pdf PDF
Attachment 1. Past Performance Questionnaire. Huntingdon County PA.docx DOCX document
Exhibit N. Tenant Improvements Cost Summary (TICS) Table (Jul.2022). Huntingdon County.xlsx XLSX spreadsheet
Exhibit E. GSA Form 3517B (Sep2022) General Clauses. Huntingdon County.pdf PDF
36C24423R0004_1.docx DOCX document
Exhibit AB. FAR 52.204-27 Prohibition on a ByteDance Covered Application.pdf PDF
Exhibit C. Security Requirements (FSL Level II) (Aug. 2022). Huntingdon County.pdf PDF
Exhibit F. GSA Form 1364 Proposal to Lease Space (Apr. 22). Huntingdon County.pdf PDF
Exhibit W. Program Management Plan. Huntingdon County.pdf PDF
Exhibit G. GSA Form 1217 Lessor Annual Cost. Huntingdon County.pdf PDF
Exhibit L. Unit Price List. Huntingdon County.pdf PDF
Exhibit Q. Space Requirement. Huntingdon County.pdf PDF
Exhibit A. Global Lease L100 (Oct. 2022) - 36C24423L0004 - Huntingdon County.pdf PDF
Exhibit M. DOL Wage Determination REV 9-15-23. Huntingdon County.pdf PDF
Exhibit K. Security Unit Price List FSL II (Jun. 2022). Huntingdon County.xlsx XLSX spreadsheet
Exhibit AA. FAR 52.204-24 Representation Digital Rev 10 20. Huntingdon County.pdf PDF
Exhibit H. GSA Form 1200 Prelease FPLS Evaluation (Part A _ Part B) (May 2015). Huntingdon County.pdf PDF
Global Request for Lease Proposal (RLP) R100 (Oct. 2022). 36C24423R0004 Huntingdon County.pdf PDF
Exhibit P. Government Typical Building Layout. Huntingdon County.pdf PDF
Exhibit O - Contract Submittal Schedule. Huntingdon County.docx DOCX document
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Text version

EXHIBIT I Page 1 of 2

RLP NO. 36C24423R0004

LEASE NO. 36C24423L0004

GSA FORM 3518-SAM PAGE 1 (04/15)

Complete appropriate boxes, sign the form, and attach to offer.

The Offeror makes the following additional Representations. NOTE: The "Offeror," as used on this form, is the owner of the property offered, not an individual or agent representing the owner.

1. ANNUAL REPRESENTATIONS AND CERTIFICATIONS FOR LEASEHOLD ACQUISITIONS

(APR 2015)

(a) (1) The North American Industry Classification System (NAICS) code for this acquisition is

531120, unless the real property is self-storage (#531130), land (#531190), or residential (#531110).

(2) The small business size standard is 38.5 Million in annual average gross revenue of the concern for the last 3 fiscal years.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b) The System for Award Management (SAM) is a centrally located, searchable database which assists in the development, maintenance, and provision of sources for future procurements. The Offeror, by signing this addendum, hereby certifies he is registered in SAM.

[ ] Registration Active and Copy Attached

2. 552.203-72 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID

DELINQUENT FEDERAL TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW

(DEVIATION) (OCT 2013)

(a) In accordance with Sections 630 and 631 of Division of the Consolidated Appropriations Act, 2012 (Pub. L. 112-74), and Section 101 of the Continuing Appropriations Act, 2014 (Pub. L.

113-16) none of the funds made available by the Continuing Appropriations Act 2014 may be used to enter into a contract action 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, or had an officer or agent of such corporation acting on behalf of the corporation 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 or such officer or agent and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Contractor 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

ADDENDUM to the System for Award Management (SAM) REPRESENTATIONS AND CERTIFICATIONS (Acquisitions of Leasehold Interests in Real Property)

Request for Lease Proposals Number

36C24423R0004

Dated

EXHIBIT I Page 2 of 2

RLP NO. 36C24423R0004

LEASE NO. 36C24423L0004

GSA FORM 3518-SAM PAGE 2 (04/15)

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, or had an officer or agent of the corporation acting on behalf of the corporation, convicted of a felony criminal violation under any Federal law within the preceding 24 months.

OFFEROR OR

LEGALLY AUTHORIZED

REPRESENTATIVE

NAME, ADDRESS (INCLUDING ZIP CODE)

Signature

TELEPHONE NUMBER

Date

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