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

PDF 269 KB Posted

Attached to
X1DZ--CBOC Space for Lease Indiana County, PA Lease Solicitation - Request for Lease Proposal
Solicitation number
36C24422R0162
Issued by

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Other files

File Type Posted
Attachment 1. Questions_Answers. Indiana Couny.pdf PDF
36C24422R0162 0002 Amendment. Indiana County.pdf PDF
36C24422R0162_3.docx DOCX document
36C24422R0162_2.docx DOCX document
36C24422R0162 0001 Amendment. Indiana County PA.pdf PDF
Attachment 1. Past Performance Questionnaire. Indiana County PA.docx DOCX document
Attachment 2. Pre-Proposal Meeting. Indiana County PA.pdf PDF
Exhibit C. Security Requirements (FSL Level II). Indiana County.pdf PDF
Exhibit AA. FAR 52.204-24 Representation Digital. Indiana County.pdf PDF
Exhibit W. Program Management Plan. Indiana County.pdf PDF
Exhibit D. GSA Form 3516 SOLICITATION PROVISIONS. Indiana County.pdf PDF
Exhibit N. Tenant Improvements Cost Summary (TICS) Table. Indiana County.xlsx XLSX spreadsheet
Exhibit M. DOL Wage Determination REV 1-27-23. Indiana County.pdf PDF
Global Request for Lease Proposal (RLP) R100 (Oct. 2022) - 36C24422R0162 - Indiana County.pdf PDF
Exhibit H. GSA Form 1200 Prelease FPLS Evaluation (Part A _ Part B). Indiana County.pdf PDF
Exhibit L. Unit Price List. Indiana County.xlsx XLSX spreadsheet
Exhibit G. GSA Form 1217 Lessor Annual Cost. Indiana County.pdf PDF
Exhibit F. GSA Form 1364 Proposal to Lease Space. Indiana County.pdf PDF
Exhibit B. Agency Specific Requirements. Indiana County.pdf PDF
Exhibit P. Government Typical Building Layout. Indiana County.pdf PDF
Exhibit X. Interior Signage. Indiana County.pdf PDF
Exhibit A. Global Lease L100 (Oct. 2022) - 36C24423L0002 - Indiana County.pdf PDF
Exhibit E. GSA Form 3517B General Clauses. Indiana County.pdf PDF
Exhibit K. Security Unit Price List FSL II. Indiana County.xlsx XLSX spreadsheet
36C24422R0162_1.docx DOCX document
Exhibit Q. Space Requirement. Indiana County.pdf PDF
Exhibit O - Contract Submittal Schedule. Indiana County.pdf PDF
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EXHIBIT I Page 1 of 2

RLP NO. 36C24422R0162

LEASE NO. 36C24423L0002

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

36C24422R0162

Dated

EXHIBIT I Page 2 of 2

RLP NO. 36C24422R0162

LEASE NO. 36C24423L0002

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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