Exhibit J SAM Reps Certs GSA Form 3518 (Jan2016).pdf

GSA Form Jan 2016 PDF 95 KB Posted

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Monroe, WA Recruiting
Solicitation number
DACA675230007800
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Other versions and copies of GSA Form 3518

File Revision Posted Attached to
Exhibit J- GSA Form 3518 SAM Representations and Certifications.pdf Revision not stated Anchorage Air Force Reserve Recruiting Office
Exhibit J- GSA Form 3518 SAM Representations and Certifications.pdf Revision not stated Anchorage Air Force Reserve Recruiting Office
Exhibit J- GSA Form 3518 SAM Representations and Certifications.pdf Revision not stated Wasilla Armed Forces Recruiting Office
Attachment (5) GSA form 3518 Representations and Certifications.pdf Revision not stated Lease to Purchase of Warehouse Distribution Space for Navy Exchange Service Command (NEXCOM), West Coast , Chino, CA
Attachment E_GSA Form 3518_Representations and Certifications.pdf Revision not stated Warehouse Space Puget Sound Naval Shipyard & Intermediate Maintenance Facility, WASHINGTON Naval Sea Systems Command (NAVSEASYSCOM)
GSA FORM 3518 A (Reps and Certs).docx Revision not stated Disaster Lease: Tallahassee Parking RLP
LI-14305_ATT E_GSA FORM 3518 REQUIRED REPS AND CERTS.pdf Revision not stated Request for Lease Proposal (RLP) LI-14305 of Approximately 25, 778 Square Meters of Climate Controlled Warehouse and Maintenance Shop, Exterior Laydown and Parking Areas in Subic Bay Metropolitan Authority Freeport Area Republic of the Philippines.
RFP Exhibit G - SAM Reps and Certs GSA Form 3518.pdf Revision not stated DACA675260003200-United States Army Corps of Engineers (USACE) seeks to lease approximately 13, 774 square feet of office space in Washington for an Armed Forces HQ Career Center
Exhibit K- GSA Form 3518 SAM Representations and Certifications.pdf Revision not stated Fairbanks Air National Guard Recruiting Office
EXHIBIT J- GSA Form 3518 SAM Representations and Certifications.pdf Revision not stated Anchorage Army Medical Recruiting Office
Exhibit J- GSA Form 3518 SAM Representations and Certifications.pdf Revision not stated Anchorage AMEDD Recruiting Station
Exhibit J- GSA Form 3518 SAM Representations and Certifications.pdf Revision not stated Anchorage Armed Forces Career Center
9 - EXHIBIT H - GSA Form 3518 Representations and Certifications.pdf Revision not stated X1DB--FY26 New Lease: Primary Care Annex West Palm Beach Amendment 0005
Exhibit J- GSA Form 3518 SAM Representations and Certifications.pdf Revision not stated Anchorage Air Force Hub Recruiting Office
LI-14174_ATTACH E_GSA FORM 3518 REPS AND CERTS.pdf Revision not stated Administrative, Warehouse, Industrial, and Laydown Space Puget Sound Naval Shipyard & Intermediate Maintenance Facility, WASHINGTON Naval Sea Systems Command (NAVSEASYSCOM)
GSA Form 3518 Reps and Certs.pdf Revision not stated Lease Acquisition
GSA Form 3518 Reps and Certs.pdf Revision not stated Lease Acquisition
Exhibit G - SAM Reps and Certs GSA Form 3518.pdf Revision not stated Armed Forces Recruiting Navy Reserve Headquarters Office Space
10 - EXHIBIT H - GSA Form 3518 Representations and Certifications.pdf Revision not stated X1AA--FY25 New Lease-Location: Vet Center Readjustment Counseling Service Miami
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Text version

GSA FORM 3518-SAM PAGE 1 (REV 01/16)

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

Dated

GSA FORM 3518-SAM PAGE 2 (REV 01/16)

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.

3. OFFEROR’S DUNS NUMBER

(a) Enter number: ____________________

(b) An offeror may obtain a DUNS number (i) via the Internet at http://fedgov.dnb.com/webform or if the offeror does not have internet access, it may call Dun and Bradstreet at 1-866-705-5711 if located within the United States; or (ii) If located outside the United States, by contacting the local Dun and Bradstreet office. The offeror should indicate that it is an offeror for a U.S. Government contract when contacting the local Dun and Bradstreet office.

OFFEROR OR

LEGALLY AUTHORIZED

REPRESENTATIVE

NAME, ADDRESS (INCLUDING ZIP CODE)

Signature

TELEPHONE NUMBER

Date

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