Exhibit S FAR 52.204-24 Representation Digital.pdf

FAR Clause PDF 417 KB Posted

Attached to
Huntsville, Alabama Women's Health Clinic Lease
Solicitation number
36C24426R0054
Issued by

About this file

This is a federal contracting representation form (FAR 52.204-24) regarding covered telecommunications and video surveillance services or equipment, applicable to RLP No. 36C24426R0054 and Lease No. 36C24426L0008.

The form requires offerors to make two primary representations. First, offerors must declare whether they will provide covered telecommunications equipment or services to the Government under the resulting contract, subcontract, or other contractual instrument. Second, after conducting a reasonable inquiry, offerors must represent whether they use covered telecommunications equipment or services, or any equipment, system, or service that incorporates such covered items. The form implements Section 889(a)(1) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232), which prohibits executive agencies from procuring systems or equipment using covered telecommunications equipment or services as a substantial or essential component or critical technology, effective August 13, 2019 for procurement actions and August 13, 2020 for contracts with entities using such equipment. Exceptions exist for services connecting to third-party facilities (backhaul, roaming, interconnection arrangements) and telecommunications equipment that cannot route or redirect user data traffic or permit visibility into user data packets.

If an offeror indicates it will provide or uses covered telecommunications equipment or services, detailed disclosures are required, including the producing entity's name, unique entity identifier, CAGE code, and OEM or distributor status; equipment descriptions with brand, model number, and item details; and explanations of proposed use and permissibility under the statutory prohibitions. Offerors must review the System for Award Management (SAM) exclusions list for entities excluded for covered telecommunications equipment or services. The form must be signed by the offeror or legally authorized representative with name, address, and telephone number provided.

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Other versions and copies of FAR 52.204-24

File Revision Posted Attached to
EXHIBIT L - FAR 52.204-24 Representation Digital Rev 10 20.pdf Rev. 10 New Lease for VA Clinic (CBOC) Tarrant County, Texas
I - FAR 52.204-24 Representation (Nov. 2021) with blue text instructions.pdf Nov 2021 General Services Administration (GSA) seeks to lease office space in Brunswick, GA
Exhibit K - FAR 52.204-24 Representation Digital (Nov. 2021).pdf Nov 2021 Request for Lease Proposal - Kenai Outstation - Soldotna, Alaska
FAR 52.204-24 Representation (Nov. 2021) with blue text instructions (4) (1) (1).docx Nov 2021 General Services Administration Lease: Office Space Okmulgee, OK
Exhibit I - FAR 52.204-24 Representation (Nov. 2021) with blue text instructions C.pdf Nov 2021 U. S. Government Seeks Proposals to Lease 2, 405 to 2, 605 ABOA SQ FT of Office and Related Space in Washington, DC
FAR 52.204-24 Representation Digital Rev 11-2021.pdf Nov 2021 USDA seeking 2, 300-2, 722 ABOA SF, Office/Warehouse/Scientific Support Space, in Cocoa, FL
3B.L(2026.09.11)FAR 52.204-24 Representation (Nov. 2021)-2KS0140.pdf Nov 2021 U. S. GOVERNMENT SEEKS TO LEASE SPACE IN TOPEKA, KS
4WY0059_Exhibit 5 FAR 52.204-24 Representation (Nov. 2021).pdf Nov 2021 U. S. Government Seeks to Lease Office Space in Cheyenne, WY – Solicitation Amendment No. 1
B08_52.204-24 Need Filled In and Signed-Returned.docx Revision not stated Electronical IPC PDS Maintenance
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10-EXHIBIT J FAR 52.204-24 Representation Digital.pdf Revision not stated Oklahoma City OK Fiscal Building Superseding Lease
Exhibit J. FAR 52.204-24 Representation (1).pdf Revision not stated General Services Administration (GSA) Seeks to lease the following space: Solicitation No. 4TX1037
19. Representation Regarding Certain Telecomm - FAR 52.204-24.pdf Revision not stated X1DB--Santa Cruz Outpatient Clinic, New Procurement Lease Package
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B08_52.204-24 Need Filled In and Signed-Returned.docx Revision not stated BENCH STOCK
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Text version

Exhibit S

RLP NO. 36C24426R0054

LEASE NO. 36C24426L0008

Lessor: __________ Government: ___________ Representation Regarding Certain Telecommunications and Video

Surveillance Services or Equipment

REV (11/21)

Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment

See instructions within the representation regarding whether or not completion of this form is required If required, complete appropriate boxes, sign the form, and return form, along with any other required disclosure information, to LCO or his/her designee.

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

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (NOV 2021)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications- Commercial Products or Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision—

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

https://www.acquisition.gov/far/part-52#FAR_52_204_26 https://www.acquisition.gov/far/part-52#FAR_52_212_3 https://www.acquisition.gov/far/part-52#FAR_52_204_26 https://www.acquisition.gov/far/part-52#FAR_52_212_3 https://www.acquisition.gov/far/part-52#FAR_52_204_25

Lessor: __________ Government: ___________ Representation Regarding Certain Telecommunications and Video

Surveillance Services or Equipment

REV (11/21)

Exhibit S

RLP NO. 36C24426R0054

LEASE NO. 36C24426L0008

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract.

Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) ( https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".

(d) Representation. The Offeror represents that—

(1) It □ will, □ will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that—

It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services.

The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

https://www.sam.gov/

Surveillance Services or Equipment

REV (11/21)

Exhibit S

RLP NO. 36C24426R0054

LEASE NO. 36C24426L0008

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number;

and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number;

and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

Surveillance Services or Equipment

REV (11/21)

Exhibit S

RLP NO. 36C24426R0054

LEASE NO. 36C24426L0008

(End of provision)

OFFEROR OR

LEGALLY

AUTHORIZED

REPRESENTATIVE

NAME, ADDRESS (INCLUDING ZIP CODE) TELEPHONE NUMBER

Signature

Date

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