Express NDAA Certification Form.docx
DOCX document 62 KB Posted
- Attached to
- SERVICES TO SUPPORT CONFERENCE IN KYIV, UKRAINE
- Solicitation number
- PR16131466
- Issued by
-
Department of State
About this file
This is an Express NDAA Certification Form required by the Department of State to ensure vendor compliance with Section 889 of the John S. McCain National Defense Authorization Act for Fiscal Year 2019. The form is a certification template designed for vendors to represent their compliance regarding covered telecommunications equipment and services. Vendors must certify that they do not provide covered telecommunications equipment or services as substantial, essential, or critical components of any system in violation of Section 889(a)(1)(A); do not use covered telecommunications equipment or services within their enterprise as defined in Section 889(a)(1)(B); have conducted a reasonable inquiry to identify any covered telecommunications equipment or services in their possession; and will report to the Government if they identify any such equipment or services during contract performance. The form requires the merchant's legal name, authorized representative's typed name and signature, and the date of certification, and must be completed by a person with authority to bind the vendor.
This certification form is required for the solicitation "Services to Support Conference in Kyiv, Ukraine" (PR16131466), issued by the U.S. Embassy in Ukraine. Vendors responding to this solicitation must submit the completed Express NDAA Certification Form if they are not registered in SAM. The form must be included with quotations submitted by July 30, 2026, at 13:00 Kyiv time to support a conference scheduled for August 18-20, 2026, in Kyiv, Ukraine, covering services including conference facility rental, technical support, catering, and parking.
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| File | Type | Posted |
|---|---|---|
| Scope of Work PR16131466.docx | DOCX document |
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Text version
United States Department of State
Washington, D.C. 20520 www.state.gov
EXPRESS NDAA CERTIFICATION
Public Law 115-232, also known as the John S. McCain National Defense Authorization Act (NDAA) for Fiscal Year 2019, requires representations regarding Covered Telecommunications Equipment and Services. Contracting staff shall use this representation with vendors to determine compliance with NDAA requirements. To comply with this Public Law the Federal Acquisition Regulation (FAR) requires one provision listed within 52.240-90 and a contract clause listed within 52.240-91 in all procurement actions.
DIRECTIONS FOR THE MERCHANT
1. Read the entire Section 889 portion in the provision and clause in the FAR at Acquistion.gov.
2. After you have read the provision and clause, please answer the questions below.
3. Upon completion of Step 2, fill out the representation below. NOTE: This representation is made by a person with authority to bind the merchant.
4. Return completed form to your Contract Specialist.
DEPARTMENT OF STATE SECTION 889 CERTIFICATION REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT
Yes/No The Offeror does not provide covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system, in violation of Section 889(a)(1)(A).
The Offeror does not use covered telecommunications equipment or services, as defined in Section 889(a)(1)(B), within its enterprise.
The Offeror has conducted a reasonable inquiry, defined as an inquiry designed to uncover any information in the entity’s possession regarding the identity of the producer or provider of covered telecommunications equipment or services used by the entity.
The Offeror will report to the Government, in accordance with applicable contract requirements, if it identifies covered telecommunications equipment or services during contract performance.
Merchant Name
Merchant’s Authorized Representative (Typed Name)
Authorized Representative Signature
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