Atch 3 Section K_Reps and Certs.docx

DOCX document 44 KB Posted

Attached to
Pioneering Aerospace Capabilities, Engineering and Research Federal contract opportunity
Solicitation number
FA2391-23-S-2403
Issued by
Department of the Air Force Materiel Command Research Laboratory

About this file

This file is an Attachment listing representations and certifications required for submission with proposals to federal contract opportunity FA2391-23-S-2403 (PACER BAA). It does not address specific products, services, pricing terms, response dates, or award dates, but rather serves as a template documenting the standard FAR and Defense Federal Acquisition Regulation Supplement (DFARS) representations and certifications that offerors must complete and include with their offers.

The document specifies approximately 50 required representations and certifications organized by provision number, including certifications related to independent price determination, small business status, Buy American compliance, cost accounting standards, covered defense information safeguarding, tax matters, business ownership, and various prohibitions on contracting with entities involved in illegal activities, foreign government control, or violations of international agreements. Additionally, the file includes the full text of provision 52.204-90 (Offeror Identification), which requires offerors to provide their Unique Entity Identifier (UEI), Taxpayer Identification Number (TIN), Commercial and Government Entity (CAGE) code, and information regarding any immediate owners, highest-level owners, and predecessors. Offerors submitting to this Air Force Research Laboratory solicitation must complete all listed representations and certifications in accordance with their specified month/year versions.

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Text version

FA2391-23-S-2403

Attachment 3

DOCUMENT NUMBER

FA2391-23-S-2403

PROVISION NO
ALT NO/DEV NO
PROVISION TITLE
MONTH/YEAR
SECTION

52.203-2

Certificate of Independent Price Determination
APR 1985
K

52.203-11

Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions
SEP 2024
K

52.203-18

Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements—Representation
JAN 2017
K

52.204-5

Women-Owned Business (Other Than Small Business)
OCT 2014
K

52.209-2

Prohibition on Contracting with Inverted Domestic Corporations—Representation
NOV 2015
K

52.209-5

Certification Regarding Responsibility Matters
AUG 2020
K

52.209-7

Information Regarding Responsibility Matters
OCT 2018
K

52.209-11

Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law
FEB 2016
K

52.209-12

Certification Regarding Tax Matters
OCT 2025
K

52.209-13

Violation of Arms Control Treaties or Agreements—Certification
NOV 2021
K

52.215-6

Place of Performance
OCT 1997
K

52.217-10

Reverse Auction (Aug 2024)
AUG 2024
K

52.219-1

Small Business Program Representations
FEB 2024
K

52.219-1

Small Business Program Representations--Alternate II
MAR 2023
K

52.219-31

Notice of Small Business Reserve
MAR 2020
K

52.223-1

Biobased Product Certification
MAY 2024
K

52.223-4

Recovered Material Certification
MAY 2008
K

52.225-2

Buy American Certificate
OCT 2022
K

52.226-2

Historically Black College or University and Minority Institution Representation
OCT 2014
K

52.227-6

Royalty Information
APR 1984
K

52.227-15

Representation of Limited Rights Data and Restricted Computer Software
DEC 2007
K

52.229-11

Tax on Certain Foreign Procurements—Notice and Representation
JUN 2020
K

52.230-1

Cost Accounting Standards Notices and Certification
JUN 2020
K

52.230-7

Proposal Disclosure—Cost Accounting Practice Changes
APR 2005
K

52.237-8

Restriction on Severance Payments to Foreign Nationals
AUG 2003
K

52.240-90

Security Prohibitions and Exclusions Representations and Certifications
DEC 2025
K
252.203-7005
2026-O0031
Representation Relating to Compensation of Former DoD Officials
SEP 2022
K
252.204-7008
2026-O0043
Compliance with Safeguarding Covered Defense Information Controls
OCT 2016
K

252.204-7016

Covered Defense Telecommunications Equipment or Services--Representation
DEC 2019
K
252.204-7017
2026-O0043
Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services--Representation
MAY 2021
K
252.204-7998
2026-O0043
Alternate A, Annual

Representations and Certifications

FEB 2026
K
252.209-7002
2026-O0042
Disclosure of Ownership or Control by a Foreign Government
FEB 2026
K
252.219-7000
2026-O0037
Advancing Small Business Growth
JUN 2023
K
252.225-7000
2026-O0041
Buy American--Balance of Payments Program Certificate--Basic
FEB 2024
K
252.225-7018
2026-O0041
Photovoltaic Devices—Certificate
MAR 2024
K
252.225-7031
2026-O0041
Secondary Arab Boycott of Israel
JUN 2005
K
252.225-7046
2026-O0041
Exports by Approved Community Members in Response to the Solicitation
JUN 2013
K
252.225-7053
2026-O0041
Representation Regarding Prohibition on Use of Certain Energy Sourced from Inside the Russian Federation
SEP 2021
K
252.225-7055
2026-O0041
Representation Regarding Business Operations with the Maduro Regime
MAY 2022
K
252.225-7057
2026-O0041
Preaward Disclosure of Employment of Individuals Who Work in the People's Republic of China
AUG 2022
K
252.225-7059
2026-O0041
Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region–Representation
JUN 2023
K
252.227-7028
2026-O0036
Technical Data or Computer Software Previously Delivered to the Government
JUN 1995
K
252.232-7015
2026-O0022
Performance-Based Payments--Representation
DEC 2022
K
252.232-7016
2026-O0022
Notice of Progress Payments or Performance-Based Payments
APR 2020
K

PROVISION IN FULL TEXT

PROVISION NO
ALT NO/DEV NO
PROVISION TITLE
MONTH/YEAR

52.204-90 Offeror Identification Deviation Date If the Offeror will not have an active Federal Government contracts registration in the System for Award Management (https://www.sam.gov) when submitting its offer, it shall complete paragraphs (c) and (d) of this provision and include its responses with its offer.

(a) Definitions. As used in this provision— Commercial and Government Entity (CAGE) code has the meaning provided in the clause at FAR 52.204-91, Contractor Identification, of this solicitation.

Common parent means that corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and of which the offeror is a member.

Electronic Funds Transfer (EFT) indicator means a bank account identifier to establish additional System for Award Management records for identifying alternative EFT accounts (see part 32) for the same entity.

Highest-level owner means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest-level owner.

Immediate owner means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees. There may be more than one immediate owner (e.g., joint ventures).

Predecessor means an entity whose assets were acquired by the offeror or another entity (most often through merger or acquisition) and whose affairs are now carried out by the offeror or the other entity under a new name.

Taxpayer Identification Number means the number required by the Internal Revenue Service (IRS) to be used by the offeror to report income tax and other returns. It may be either a Social Security Number or an Employer Identification Number.

Unique entity identifier (UEI) has the meaning provided in the clause at FAR 52.204-91, Contractor Identification, of this solicitation.

(b) Unique entity identifier (UEI).

(1) The Offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation “Unique Entity Identifier” followed by the UEI that identifies the Offeror's name and address exactly as stated in the offer. The Offeror shall also enter its EFT indicator, if applicable.

(2) If the Offeror does not have a UEI, it shall go to https://www.sam.gov to obtain one. The Government will independently validate the existence and uniqueness of the Offeror before assigning a UEI.

(c) Taxpayer identification. The Offeror shall provide with its offer the following information that is necessary to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d); reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M; and the implementing IRS regulations:

(1) Taxpayer identification number (TIN)

□ TIN: ______________;

□ TIN has been applied for; or

□ TIN is not required because:

□ Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;

□ Offeror is an agency or instrumentality of a foreign government; or

□ Offeror is an agency or instrumentality of the Federal Government.

(2) Type of organization.

□ Sole proprietorship;

□ Partnership;

□ Corporate entity (not tax-exempt);

□ Corporate entity (tax-exempt);

□ Government entity (Federal, State, or local);

□ Foreign government;

□ International organization per 26 CFR 1.6049-4; or

□ Other.

(3) Common parent.

□ Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this provision; or

□ Name and TIN of common parent:

Name: ______________

TIN: ______________

(4) The TIN provided in paragraph (c)(1) of this provision may be matched with IRS records to verify the accuracy of the Offeror's TIN. The Government may use the TIN to collect and report on any delinquent amounts arising out of the Offeror's relationship with the Government (31 U.S.C. 7701(c)(3)).

(d) Commercial and Government Entity (CAGE) code.

(1) The Offeror shall provide its CAGE code with its offer with its name and location address or otherwise include it prominently in its offer. The CAGE code shall be for that name and location address. Insert the word “CAGE” before the code. The Offeror may obtain a CAGE code as indicated in the following table.

If the Offeror is…
Then…
Located in the United States or its outlying areas
Submit a request to the DLA CAGE Branch via https://cage.dla.mil
Located outside the United States and its outlying areas and its country is a member of the North Atlantic Treaty Organization (NATO) or a sponsored nation
Contact the appropriate National Codification Bureau (https://www.nato.int/structur/ac/135/about/contacts)
Located outside the United States and its outlying areas and its country is not a member of NATO or a sponsored nation
Contact the NATO Support and Procurement Agency (NSPA) (https://eportal.nspa.nato.int/AC135Public/scage/CageList.aspx)

(2) The Offeror shall provide the CAGE code and legal business name (Do not use a “doing business as” name) for—

(i) Its immediate owner(s), if any;

(ii) Its highest-level owner, if any; and

(iii) Any predecessor(s), or predecessor of an Offeror’s predecessor, that held a Federal contract or grant within the last three years.

Owner Type
CAGE Code
Legal Business Name

Immediate owner

Highest-level owner

Predecessor*

* Predecessor CAGE code may be marked “Unknown.”

(3) If the Offeror has more than one immediate owner (such as a joint venture), give the information for each owner (or joint venture participant). If the Offeror has more than one predecessor, provide information for each predecessor in reverse chronological order.

(End of provision)

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