Section_J _Attachment_3 _QASP_Attch_4_CTIP_Checklist.pdf

COMBATING TRAFFICKING IN PERSONS CHECKLIST

CONTRACT TITLE:__________________________________________

CONTRACT NUMBER:_______________________________________

PERIOD OF PERFORMANCE: _________________________________

Click here to enter a date.

Requirement Yes No N/O N/A Remarks

1. Has the contractor informed its employees of the United States Government's zero tolerance CTIPS policy, to include informing employees of the actions that will be taken against them for violations of this policy?

FAR Para (c) (1)

2. Has the contractor informed the contracting officer of any information it receives (including from host country law enforcement) that alleges a contractor employee or subcontractor employee has engaged in conduct violating the CTIPs policy? FAR Para (d) (1)(i)

3. Has the contractor informed the contracting officer of any actions taken against contractor employees, subcontractor's or subcontractor employees pursuant to this clause? FAR para (d) (ii)

4. Does the contractor knowingly destroy or posses any employee passport (or other immigration document) to prevent an employee's liberty to travel - in order to maintain the labor or services of that person?

FAR para (b)(4)

FAR 52.222-50, Combating Trafficking in Persons (Mar 2015)

Review Guidelines

Select Appropriate Response for each Requirement Reviewed

YES = Requirement performed satisfactory. May comment when key observations are noted.

NO = Requirement performed unsatisfactory. Comment should identify corrective action in-place or plan of action (i.e., CAR)

N/O = Performance of requirement not observed. Comment when adverse circumstances prevent verification of requirement

N/A = Requirement not applicable. Comment when contractor disputes validity of requirement

Shorthand: RVI= Records Visually Inspected; CAO= Corrective Action Observed; CAIP= Corrective

Action in Place

CTIPS Policy

The United States Government and the United States Department of Defense (DoD) has adopted a zero tolerance policy regarding trafficking in persons. Contractors, Subcontractors and their employees shall comply with all provisions of FAR 52.222-50 as prescribed in FAR 22.1705(a)(1).

Requirement Yes No N/O N/A Remarks

5. Does the contractor include the substance of this CTIP clause, including this paragraph

(i), in all subcontracts and in all contracts with agents? FAR para (i)(1), (2)

6. Does the contractor provide all employees with a signed copy of their employment contract, in English as well as the employee’s native language – that defines the terms of their employment / compensation?

FAR para (b) (9)

7. Does the contractor provide adequate living conditions (sanitation, health, safety, living space) for their employees?

FAR para (b)(5)(i) & (8)

8. Does the contractor's Trafficking in

Persons compliance plan or an awareness program incorporate checks to ensure compliance with the requirements of this

Trafficking in Persons Prohibition?

FAR Para (f)(1)

9. Does the contractor advise the Contracting

Officer if they learn of their employees violating the human trafficking?

FAR Para (d) (1), (2), & g(1), (2)

10. Has the contractor submitted its annual certification to the Contracting Officer stating implmentation of a compliance plan? FAR

Para (h)(5)

Company Contracts Manager / Contracting Officer

Name Signature

Government Contracting Officer/ Contracting Officer Representative

Name Signature