Contractor Assertion Template.docx

DOCX document 17 KB Posted

Attached to
31 FSS Laundry and Dry-Cleaning Services, Aviano AB, Italy
Solicitation number
FA568226Q0018
Issued by

About this file

This is a Contractor Assertion Template for Anthropic, PBC products or services. Contractors responding to federal contract opportunities administered by 31 CONS (identifiable by contract numbers beginning with FA5682) must complete this assertion to declare whether they provide or use Anthropic, PBC covered products or services in their offered solutions. The template requires contractors to make two distinct representations: first, whether covered products or services are included in their proposed offerings to the Government, and second, whether they use any covered products, services, or equipment/systems incorporating such products or services. Contractors must select either "DOES" or "DOES NOT" for each representation and provide contract numbers for any affected contracts if applicable.

The assertion must be signed by an authorized company representative and include the contractor's name, Unique Entity Identifier (UEI), and submission date. This template appears designed for use in connection with Air Force contracting activities, as evidenced by its application to solicitation FA568226Q0018 for laundry and dry-cleaning services at Aviano Air Base, Italy, administered by the 31 Contracting Squadron under the Department of the Air Force.

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CONTRACTOR ASSERTION — ANTHROPIC, PBC PRODUCTS OR SERVICES

For purposes of this representation, "Covered Company" means Anthropic, PBC, and its subordinate, subsidiary, or affiliated offices or entities, doing business under various names, and all subsidiaries, successors, or assigns thereof. "Covered products or services" means any products or services provided by a Covered Company, or any equipment, system, or service that uses Covered Company products or services.

The Contractor has represented as follows regarding Covered Company products or services:

(1) The Contractor asserts that it DOES / DOES NOT [Contractor to select one] provide covered products 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.

(2) After conducting a reasonable inquiry for purposes of this representation, the Contractor represents that it DOES / DOES NOT [Contractor to select one] use covered products or services, or any equipment, system, or service that uses covered products or services.

If DOES is selected for either response, please list the affected contract numbers for only those contracts administered by 31 CONS (identified by the first 6 characters of the Contract number-- FA5682):

Company Name: ____________________________________

UEI: ____________________

Authorized Representative (Printed Name/Title): ____________________________________

Signature: ___________________________________________ Date: ____________________

File details come from the government source that posted it. Updated .