Attachment 4 Contractor Assertion Anthropic PBC Products or Services.pdf

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Supply, Delivery, Installation, and Removal of 102 sets of Dormitory Furniture
Solicitation number
FA568226Q8018
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This is a Contractor Assertion form regarding Anthropic, PBC products or services for federal contracting purposes. The form requires contractors to make two distinct representations: first, whether they provide Anthropic, PBC covered products or services as part of their offerings to the Government under any contract, subcontract, or other contractual instrument; and second, whether they use Anthropic, PBC covered products or services or any equipment, system, or service incorporating such products or services, based on reasonable inquiry. "Covered Company" encompasses Anthropic, PBC and all its subordinate, subsidiary, or affiliated entities operating under various names, including all successors and assigns.

If a contractor selects "DOES" for either representation, the form requires listing of affected contract numbers exclusively for those contracts administered by 31 CONS, identifiable by the first six characters of the contract number (FA5682). The form must be completed with the contractor's company name, Unique Entity Identifier (UEI), authorized representative's printed name and title, signature, and date. This assertion template serves as a disclosure mechanism for federal contracting oversight regarding the use or provision of Anthropic products and services.

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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 .