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
FA568226QA053
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This is a Contractor Assertion form regarding the use of Anthropic, PBC products or services in federal contracts administered by the Air Force (31 CONS). The form requires contractors to make two representations: (1) whether they provide Anthropic products or services as part of their offerings to the Government under any contract, subcontract, or contractual instrument, and (2) whether they use Anthropic products or services or any equipment, system, or service that incorporates such products or services, based on a reasonable inquiry.

If a contractor selects "DOES" for either assertion, they must list the affected contract numbers limited to those administered by 31 CONS (identified by the first six characters "FA5682"). The form requires the contractor to provide their company name, Unique Entity Identifier (UEI), and obtain signature and date from an authorized representative. This is a template form with blank fields for contractor completion and submission.

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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 .