FAR and DFARS 889 Representation Form.pdf

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Attached to
Prime Vendor - Subsistence ID/IQ
Solicitation number
W91364-26-Q-A012
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About this file

This is a FAR and DFARS 889 Representation Form that vendors must complete as a required condition for contract award. The form addresses federal regulations prohibiting the use of covered telecommunications equipment and services from certain foreign entities, specifically those controlled by the Chinese government.

The form requires vendors to make four key representations: (1) whether they will provide covered telecommunications equipment or services to the Government under FAR 52.204-24; (2) whether they currently use covered telecommunications equipment or services in their operations under FAR 52.204-24; (3) whether covered telecommunications equipment or services are included in their offered products or services under FAR 52.204-26; and (4) similar representations specific to Department of Defense contracts under DFARS 252.204-7016 and 252.204-7017. For each representation, vendors must select either an affirmative or negative response by marking the appropriate checkbox. If vendors respond affirmatively to any representation regarding the provision or use of covered telecommunications equipment or services, they are required to provide additional disclosure information. The form includes fields for vendor name, CAGE code, point of contact, and date completed.

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Text version

FAR and DFARS 889 Representation Form

REQUIRED RESPONSES FOR AWARD

In regards to FAR provisions and clauses at 52.204-24, 52.204-25, 52.204-26, and DFARS provisions and clauses at 252.204-7016, 252.204-7017, and 252.204-7018 contained in the solicitation and / or award document, the vendor asserts and represents the following:

52.204-24

(d)(1) It [ ___ ] will, [ ___ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section

(d)(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--

It [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

52.204-26

(c) The Offeror represents that it [ ___ ] does, [ ___ ] does not provide covered telecommunications equipment 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.

252.204-7016

(c) Representation. The Offeror represents that it [ ___ ] does, [ ___ ] does not provide covered defense telecommunications equipment 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.

252.204-7017

(d) The Offeror represents that it [ ___ ] will [ ___ ] will not provide covered defense telecommunications equipment or services as a part of its offered products or services to DoD in the performance of any award resulting from this solicitation.

Vendor Name:

CAGE:

Point of Contact:

Date Completed:

will:
It:
does:
c The Offeror represents that it:
does_2:
c Representation The Offeror represents that it:
does_3:
d The Offeror represents that it:
will_2:
d1 It:
Date1_af_date:
Text2:
Text3:
Text4:

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