Government Employees Statement.docx

DOCX document 12 KB Posted

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Forest-Wide Water Testing
Solicitation number
1204N720Q0027
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1204N720Q0027 Final.pdf PDF

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Government Employees, Former USDA Employees, and USDA Retirees

The offeror/quoter represents and certifies that --

A. It [ ] is, [ ] is not a current Federal Government employee.

B. It [ ] is, [ ] is not a former USDA employee.

C. It [ ] is, [ ] is not a retired USDA employee. If retired, give date of retirement:_________.

D. It [ ] is, [ ] is not related by blood or marriage to a current Forest Service employee on the ______ National Forest. If so, list employee's name and location:______________________________.

E. It [ ] is, [ ] is not substantially owned or controlled by a former USDA employee or retiree.

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