Att 2 ATI BAA Reps and Certs.pdf

Attachment 2

MISSILE DEFENSE AGENCY (MDA/DV)

BROAD AGENCY ANNOUNCEMENT

REPRESENTATIONS AND CERTIFICATIONS

(REPS AND CERTS)

02 February 2012

MDA/DACV REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS OF OFFERORS:

MDA REPRESENTATIONS, CERTIFICATIONS:

K-01 RESTRICTION ON DISPOSAL OF ACQUIRED PROPERTY (MAY 2005):

By the submission of this offer, unless exceptions are noted below, the Offeror certifies that to his/her knowledge the offer does not involve the acquisition of Government production and research property, the disposal of which may be restricted by patent or other rights.

EXCEPTIONS: (If none, state "NONE")

K-02 CONTRACTOR POINT OF CONTACT FOR ELECTRONIC DOCUMENT ACCESS (EDA)

(MAY 2005)

a. DoD Electronic Document Access (EDA) facilitates information sharing among DOD communities and provides secure access to single-source DOD official documents to authorized registered users. EDA combines Internet and Web technologies with electronic document management to eliminate paper copies.

b. All offerors are hereby notified that contract distribution will be performed electronically on subject contract via the EDA website located at: http://eda.ogden.disa.mil. Upon posting, an electronic notification will automatically be forwarded to the appointed POC. There will no longer be hard copy paper distribution of contract documentation and payment of contract invoices.

c. Access to the EDA website is restricted to registered users. All offerors must provide a company-appointed EDA point of contact (POC) and alternate EDA POC, if possible.

(1) Name of Company EDA POC: ____________________

E-Mail Address: _______________________________

Telephone Number: ____________________________

(2) Name of Company Alternate EDA POC: ___________________________

E-Mail Address for Alternate EDA POC: ___________________________

Telephone Number for Alternate EDA POC: ________________________

d. The above POCs must both register on-line to become EDA partners. Instructions on becoming an EDA partner are identified at the above website. To eliminate registration delays, please refer to the on-line Vendor/Contractor Registration Instructions at the EDA website for registration. Once at the website you can either “proceed” if you have already registered in the EDA system, or utilize “register” if you are a new user.

K-03 CONTRACT AUDIT (MAY 2005):

Designate below the Offeror's personnel whom the Government may contact for prompt action on matters pertaining to contract audits:

NAME: ___________________________________________

TITLE: ___________________________________________

TELEPHONE NO.: ___________________________________________

(including area code and extension)

K-04 CONTRACT ADMINISTRATION (MAY 2005):

Designate below the Offeror's personnel whom the Government may contact for prompt action on matters pertaining to administration of the contract.

NAME: ___________________________________________

TITLE: ___________________________________________

TELEPHONE NO.: ___________________________________________

(including area code and extension)

K-05 IDENTIFICATION OF CONGRESSIONAL DISTRICT(S) (MAY 2005):

The Offeror is requested to provide the U.S. Congressional District number and other pertinent information associated therewith for the areas given below:

(Note - continuation sheets may be used if adequate space is not available in the spaces set forth below.)

a. U.S. Congressional District for the Contractor.

b. Corporate Office, if different from paragraph a. above.

U.S. Congressional District for this office

c. If the location for contractor performance is different from the addresses in

(a) and (b), then the applicable U.S Congressional District for the performance location is ________________________________.

d. First Tier Subcontractors:

(1) Address used for subcontractor's proposal:

Name: ________________________________

Address: ________________________________

U.S. Congressional District for this office _______________________

2. If subcontractor's place of performance is different than provided in Block d.(1) above:

Address: ________________________________

U.S. Congressional District for this office _______________________

K-06 PAYING OFFICE AND RELATED INFORMATION:

(A) Identify below the name and address of the Government office normally responsible for payment of invoices for your company.

(B) Your remittance address is (the following information is provided pursuant to FAR 52.232-33, “Payment by Electronic Funds Transfer –Central Contractor Registration,” Contract Section I (if applicable):

K-07 GOVERNMENT PROPERTY OR TECHNICAL INFORMATION:

Offeror is requested to confirm that Government property or technical information ____ is not ____ is required for performance of the proposed contract.

If Government property/technical information is required, please provide a description, listing, and reference to the location in your proposal where the Government property or Government Furnished Information requirement is discussed:______________________________________________________________________________________

K-08 Reserved

K-09 FOREIGN PERSONS:

In accordance with restrictions required by Executive Order 12470, the Arms Export Control Act (Title 22, USC 2751 et seq.), the International Traffic in Arms Regulation (ITAR), or DoD Directive 5230.25, Withholding of Unclassified Technical Data from Public Disclosure, no foreign persons will be permitted to work on a contract without notifying the Contracting Officer. Provide the following information for all foreign persons who will be working on the contract or subcontracts (or “X” here if there are no such individuals: _____):

(1) Full Name:

(2) Date of Birth:

(3) Place of Birth:

(4) Nationality:

(5) Social Security Number:

(6) Visa Status:

(7) Current Address:

(8) If a Subcontractor, Subcontractor Name and Address:

(9) Biographic data and/or resume.

(The above representation shall be updated by the contractor if during contract performance other foreign persons are proposed to work on the contract or subcontracts.)

DFAR 252.209-7999 REPRESENTATIONS BY CORPORATIONS REGARDING AN UNPAID

DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW

(DEVIATION 2012-O0004) (JAN 2012)

(a) In accordance with sections 8124 and 8125 of Division A of the Consolidated Appropriations Act, 2012, (Pub. L. 112-74) none of the funds made available by that Act may be used to enter into a contract with any corporation that-

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collection the tax liability, where the awarding agency is aware of the unpaid tax liability, unless the agency has considered suspension or debarment of the corporation and made a determination that this further action is not necessary to protect the interests of the Government.

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless the agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that-

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

(End of Provision)