Attachment_J.2_-_Certification_for_Prohibition_on_Contracts_with_Corporate_Expatriates.docx

Request for Quote No. HSHQDC-16-Q-00420 2016 Transition to Practice (TTP) Technology Demonstration Day for Investors, Integrators and IT Companies (I3) West Conference

Attachment J.2 Certification for Prohibition on Contracts with Corporate Expatriates

The contractor shall complete following certification:

Disclosure. The quotor under this solicitation represents that [Check one]:

__ it is not a foreign incorporated entity that should be treated as an inverted domestic corporation pursuant to the criteria of (HSAR) 48 CFR 3009.108-7001 through 3009.108-7003;

__ it is a foreign incorporated entity that should be treated as an inverted domestic corporation pursuant to the criteria of (HSAR) 48 CFR 3009.108-7001 through 3009.108-7003, but it has submitted a request for waiver pursuant to 3009.108-7004, which has not been denied; or

__ it is a foreign incorporated entity that should be treated as an inverted domestic corporation pursuant to the criteria of (HSAR) 48 CFR 3009.108-7001 through 3009.108-7003, but it plans to submit a request for waiver pursuant to 3009.108-7004.

(g) A copy of the approved waiver, if a waiver has already been granted, or the waiver request, if a waiver has been applied for, shall be attached to the bid or proposal.

(End of clause)