RFP - Attachment 3 - Rep and Cert.pdf

Attachment (3)

REPRESENTATIONS AND CERTIFICATIONS

To be Completed by Offeror

Complete appropriate boxes, sign, date, and attach to offer.

The Offeror makes the following Representations and Certifications. NOTE: The “Offeror,” as used on this form, is the owner of the property offered, not an individual or agent representing the owner.

1. ANNUAL REPRESENTATIONS AND CERTIFICATIONS FOR LEASEHOLD

ACQUISITIONS (APR 2015)

a. (1) The North American Industry Classification System (NAICS) code for this acquisition is 531120.

b. The System for Award Management (SAM) is a centrally located, searchable database which assists in the development, maintenance, and provision of sources for future procurements. The Offeror, by signing this addendum, hereby certifies he will register with SAM.

2. 552.203-72 REPRESENTATION BY CORPORATIONS REGARDING AN

UNPAID DELINQUENT FEDERAL TAX LIABILITY OR A FELONY

CONVICTION UNDER ANY FEDERAL LAW (DEVIATION) (OCT 2013)

a. In accordance with Sections 630 and 631 of Division of the Consolidated Appropriations Act, 2012 (Pub. L. 112-74), and Section 101 of the Continuing Appropriations Act, 2014 (Pub. L. 113-16) none of the funds made available by the Continuing Appropriations Act 2014 may be used to enter into a contract action with any corporation that---

i. 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, 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, or

ii. Was convicted, or had an officer or agent of such corporation acting on behalf of the corporation 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 or such officer or agent and

REPRESENTATIONS AND CERTIFICATIONS Request for Proposal

LI-13656

Dated 02-07-2020

Request for Proposals

(LI-13656)

Attachment (3) made a determination that this action is not necessary to protect the interests of the Government.

b. The Contractor represents that—

i. 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.

ii. It is [ ] is not [ ] a corporation that was convicted, or had an officer or agent of the corporation acting on behalf of the corporation, convicted of a felony criminal violation under any Federal law within the preceding 24 months.

3. The Offeror certifies that he/she has met ALL of the requirements of this Request for

Proposal.

4. The Offeror certifies that he/she has read, understands, and accepts all of the terms and conditions of the Lease and its Exhibits attached to this Request for Proposal.

5. The Offeror agrees upon acceptance of this proposal, to lease to the United States of America, ___________ SF of childcare space described and as specified herein, in full compliance with and acceptance of the aforementioned Request for Proposal, with all attachments.

OFFEROR OR

LEGALLY

AUTHORIZED

REPRESENTATIVE

NAME, ADDRESS (INCLUDING ZIP

CODE)

Signature

TELEPHONE

NUMBER

Date