LOS Certification.pdf
PDF 122 KB Posted
- Attached to
- Underground Storage Tank (UST) Sump Hydro Repair & Testing Federal contract opportunity
- Solicitation number
- 36C241-23-AP-2837
About this file
This document is a certification form related to a federal solicitation for underground storage tank repair and testing services. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1. The form requires offerors to certify whether they will perform at least 50% of the contract value or if subcontractors are anticipated. If subcontractors are involved, offerors must provide each subcontractor's name, DUNS number, description of work, and percentage of contract cost. The form warns of severe penalties for contractors that violate limitations on subcontracting under the Federal Acquisition Regulation and Code of Federal Regulations. Offerors must sign and return the completed certification.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C24123Q0903.pdf | ||
| VA Brockton UST Sump 3 images.pdf | ||
| Wage Determination 2015-4047 Rev 24 Dated 6.30.2023.pdf | ||
| Past Performance Worksheet.xlsx | XLSX spreadsheet | |
| VA JP UST Sump 4 images.pdf | ||
| VA W Roxbury UST Sump 7 images.pdf | ||
| Corrected 36C24123Q0628 UST Sump Repair and Hydro Testing_v1.xlsx | XLSX spreadsheet |
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Text version
Subject: Compliance with 13 C.F.R. 125.6
DATE:
Contractor Point of Contact
Business Name
DUNS#:
Solicitation Number 36C24123Q0903
Offerers are required to comply with 13 C.F.R. 125.6. Offerers are to check which applies block applies:
[] I certify that no subcontractors are anticipated in performing services under this contract. My Company receives 100% of the cost of this contract.
[] I certify that my company and those subcontractors that are similarly situated are estimated to receive at least 50% of the value of this contract. I understand that a similarly situated subcontractor must meet the size standard for NAICS assigned by the prime and must be in certified in VIP. Please provide the following information to identify and calculate the cost of the work self-performed and what is subcontracted.
For each subcontractor provide the flowing: business name, DUNs number, description of work, Percentage COST of
Contract.
Contractor DUNS Number Description of Work
Total % of value of contract by Prime Contractor
Total% of value of contract by similarly situated subcontractors
Value of work in %
Contract Services
WARNING: Severe Penalties for Contractors that violate the Limitations on Subcontracting Rule: If caught during the performance violating the FAR government subcontracting rules or limitations on subcontracting clause under the Code of Federal Regulations 13 C.F.R. 125.6(g), there can be stiff penalties: "Whoever violates the requirements set forth in paragraph (a) of this section shall be subject to the penalties prescribed in 15
U.S.C. 645(d), except that the fine shall be treated as the greater of $500,000 or the dollar amount spent, in excess of permitted levels, by the entity on subcontractors. A party's failure to comply with the spirit and intent of a subcontract with a similarly situated entity may be considered a basis for debarment on the grounds, including but not limited to, that the parties have violated the terms of a Government contract or subcontract pursuant to FAR 9.406-2(b)(l)(i) (48 CFR 9.406-2(b)(l)(i))." Contracting Officers may require the contractor to demonstrate its compliance with the limitations on subcontracting at any time during the performance of the contract by having the Contractor provide invoices, copies of subcontracts, or a list of the value of tasks performed.
I certify the above representations are true and correct to the best of my knowledge.
Date ( Contractor)
Return this certification via email to: Issa J. Shawki
File details come from the government source that posted it. Updated .