NDAA 889 Compliance form.pdf
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- Solicitation number
- 19TC1226R0001
- Issued by
-
Department of State
About this file
This document is an Express NDAA Certification form from the United States Department of State related to compliance with the John S. McCain National Defense Authorization Act (NDAA) for Fiscal Year 2019. The form requires merchants/vendors to represent whether they provide or use covered telecommunications equipment or services when performing government contracts. Specifically, the document mandates that vendors disclose:
- Whether they will provide covered telecommunications equipment or services to the government in contract performance
- Whether they use covered telecommunications equipment or services or any systems/equipment that incorporate such services
Vendors must complete the representation by checking applicable boxes indicating their status, and the form must be signed by an authorized representative. The purpose is to ensure compliance with federal regulations concerning telecommunications equipment from potentially restricted vendors, as outlined in Federal Acquisition Regulation (FAR) provisions 52.204-24 and 52.204-26.
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Text version
United States Department of State
Washington, D.C. 20520 www.state.gov
SENSITIVE BUT UNCLASSIFIED
ATTACHMENT 1 – EXPRESS NDAA CERTIFICATION
Public Law 115-232, also known as the John S. McCain National Defense Authorization Act
(NDAA) for Fiscal Year 2019, requires representations regarding Covered Telecommunications
Equipment and Services. Contracting staff shall use this representation with vendors to determine compliance with NDAA requirements. To comply with this Public Law the Federal Acquisition
Regulation (FAR) in FAR 4.2105 requires two provisions 52.204-24 & 52.204-26 and contract clause 52.204-25 in all procurement actions.
DIRECTIONS FOR THE MERCHANT
1. Read the entire provisions and clause in the FAR at Acquistion.gov.
2. After you have read the provisions, please answer the questions below.
3. Upon completion of Step 2, fill out the representation below. NOTE: This representation is made by a person with the authority to bind the merchant.
4. Return completed form to your Contract Specialist.
52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND
VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 2020)
(d) Representation. The Offeror represents that—
(1) It □ will, □ will not provide covered telecommunications equipment or services to the
Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds “will” in paragraph (d)(1) of this section; and
(2)After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that—
It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the
Offeror responds “does” in paragraph (d)(2) of this section.
Merchant Name____________________________________________________________________
Merchant’s Authorized Representative Signature_____________________________________________
(Typed Name)
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