Attachment_10_FAR_52.212-3_Fill_in_Rev0.docx

ATTACHMENT 10: RFQ NNA17599805Q-ACJ

FAR 52.212-3, Offeror Representations and Certifications – Commercial Items (fill-in)

Note: Offerors shall be registered in the System for Award (SAM) web site to be considered for award. Offerors shall complete the annual representations and certification electronically via the SAM website located at https://www.sam.gov/portal .

Step 1: Enter an “X” here if the clause fill-in below is not applicable.

_____ Clause fill-in not applicable. All data listed in SAM for paragraphs (c) through (u) are current, accurate, and complete.

Step 2: Otherwise, if applicable, Offerors shall fill-in the FAR 52.212-3, paragraph (b)(2) below as instructed by the provision:

FAR 52.212-3, Offeror Representations and Certifications – Commercial Items (fill-in):

The Offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) web site located at http://www.sam.gov/portal. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u) of this provision.

(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the SAM website.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representation and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ____________. [Offeror to identify the applicable paragraphs at (c) through (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.] ** End of Attachment 10: RFQ Instructions for Submission **

MMARSS FAR 52.212-3, Offeror Representations and Certifications – Commercial Items (fill-in), Rev0