PROC-FRM-467 - Subcontractor Supplemental Certification.pdf

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RRR300 Niobium Sheet, Rods and Discs
Solicitation number
RFP387911
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This is a Fermilab procurement form (PROC-FRM-467) that serves as a template for obtaining written certification from subcontractors regarding their compliance with federal contracting requirements.

The form requires subcontractors working with Fermi Forward Discovery Group, LLC (FFDG) to certify three key compliance obligations: (1) compliance with FAR 52.222-90, "Addressing DEI Discrimination by Federal Contractors (DEVIATION APR 2026)"; (2) commitment to flow down the FAR 52.222-90 provisions to lower-tier subcontracts as required; and (3) obligation to promptly notify the FFDG Procurement Representative of any known noncompliance. The form includes signature blocks for the subcontractor's authorized representative to sign with the subcontractor name, individual name and title, and date. This is a template document with an effective date of October 1, 2026, Version 1.0, with a two-year review cycle. Subcontractors must affirm that their certification is accurate and complete to the best of their knowledge at the time of signature.

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PROC-FRM-467 Subcontractor Supplemental Certification Version 1.0 NOTE: Official documents are subject to change. Current versions should be obtained from the Finance and Procurement Division website or controlled document repository. Page 1/1

Fermilab Procurement Form Document No.: PROC-FRM-467

Subcontractor Supplemental Certification

Version: 1.0 Release Date: 10/01/2026 Effective Date: 10/01/2026 Review Cycle: 2 years

Purpose: The purpose of this form is to obtain written certification from subcontractors regarding compliance with FAR 52.222-90, Addressing DEI Discrimination by Federal Contractors (DEVIATION APR 2026), as applicable to their subcontract with Fermi Forward Discovery Group, LLC (FFDG). This certification confirms the subcontractor’s compliance with the applicable requirements of the clause, acknowledgment of its obligation to flow down the clause to lower-tier subcontracts when required, and commitment to promptly notify FFDG of any known noncompliance.

The undersigned Subcontractor hereby certifies that:

(1) Subcontractor is in compliance with FAR 52.222-90 Addressing DEI Discrimination by Federal Contractors (DEVIATION APR 2026) as applicable to Subcontractor under its subcontract with Fermi Forward Discovery Group, LLC (FFDG).

(2) Subcontractor will flow down the provisions of FAR 52.222-90 to its lower tier subcontracts as required by paragraph (c) of the clause; and

(3) Subcontractor will promptly notify the Fermi Forward Discovery Group, LLC Procurement Representative, of any known noncompliance with FAR 52.222- 90 applicable to the Subcontractor or its performance under this subcontract.

The undersigned represents that the foregoing certification is accurate and complete to the best of Subcontractor's knowledge as of the date of signature below.

Name of Subcontractor ___________________

Signature: _____________________

Name and Title: ______________________

Date: _________________

Name of Subcontractor:
Name and Title:
Date:
Signature29_es_:signer:signature:

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