Representation for Tax Delinquency, Felony Conviction.pdf

All grant applicants are required to provide the attached "Representation on Tax Delinquency and Felony Conviction" by completing blocks 17. and 18. of the SF424 (R&R) as a part of the electronic proposal submitted via Grants.gov. The representation shall be attached to block 18., SFLLL or other Explanatory Documentation, of the SF424 (R&R).

REPRESENTATION REGARDING AN UNPAID DELINQUENT TAX LIABILITY OR A FELONY CONVICTION

UNDER ANY FEDERAL LAW – DOD APPROPRIATIONS

Proposal Title

Proposal Number and/or Date

Representation Regarding An Unpaid Delinquent Tax Liability Or A Felony Conviction Under Any Federal Law – DoD Appropriations

(1) The applicant represents that 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 timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

(2) The applicant represents that it is is not a corporation that was convicted of a felony criminal violation under any Federal law within the preceding 24 months.

NOTE: If an applicant responds in the affirmative to either of the above representations, the applicant is ineligible to receive an award unless the agency suspension and debarment official (SDO) has considered suspension or debarment and determined that further action is not required to protect the Government’s interests. The applicant therefore should provide information about its tax liability or conviction to the agency’s SDO as soon as it can do so, to facilitate completion of the required consideration before award decisions are made.