Reps and certs Rider - September 2022.pdf

This is a Representations and Certifications Supplement form from SLAC National Accelerator Laboratory, which is operated by Stanford University under Prime Contract DE-AC02-76SF00515 with the Department of Energy. The form requires offerors to provide business information and certifications regarding various compliance requirements.

The document includes sections covering SAM electronic representations, E-Verify employment eligibility verification (for proposals over $3,500), employee-vendor relationship certification, toxic chemical release reporting (for offers over $100,000), anti-kickback certification (for offers over $100,000), and export control certifications related to nuclear suppliers, defense articles, and dual-use items. The form requires disclosure of any Stanford University employee or relative relationships that could create conflicts of interest. Any authorized representative signing the form must certify the accuracy of all statements, with certifications remaining in effect for one year from the signature date. This is a standard compliance document that must be completed and returned with proposals to SLAC.