Reps and certs Rider - September 2022.pdf

This is a Representations and Certifications Supplement form required for subcontractors and vendors supporting Stanford University's Prime Contract DE-AC02-76SF00515 with the Department of Energy for the management and operation of SLAC National Accelerator Laboratory in Menlo Park, California.

The form requires vendors to complete business information fields including company name, address, DBA, UEI, DUNS, and TIN, and to certify that all representations and certifications available electronically via the System for Award Management (SAM) have been completed and are current and accurate. For proposals exceeding $3,500, vendors must complete the E-Verify Employment Eligibility Verification process, either by confirming current enrollment or committing to enroll within 30 calendar days of subcontract award, and must agree to include FAR 52.222-54 in lower-tier subcontracts. The form includes an Employee-Vendor Relationship Certification requiring vendors to disclose any conflicts of interest involving Stanford University employees, former employees, or near relatives. Additional certifications address Toxic Chemical Release Reporting (for offers exceeding $100,000), Anti-Kickback (for offers exceeding $100,000), and Export Control requirements, including representations regarding Nuclear Suppliers Group trigger list items, USML defense articles, and Dual Use items. The form must be signed by an authorized representative and remains in effect for one year from the signature date.