Reps and certs Rider - September 2022.pdf
PDF 983 KB Posted
- Attached to
- Lift Truck
- Solicitation number
- SLAC_367782_LiftTruck
- Issued by
-
Department of Energy Office of Science
About this file
This is a Representations and Certifications Supplement form required for subcontractors and vendors supporting Stanford University's Prime Contract DE-AC02-76SF00515 with the United States Department of Energy for management and operation of SLAC National Accelerator Laboratory in Menlo Park, California.
The form requires offerors to complete business information sections including company name, address, DBA, UEI, DUNS, and TIN, and certify that all representations and certifications have been completed in the System for Award Management (SAM). For proposals exceeding $3,500, offerors must make E-Verify employment eligibility determinations and certify compliance. The document includes an Employee-Vendor Relationship Certification section requiring disclosure of any Stanford University employees or near relatives with ownership, control, or significant financial interest (over 10 percent) in the offeror's organization. For offers exceeding $100,000, offerors must certify compliance with toxic chemical release reporting requirements under Executive Order 13148 and the Emergency Planning and Community Right-to-Know Act. For offers exceeding $100,000, offerors must also certify they have not provided kickbacks to any government officials or contractors. Export control certifications are required for all offers, addressing Trigger List items (nuclear applications), USML items (defense articles), Dual Use items, and other Commerce Control List items. An authorized representative must sign the form, certifying that reasonable and prudent inquiry has been made to ascertain the accuracy of all statements, with representations and certifications remaining in effect for one year from the date signed.
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