Reps and certs Rider - September 2022.pdf

This is a Representations and Certifications Supplement form required for proposals submitted to Stanford University for subcontracts under 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 offerors to complete multiple certification sections including business information (name, address, DBA, UEI, DUNS, and TIN), System for Award Management (SAM) electronic registration, and Employment Verification (E-Verify) eligibility for proposals exceeding $3,500. Offerors must certify employee-vendor relationship status and disclose any conflicts of interest involving Stanford University employees or near relatives. For offers exceeding $100,000, offerors must complete Toxic Chemical Release Reporting certifications under Executive Order 13148 and the Emergency Planning and Community Right-to-Know Act, certifying either that facilities are subject to Form R filing requirements or qualify for specific exemptions based on manufacturing operations, employee count, chemical thresholds, Standard Industrial Classification codes, or facility location. Additional certifications address Anti-Kickback provisions (for offers exceeding $100,000) and Export Control compliance, including representations regarding Trigger List items for nuclear applications, USML defense articles and services, Dual Use items, and other Commerce Control List items. All representations must be signed by an authorized representative and remain in effect for one year from the signature date.