Reps and certs Rider - September 2022.pdf

This is a Representations and Certifications Supplement form required for subcontractors on Prime Contract DE-AC02-76SF00515 with the U.S. Department of Energy for the management and operation of SLAC National Accelerator Laboratory in Menlo Park, California.

The form requires offerors to complete business information fields including company name, address, DBA, UEI, DUNS, and TIN, and to certify that representations and certifications submitted through the System for Award Management (SAM) are current, accurate, and complete. For proposals exceeding $3,500, offerors must address Employment Eligibility Verification (E-Verify) status and specify whether they are currently enrolled, plan to enroll within 30 days of subcontract award, or will include the requirement in lower-tier subcontracts. The form includes an Employee-Vendor Relationship Certification requiring disclosure of any Stanford University employees, former employees, or near relatives with ownership, control, or significant financial interest in the offeror's organization. For offers exceeding $100,000, offerors must certify compliance with Executive Order 13148 regarding Toxic Chemical Release Reporting and provide facility information and exemption justifications if applicable. Additional certifications address Anti-Kickback provisions (offers exceeding $100,000) and Export Control compliance, requiring documentation of Trigger List items, USML/ITAR items, Dual Use items, and items controlled under the Commerce Control List. The authorized representative must sign the form, certifying that all statements are true and accurate, with representations remaining in effect for one year from the signature date.