Reps Certs pages 6 and 7.pdf

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT AWARDS, IS PART OF THIS

SUBCONTRACT.

FAR clause 52.204-10 requires the prime contractor to provide information on its first-tier subcontractors and to disclose to the Subcontractor that the information will be made available to the public as required by FAR 52.204-10. Based on this requirement, the Subcontractor certifies that:

a. The Subcontractor IS IS NOT an individual. (If ‘is’ is marked, Complete Part C and return to ASRC.)

b. The Subcontractor DID DID NOT have a gross income less than $300,000 in the previous tax year. (If ‘did’ is marked, complete Part C and return it to ASRC. If “did not” is marked, complete the remainder of the certification and return to ASRC.)

1) The Subcontractor’s SAMS UEI Number is:

2) The Subcontractor’s DUNS Number is:

3) The Subcontractor’s physical address is:

Street Address:

City, State, nine-digit zip code, Country:

Congressional District:

4) The subcontractor’s primary performance location, if different from above address is:

Street Address:

City, State, nine-digit zip code, Country:

Congressional District:

5) The applicable North American Industry Classification System Code (NAICS) is:

6) The Subcontractor represents that, in its preceding fiscal year, the Subcontractor:

i) DID DID NOT receive 80 percent or more of its annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance; and $25,000,000 or more in annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance; and ( If ‘did not’ is marked, complete Part C and return it to ASRC.)

ii) DOES DOES NOT provide public access to information about the compensation of the senior executives through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. If ‘does not’ is marked, the Subcontractor shall provide the names and total compensation (as defined in FAR 52.204-10) of each of the Subcontractor’s five most highly compensated executives, for the completed fiscal year preceding the year the subcontract is awarded. (If “does” is marked, complete Part C and return to ASRC. Otherwise, complete the required information below for your preceding completed tax year, complete Part C and return this certification to ASRC.)

Executive Name Total Compensation 1.

2.

3.

4.

5.

Please indicate, by checking the appropriate box(es), the states or districts which your company is authorized to collect sales tax:

All

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware

District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana

Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana None

Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

PART “C”

THIS PART APPLIES TO ALL OFFEROR

FAR 52.204-26 Covered Telecommunications Equipment or Services - Representation (Dec 2019)

(a) Definitions. As used in this provision, Covered telecommunications equipment or services has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."

(c) Representation. The Offeror represents that it [ ] does [ ] does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.