AttachmentC-Amendment1-SECTIONK.doc

RFP-CMS-2007-0027

Amendment 000001

Attachment C

SECTION K - REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS OR QUOTERS tc \l1 "SECTION K - REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS OR QUOTERS K.1 FAR 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE tc \l1 "K.2

FAR 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): www.arnet.gov/far/ 52.222-21

PROHIBITION OF SEGREGATED FACILITIES (FEB 1999)

K.2 REPRESENTATIONS AND CERTIFICATIONS (The Offeror’s representations and certifications must be executed by an individual authorized to bind the offeror): tc \l1 "K.1 TO BE COMPLETED BY THE OFFEROR: [THE REPRESENTATIONS AND CERTIFICATIONS MUST BE EXECUTED BY AN INDIVIDUAL AUTHORIZED TO BIND THE OFFEROR] The offeror makes the following Section K Representations and Certifications as part of its proposal (complete all appropriate information as identified in Section K).

(Name of Offeror)

(RFP No.)

(Signature of Authorized Individual)

(Date)

(Typed Name of Authorized Individual)

Note: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

K.3 52.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS (SEP 2005)

(a) The definitions and prohibitions contained in the clause, at FAR 52.203-12, Limitation on Payments to Influence Certain Federal Transactions, included in this solicitation, are hereby incorporated by reference in paragraph (b) of this certification.

(b) The offeror, by signing its offer, hereby certifies to the best of his or her knowledge and belief that on or after December 23, 1989 -

(1) No Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress on his or her behalf in connection with the awarding of this contract;

(2) If any funds other than Federal appropriated funds (including profit or fee received under a covered Federal transaction) have been paid, or will be paid, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress on his or her behalf in connection with this solicitation, the offeror shall complete and submit, with its offer, OMB standard form LLL, Disclosure of Lobbying Activities, to the Contracting Officer; and

(3) He or she will include the language of this certification in all subcontract awards at any tier and require that all recipients of subcontract awards in excess of $100,000 shall certify and disclose accordingly.

(c) Submission of this certification and disclosure is a prerequisite for making or entering into this contract imposed by section 1352, title 31, United States Code. Any person who makes an expenditure prohibited under this provision or who fails to file or amend the disclosure form to be filed or amended by this provision, shall be subject to a civil penalty of not less than $10,000, and not more than $100,000, for each such failure.

K.4

FAR 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2006)

(a)

(1) The North American Industry classification System (NAICS) code for this acquisition is 561440.

(2) The small business size standard is NOT TO EXCEED $6,500,000.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)

(1) If the clause at 52.204-7, Central Contractor Registration, is included in this solicitation, paragraph (c) of this provision applies.

(2) If the clause at 52.204-7 is not included in this solicitation, and the offeror is currently registered in CCR, and has completed the ORCA electronically, the offeror may choose to use paragraph (c) of this provision instead of completing the corresponding individual representations and certification in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[ X ] (i) Paragraph (c) applies. (See Section I, 52.204-7, CMS requires CCR registration.)

[ ] (ii) Paragraph (c) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) The offeror has completed the annual representations and certifications electronically via the Online Representations and Certifications Application (ORCA) website at http://orca.bpn.gov . After reviewing the ORCA database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on ORCA.

K.5 tc \l1 "K.17 FINANCIAL INFORMATION – The Offeror shall complete the information below for proposal submission:

a.

Contractor:

Address:*

Telephone No.____________________________________

Individual(s) to contact regarding this proposal:

Dun & Bradstreet, Data Universal Numbering System (DUNS) No.________________________________

(See FAR 52.204-6 -- Data Universal Numbering System (DUNS) Number)

*If financial records are maintained at some other location, show the address of the place where the records are kept.

b.

Sales – Please provide the following information with regard to your organization’s annual sales:

Work distribution for the last complete fiscal accounting period:

Government cost reimbursement (includes T&M) type prime contracts and subcontracts: $_______________

Government fixed price prime contracts and subcontracts: $____________

Commercial Sales: $_______________

Total Sales: $_______________

a. Separate Entity or Segment:

Is your organization a separate entity or separate segment of a parent corporation?

If a separate segment of a parent corporation, name parent company:

d.

Manpower - Total number of organization employees:______________ e.

Place of Performance:

The offeror shall perform the majority of work on this contract at the following location:

Place of Performance - (Name of Facility, Street Address, City, State, Zip)

c. Estimating System: Has your cost estimating system been approved by any Government agency? Yes_____No_____

If yes, give name and address of agency that approved the system:

d. Accounting System – Has your accounting system been approved for use on Government cost reimbursement contracts? Yes_____No_____

If yes, give name and address of agency that approved the system:

What type of software does your organization utilize for its accounting system?

h.

Property Control System - Has your property control system been approved by a Government agency? Yes____No____

If yes, give name and address of agency that approved the system:

i.

Purchasing System - Has your purchasing system been approved by a Government agency? Yes_____No_____

If yes, give name and address of agency that approved the system:

If no, are purchasing procedures written? Yes____No____ j.

Compensation System – Has your compensation system been approved by a Government agency? Yes____No____

If yes, give name and address of agency that approved the system:

Does your organization have an established written incentive compensation or bonus plan for all employees? Yes_____No_____ (If yes, specific policy(ies) may be required at a later date.)

Does your organization comply with the limitations of FAR 31.205-6 Compensation for Personal Services? Yes_____No_____. If no, please explain.