Sexual Misconduct Self-Certification form.pdf

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USPSC Anti-Corruption Policy Advisor
Solicitation number
7200AA25R00022
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This is a Sexual Misconduct Self-Certification form required by USAID for offerors responding to Personal Services Contract solicitations. The form is associated with solicitation number 7200AA25R00022 for a USPSC Anti-Corruption Policy Advisor position.

The certification requires offerors to disclose any disciplinary actions, terminations, or resignations related to sexual misconduct within the past 3 years, including terminations of previous government contracts. The form defines sexual misconduct as any inappropriate behavior of a sexual nature, including abuse, assault, exploitation, harassment, intimate-partner violence, stalking, and voyeurism. USAID emphasizes its zero-tolerance policy for sexual misconduct and requires truthful disclosure, noting that false information may result in elimination from consideration or contract termination. While responses are required, USAID states that award decisions will not be based solely on the information provided in this certification.

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Sexual Misconduct Self-Certification

The U.S. Agency for International Development (USAID) has zero tolerance for sexual misconduct.

"Sexual misconduct" is an umbrella term that encompasses any inappropriate behavior of a sexual nature or that is sex-based, including abuse, assault, exploitation, harassment, intimate-partner violence, stalking, voyeurism, and any other such conduct that is sexual in nature or that is sex-based which is non-consensual or has the purpose or effect of threatening, intimidating, denigrating, or coercing a person.

USAID affirms that sexual misconduct is counter to our Agency's core values, and we will take necessary steps to prevent and address sexual misconduct within our workforce and programs.

USAID requires you as an offeror in response to Personal Services Contract solicitation to submit this Sexual Misconduct Self-Certification.

In the last 3 years, has there been a disciplinary action taken against you from your previous or current employer(s), termination(s) on grounds of sexual misconduct, or did you resign in lieu of termination on grounds of sexual misconduct? Termination includes a termination of a previous contract with the government.

No / YES . If Yes, please explain in a separate document and submit to the Contracting Officer listed in the solicitation.

Note: USAID will not make award decisions based solely on the responses and information provided.

You certify that all of the information provided is true, correct, complete, and made in good faith.

False, fraudulent, or misleading information may result in you being eliminated from consideration for this contract, or grounds for termination of the contract, and may be punishable to the full extent of the law.

Print Name (Last Name, First) Signature Date

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