SIMPLIFIED SECTION 889 FORM PDF-MPP090920.pdf

References:

a. FAR 52.204-24 through 26

Representation.

The Merchant represents that—

• It WILL WILL NOT provide telecommunication equipment or services from the following companies or any of their subsidiaries: Huawei Technologies Company, ZTE Corporation, Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company.

• It DOES DOES NOT use telecommunication equipment or services from the following companies or any of their subsidiaries: Huawei Technologies Company, ZTE Corporation, Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company.

Merchant Name

Merchant’s Authorized Representative

Authorized Representative Signature

If vendor indicates WILL or DOES, then review will be required by a Contracting Officer prior to purchase.

Contracting Officer Approval I have reviewed and determined procurement through this vendor is authorized.

Contracting Officers Name

Signature

N63394-21-Q-0002

SECTION 889 COMPLIANCE FORM