Reps and certs Rider - September 2022.pdf
PDF 983 KB Posted
- Attached to
- Dispersive Mirror
- Solicitation number
- SLAC_368931_DispersiveMirror
- Issued by
-
Department of Energy Office of Science
About this file
This is a Representations and Certifications Supplement form required for proposals related to Prime Contract DE-AC02-76SF00515 with the United States Department of Energy for the management and operation of SLAC National Accelerator Laboratory in Menlo Park, California. The form must be completed, signed, and returned with the offeror's proposal.
The supplement requires offerors to provide business information including name, address, "Doing Business As" designation, Unique Entity Identifier, DUNS number, and Tax Identification Number. Offerors must certify that annual Representations and Certifications have been completed electronically through the System for Award Management (SAM) and that information is current, accurate, complete, and fully responsive to the solicitation, including applicable business size standards and NAICS codes. For proposals exceeding $3,500, offerors must address Employment Verification (E-Verify) eligibility and enrollment status, certifying either non-applicability, current enrollment, intended enrollment within 30 calendar days of subcontract award, or inclusion of FAR 52.222-54 in lower-tier subcontracts. The form includes an Employee-Vendor Relationship Certification requiring disclosure of any conflicts of interest involving current or former Stanford University employees or near relatives. Additional certifications address Toxic Chemical Release Reporting (applicable if offer exceeds $100,000), Anti-Kickback provisions (applicable if offer exceeds $100,000), and Export Control requirements regarding Trigger List items, USML/ITAR-controlled items, and Dual Use items. The form must be signed by an authorized representative with legal binding authority and remains in effect for one year from the signature date.
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