D-7 Lautenberg Statement.doc

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Armed Guard Services for the SSA Albuquerque Teleservice Center (AQTSC)
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SSA-RFP-09-1029
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D-7 LAUTENBERG STATEMENT

Public Law 104-208 & Title 18 USC Sections 921, 922 and 925

1. Public Law 104-208 has amended Title 18, United States Code, Sections 921, 922 and 925, making unlawful for any person convicted of a misdemeanor crime of domestic violence (spouse abuse, parent abuse, child abuse, etc.) to ship, transport, possess or receive firearms or ammunition. Presently, there are no exceptions or time limits included in this law.

2. Therefore, anyone ever convicted of the subject crime(s) would be affected by its provisions. Since a person convicted of a misdemeanor crime of domestic violence can NOT possess a firearm or ammunition, such a person may NOT perform as an armed Contract employee.

3a. Have you ever been convicted of a misdemeanor crime of domestic violence, as defined by 18 U.S.C. §921(a)(33)?

YES__________ NO ____________

3b. If you answered YES, provide the following information with respect to each conviction:

a. Court/Jurisdiction:

b. Docket/Case Number:

c. Statute/Charge:

d. Date Sentenced:

3c.

I certify that, to the best of my information and belief, all of the information provided by me here is true, correct, current, complete and made in good faith. I understand that false or fraudulent information provided herein may be grounds for adverse action, up to and including removal, and is also criminally punishable pursuant to Federal law, including 18 U.S.C. §1001.

Signature:

Date Signed:

Name:

(Print your complete legal name)

Lautenberg Amendment Statement, Armed guards must submit a signed and dated “Domestic Violence” certification that satisfies the legal requirements of the Lautenberg Amendment, 18, U.S.C. 922 (G)(8) AND (9). This certification is valid for one (1) year. The Contractor shall maintain a file of its guards’ certifications and provide the COTR a signed statement certifying comp0liance with this requirement. If at any time a guard has a disqualifying event under Lautenberg, the Contractor shall notify the COTR and immediately remove the guard from work under the contract that may require use of a firearm. The Contractor shall submit a new certification to the COTR stating that all its guards are in compliance with the Lautenberg Amendment annually.

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