Tab 1 Self-Certification PEB_24_01.pdf
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- Solicitation number
- 7200AA25R00020
About this file
This is a Sexual Misconduct Self-Certification form required by USAID for Personal Services Contract solicitation responses. The form requires offerors to certify whether they have had any disciplinary actions, terminations, or resignations related to sexual misconduct within the past 3 years, including terminations of previous government contracts.
The certification defines sexual misconduct as any inappropriate behavior of a sexual nature or sex-based conduct, including abuse, assault, exploitation, harassment, intimate-partner violence, stalking, and voyeurism. The form requires the offeror's printed name, signature, and date, and includes a statement that false or misleading information may result in elimination from contract consideration or contract termination. USAID notes that award decisions will not be based solely on the responses provided. If an offeror answers "Yes" to prior misconduct, they must provide an explanation in a separate document to the Contracting Officer.
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TAB 1
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), or a 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, incomplete, inaccurate, 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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