THIS 889 Representations 31AUG21.pdf

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Childcare Services/ Dayton, OH
Solicitation number
W91364-22-Q-0034
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FAR and DFARS 889 Representation Form

REQUIRED RESPONSES FOR AWARD

In regards to FAR provisions and clauses at 52.204-24, 52.204-25, 52.204-26, and DFARS provisions and clauses at 252.204-7016, 252.204-7017, and 252.204-7018 contained in the solicitation and / or award document, the vendor asserts and represents the following:

52.204-24

(d)(1) It [ ___ ] will, [ ___ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section

(d)(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--

It [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

52.204-26

(c) The Offeror represents that it [ ___ ] does, [ ___ ] does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

252.204-7016

(c) Representation. The Offeror represents that it [ ___ ] does, [ ___ ] does not provide covered defense telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

252.204-7017

(d) The Offeror represents that it [ ___ ] will [ ___ ] will not provide covered defense telecommunications equipment or services as a part of its offered products or services to DoD in the performance of any award resulting from this solicitation.

Vendor Name:

CAGE:

Point of Contact:

Date Completed:

will: X
It:
does: X
c The Offeror represents that it:
does_2: X
c Representation The Offeror represents that it:
does_3: X
d The Offeror represents that it:
will_2: X
d1 It:
Date1_af_date:
Text2:
Text3:
Text4:

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