Amendment 0001 - Enclosures--Attachments 6 Nov 2021.pdf

"Source Selection Information - See FAR 2.101 and 3.104"

ENCLOSURE A

CORPORATE CERTIFICATE

If a corporation submits the proposal, the Corporate Certificate at paragraph A below must be submitted. If the proposal is submitted by joint venture, a completed Corporate Certificate for each member of the joint venture and a copy of the joint venture agreement must be included with the proposal. Offerors may reproduce and submit these certificates on a separate sheet of paper.

A. CORPORATE CERTIFICATE

I, , certify that I am the (Title) of the Corporation named as offer/contractor herein, that , who signed this proposal/contract on behalf of the offeror/Contractor was then of said corporation; that said proposal/contract was duly signed for and on behalf of said corporation by authority of its governing body and within the scope of its governing body and within the scope of its corporate powers.

(CORPORATE SEAL)

(SIGNATURE)

ENCLOSURE (B)

PRE-AWARD/CONTRACTOR RESPONSIBILITY

Directorate of Contracting

Dear Offeror:

Prior to award, in accordance with Federal Acquisition Regulation (FAR) Part 9 Contractor Qualifications, and Defense Federal Acquisition Regulations (DFARS) 209, the Contracting Officer must make the determination that your firm is a responsible contractor and is eligible for an award. To facilitate that responsibility determination, please:

a) Complete the Financial Standing Questionnaire and Calculation of Self- Performed Work forms below. Your firm’s “Calculation of Self-Performed Work worksheet may be shared with the price and non-pricing evaluation teams.

b) Provide a narrative, based on your understanding of the specifications in Division 01 – General Requirements, of those actions your firm will take in the first 30 days after issuance of Notice to Proceed (NTP), assuming award and NTP will occur on 21 Dec 2021 . This is not a request for a fragnet schedule, but a request for a narrative. Your narrative must not exceed 5 pages. If an activity fulfills a specification requirement, please cite that requirement, where appropriate.

c) Provide a list of all projects presently being administered by your firm in Kingdom of Saudi Arabia. For each identified project, provide the first and last name of a customer/client point of contact, and valid email and telephone number for the individual identified. This response does not negate the need to provide past performance and/or experience information in response to the technical factors. In addition to the above, the Contracting Officer will use the Past Performance information submitted in response to the pertinent technical factor and will review the System for Award Management (SAM), the Federal Awardee Performance and Integrity Information System (FAPIIS), the Past Performance Information Retrieval System (PPIRS), and any other permissible source for past performance information.

d) Provide a narrative regarding your firm’s record of integrity and business ethics. At a minimum, your narrative must address: 1) whether your firm currently, or previously on any of your currently administered contracts identified above, has any subcontractors or suppliers that have been unpaid for more than 60 days (if so, explain why); 2) whether your firm has ever been cited for Combating Trafficking in Persons (CTIP) violations; and 3) whether your firm has ever filed for bankruptcy or reincorporated after a bankruptcy filing. The narrative must not exceed two pages.

e) Provide evidence consisting of a commitment or explicit arrangements that will be in existence at the time of contract award, to rent, purchase, or otherwise acquire the needed facilities, equipment, other resources, or personnel. To the extent that such a response includes a narrative, the narrative must not exceed five pages.

To the extent that any will be used in the performance of the contract, provide the names of any of the offeror’s immediate owners, predecessors, subsidiaries, and affiliated concerns (see FAR 19.001 amd 19.101 for definitions regarding affiliated concerns). If the offeror is a JV, provide the above for all entities which comprise the JV.

f) The first and last name (and middle initial, if applicable) and job title of all of your firm’s principals, as defined in FAR 52.209-5 -- Certification Regarding Responsibility Matters; any person identified as a Key Personnel in response to an technical evaluation criteria, if such is required; and any person with any contractual authority on the contract, if awarded.

g) The names and addresses of each subcontractor presently intended for use in the performance of the contract. For each subcontractor, include the first and last name (and middle initial, if applicable) of each of the subcontractor principals, as defined in FAR 52.209-5 -- Certification Regarding Responsibility Matters, and any person with any contractual authority on the subcontract, if awarded.

h) A copy of the offeror’s current business license, or other documentation which allows it to operate and perform the terms of this contract in Kingdom of Saudi Arabia (as required by DFARS 252.225-7042 Authorization to Perform).

i) A copy of the offeror’s CTIP compliance plan, in accordance with the requirements at 52.222-56 – Certification Regarding Trafficking in Persons Compliance Plan.

In addition to the requirements at 52.222-56, the offeror’s compliance plan must identify the steps it will take to ensure that the CTIP provisions of the contract flow down to all resultant subcontracts; and must include a mitigation plan for the steps it will take when a CTIP violation allegation is made against it or any of its subcontractors, at any level.

Be advised the Contracting Officer is not limited to your firm’s responses in making a responsibility determination. Please complete the above requested information and submit with your proposal submission. All documents submitted in response to this request should be submitted together, and should be kept separate from your cost and technical proposals. The documentation requirements in the solicitation regarding page size, etc… apply to your response to this request, unless otherwise noted. Please be advised that all, or portions of your response, to this request for information may be incorporated into the awarded contract, should award be made to your firm.

Revision 1 – 27 Oct 2021 "Source Selection Information - See FAR 2.101 and 3.104

FINANCIAL STANDING QUESTIONNAIRE

A primary consideration in the source selection process is to determine an offeror’s qualification, responsibility, and financial standing. Prior to awarding a contract, per Federal Acquisition Regulation (FAR) Part 9, the government must determine, through acceptable evidence, that an offeror has adequate financial resources, or the ability to obtain the financial resources, to perform the contract.

Attachment A is to be completed by the offeror’s financial institution. Offerors should obtain a bank seal and signature of the referenced individual on the questionnaire. Failure to provide the requested information may render an offeror’s proposal non-responsible, and removed from competition.

GENERAL INFORMATION (to be completed by the contractor):

Contractor’s Name and address:

Point of Contact:

Telephone:

Email:

Solicitation number:

RESPONDENT INFORMATION (authorized Financial Institution representative completing this form): Full Name and Title:

Name of Financial Institution:

Address:

Telephone/Fax:

Email address:

1. Does the contractor have an active account with your financial institution? If yes, how many?

2. How long have the account(s) been active?

Revision 1 – 27 Oct 2021 "Source Selection Information - See FAR 2.101 and 3.104

3. What is their average balance (digits only)?

4. How many returns (insufficient funds) has the contractor had in the last 12 months?

5. Does the contractor currently have outstanding loans? If yes, a) how many; b) what are the balances due on those loans (digits only); and c) is the contractor making payments in accordance with the terms of the loans?

6. Has the vendor been able to meet their financial obligations on time?

7. Do they have a line of credit? If so, a) what is the credit limit (digits only); and b) how much credit is presently available for use (digits only)?

If you need additional space to respond, please indicate that additional documentation was provided in response your above answers.

Signature of Financial Institution Date Representative

Revision 1 – 27 Oct 2021 "Source Selection Information - See FAR 2.101 and 3.104

CALCULATION OF SELF-PERFORMED WORK

Use the following format to identify and calculate cost of the work envisioned to be self-performed. Various definitions which may be helpful in completing this form can be found on page 2, below.

A. Clearly describe the work to be self-performed:

B. Show Calculation of Self-Performed Work:

B.1 Total bid price: $ B.2 Subtract contractually-required design costs, if any: $ B.3 Subtract G&A, home office overhead, prime contractor's markups for profit, bond, DBA insurance, etc.:

B.4 Total amount of work to be performed under the contract: $ B.5 Work to be self-performed (Includes mobilization and utilization of owned or rented plant and equipment to be operated by the prime contractor's own employees; only those materials which will be both purchased and installed by the prime's own forces; labor associated with those aforementioned materials or equipment; only those supplies to directly support work performed by the contractor's own employees; and the contractor's own job overhead costs.):

B.6 % Self-performed work = Line B.5/ Line B.4 X 100% = % %

I certify that the above information is current, accurate and complete to the best of my knowledge and that I have the authority to provide the information requested on this form.

DATE NAME

POSITION, COMPANY

The following are definitions concerning self-performance of work by the Prime Contractor.

"Self-performance of work", "On the site" and "Total amount of work to be performed under the contract" are

“Self-performance of work” generally includes mobilization and utilization of owned or rented plant and equipment to by the prime contractor's own employees; only those materials which will be both purchased and installed by the prime's own forces;

labor associated with those aforementioned materials or equipment; only those supplies to directly support work performed by the contractor's own employees; and the contractor's own job overhead costs.

The following is NOT self-performed work for purposes of the clause: Prime contractor markups for profit, general and administrative overhead, bonds, or other indirect costs on self-performed or subcontracted work; "Owner-operated equipment", rental of plant or equipment for operation by subcontractors; purchase of materials for installation by subcontractors.

"On the site" includes the construction site(s) as well as off-site fabrication plant or other facilities necessary to manufacture assemblies or provide materials to be incorporated into the construction project.

“Total amount of work to be performed under the contract" is comprised of all direct (variable, fixed, one-time and semi-variable) costs to the contractor, including jobsite overhead costs, to construct the project. It generally includes all self-performed work, as defined above, and cost of all supplies, materials and subcontracts. It does not include design costs, home or branch office overhead costs or prime contractor markups for bond, profit, etc.”

ATTACHMENT 1

PROJECT OVERVIEW SHEET

List projects that are described in the Offeror’s narrative in Factor 2 and may have a completed Project Summary Form (Attachment 2). Limited to three (3) minimum of five (5) maximum projects completed by the prime contractor within the last 6 years of the solicitation issuance date.

Mark Prime, Sub, or Joint Venture (ONLY ONE).

Contract Name/Client, Location of Services

Prime Sub JV Total Contract $ Amount

Offeror's Share of Responsibility for Total Construction Contract

SAMPLE: Ellis Island Seawall Renovation/ X $10,000,000 $10,000,000

1.

3.

4.

5.

6.

7.

8.

9.

10.

OFFEROR’S NAME DATE

ATTACHMENT: 2

PROJECT SUMMARY FORM

PROJECT No: (Circle one): 1 2 3 4 5 6 7 8 9 10

Name of Reference Contact:

E-mail Address:

Telephone Number:

Project Title:

Contract Number:

Location of Project:

Contract Amount (U.S. Dollar Amount):

Contract Award Date:

Contract Completion Date:

Contract Duration (Period of Performance):

Description of the Project’s Scope and Magnitude:

NAVFAC / USACE Past Performance Questionnaire (PPQ) Form PPQ -0 (9/30/11)

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0) CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

CAGE Code: ______________ DUNs Number: _______________________

1. Contractor Information Firm Name: _______________________________________________ Address: ________________________________________________ Phone Number: __________________________________________ Email Address: ____________________________________________ Point of Contact: ___________________________________________ Contact Phone Number: ______________

Sub Contractor Joint Venture Other (Explain)2. Work Performed as: Prime Contractor Percent of project work performed: _________ If subcontractor, who was the prime (Name/Phone #): ___________________________________________________

Cost Reimbursement Other (Please specify):

3. Contract Information Contract Number: ____________________________________ Delivery/Task Order Number (if applicable): ________________________________________ Contract Type: Firm Fixed Price ____________________ Contract Title: ______________________________________________________________________ Contract Location: __________________________________________________________________

Award Date (mm/dd/yy): ________________________ Contract Completion Date (mm/dd/yy): _________________ Actual Completion Date (mm/dd/yy): ___________________ Explain Differences: _______________________________________________________________________________

Original Contract Price (Award Amount): _________________ Final Contract Price (to include all modifications, if applicable): ___________________ Explain Differences: _______________________________________________________________________________

4. Project Description:

Complexity of Work High Med Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.) __________________________________________________________________________________

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information Name: _________________________________________ Title: __________________________________________ Phone Number: _________________________________ Email Address: ______________________________________________

6. Describe the client’s role in the project: ___________________________________________________________

7. Date Questionnaire was completed (mm/dd/yy): _____________________

8. Client’s Signature: ______________________________________________

NOTE: NAVFAC/USACE requests that the client completes this questionnaire and submits directly back to the offeror.

The offeror will submit the completed questionnaire to USACE with their proposal, and may duplicate this questionnaire for future submission on USACE solicitations. Clients are highly encouraged to submit questionnaires directly to the offeror. However, questionnaires may be submitted directly to USACE. Please contact the offeror for USACE POC information. The Government reserves the right to verify any and all information on this form.

Attachment 3

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit.

The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

(VG) Very Good Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

A Very Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been no significant weaknesses identified.

(S) Satisfactory Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

A Satisfactory rating is appropriate when there were only minor problems, or major problems that the contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner.

(U) Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming and which impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating.

(N) Not Applicable No information or did not apply to your contract Rating will be neither positive nor negative.

TO BE COMPLETED BY CLIENT

PLEASE SELECT THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY

a) Quality of technical data/report preparation efforts E VG S M U N

b) Ability to meet quality standards specified for technical performance E VG S M U N

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance E VG S M U N

d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

E VG S M U N

2. SCHEDULE/TIMELINESS OF PERFORMANCE

a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

E VG S M U N

b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract E VG S M U N

3. CUSTOMER SATISFACTION

a) To what extent were the end users satisfied with the project? E VG S M U N

b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication)

E VG S M U N

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? E VG S M U N

d) Overall customer satisfaction E VG S M U N

4. MANAGEMENT/ PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? E VG S M U N

b) Ability to hire, apply, and retain a qualified workforce to this effort E VG S M U N

c) Government Property Control E VG S M U N

d) Knowledge/expertise demonstrated by contractor personnel E VG S M U N

e) Utilization of Small Business concerns E VG S M U N

f) Ability to simultaneously manage multiple projects with multiple disciplines E VG S M U N

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes E VG S M U N

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program) E VG S M U N

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s)? E VG S M U N

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client

E VG S M U N

c) If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns)

E VG S M U N

d) Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section. Yes No

e) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

Yes No

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below. Yes No

6. SAFETY/SECURITY

a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues?

(Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

E VG S M U N

b) Contractor complied with all security requirements for the project and personnel security requirements. E VG S M U N

7. GENERAL

a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

E VG S M U N

b) Compliance with contractual terms/provisions (explain if specific issues) E VG S M U N

c) Would you hire or work with this firm again? (If no, please explain below) Yes No

d) In summary, provide an overall rating for the work performed by this contractor. E VG S M U N

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):

Details of your company’s role and activities during construction of the project:

(Describe your role in this project. Include whether your firm participated as a prime or a subcontractor. SPECIFICALLY describe your roles and responsibilities in the design portion of the contract. Provide details for any past performance problems encountered and the corrective actions taken.

RFP: W912ER21R0019 P2# 468097

PROJECT: Multi Mission Surface Combatant (MMSC) Dredging LOCATION: Saudi Arabia

ITEM NO. DESCRIPTION QTY UNIT AMOUNT TOTAL

Primary Facilities

Mobilization and Demobilization of all KANB Harbor Dredging project components in accordance with the contract documents 1 JA

Complete Harbor Dredging Area A work in accordance with the contract documents

0002A Conduct Surveying in accordance with the contract documents 1 JA

0002B Dredge KANB Harbor Areas A in accordance with the contract documents 504,430 BM3

0002C Remove Debris and Obstructions in accordance with the contract documents 1 JA

0002D Complete all area Site restoration in accordance with the contract documents 1 JA

Total Price (Items 0002A-0002D) 1 TOTAL

Complete Harbor Dredging Area B work in accordance with the contract documents

0003A Conduct Surveying in accordance with the contract documents 1 JA

0003B Dredge KANB Harbor Areas B in accordance with the contract documents 1,172,190 BM3

0003C Remove Debris and Obstructions in accordance with the contract documents 1 JA

0003D Complete all area Site restoration in accordance with the contract documents 1 JA

Total Price (Items 0003A-0003D) 1 TOTAL

Complete Harbor Dredging Area C work in accordance with the contract documents

0004A Conduct Surveying in accordance with the contract documents 1 JA

0004B Dredge KANB Harbor Areas C in accordance with the contract documents 436,290 BM3

0004C Remove Debris and Obstructions in accordance with the contract documents 1 JA

Base Bid Items

PROPOSAL SCHEDULE

PROJECT: Multi Mission Surface Combatant (MMSC) Dredging LOCATION: Saudi Arabia

ITEM NO. DESCRIPTION QTY UNIT AMOUNT TOTAL

PROPOSAL SCHEDULE

0004D Complete all area Site restoration in accordance with the contract documents 1 JA

Total Price (Items 0004A-0004D) 1 TOTAL

Complete Harbor Dredging Area D work in accordance with the contract documents

0005A Conduct Surveying in accordance with the contract documents 1 JA

0005B Dredge KANB Harbor Areas D in accordance with the contract documents 1 JA

0005C Remove Debris and Obstructions in accordance with the contract documents 1 JA

0005D Complete all area Site restoration in accordance with the contract documents 1 JA

Total Price (Items 0005A-0005D) 1 TOTAL

Complete all Pre-consolidation work in accordance with the contract documents 1 JA

Construct Area Fencing in accordance with the contract drawing: CL-108 1 JA

Construct Material Haul and Contractor access road in accordance with the contract documents 1 JA

Relocate Navigational Aides in accordance with the contract documents 1 JA

Remove Relieving Platform in accordance with the contract documents 1 JA

Place Dredge Material for future efforts in accordance with the contract documents 1 JA

Construct Dredge Spoils Revetment in accordance with the contract documents 1 JA

TOTAL (ITEMS 0001 - 0012)

PROJECT: Multi Mission Surface Combatant (MMSC) Dredging PROPOSER:

LOCATION: Saudi Arabia DATE:

Primary Facilities

Mobilization and Demobilization of all KANB Harbor Dredging project components in accordance with the contract documents

Complete Harbor Dredging Area A work in accordance with the contract documents Total Price (0002A-0002D)

0002A Conduct Surveying in accordance with the contract documents

0002B Dredge KANB Harbor Areas A in accordance with the contract documents

0002C Remove Debris and Obstructions in accordance with the contract documents

0002D Complete all area Site restoration in accordance with the contract documents

Complete Harbor Dredging Area B work in accordance with the contract documents Total Price (0003A-0003D)

0003A Conduct Surveying in accordance with the contract documents

0003B Dredge KANB Harbor Areas B in accordance with the contract documents

0003C Remove Debris and Obstructions in accordance with the contract documents

0003D Complete all area Site restoration in accordance with the contract documents

Complete Harbor Dredging Area C work in accordance with the contract documents Total Price (0004A-0004D)

TOTAL

PROPOSED

COST

BOND

TOTAL

OVERHEAD/

INDIRECT COST

PROFITITEM DESCRIPTION Unit of Measure and Qty

DIRECT LABOR

COST

COST BREAKDOWN

DIRECT

EQUIPMENT

COST

DIRECT

MATERIALS

COST

SUB

CONTRACTOR

COST

TOTAL

DIRECT

COST

JOOH HOOH

0004A Conduct Surveying in accordance with the contract documents

0004B Dredge KANB Harbor Areas C in accordance with the contract documents

0004C Remove Debris and Obstructions in accordance with the contract documents

0004D Complete all area Site restoration in accordance with the contract documents

Complete Harbor Dredging Area D work in accordance with the contract documents Total Price (0005A-0005D)

0005A Conduct Surveying in accordance with the contract documents

0005B Dredge KANB Harbor Areas D in accordance with the contract documents

0005C Remove Debris and Obstructions in accordance with the contract documents

0005D Complete all area Site restoration in accordance with the contract documents

Complete all Pre-consolidation work in accordance with the contract documents

Construct Area Fencing in accordance with the contract drawing: CL-108

Construct Material Haul and Contractor access road in accordance with the contract documents

Relocate Navigational Aides in accordance with the contract documents

Remove Relieving Platform in accordance with the contract documents

Place Dredge Material for future efforts in accordance with the contract documents

Construct Dredge Spoils Revetment in accordance with the contract documents

TOTAL (ITEMS 0001 - 0012)

ATTACHMENT 5

ANTI-COLLUSION CERTIFICATION

By submission of this proposal, each offeror and each person signing on behalf of any offeror certifies, and in the case of a joint venture certifies as to the joint venture entity as offeror as well as to any other entity composing or represented in the joint venture, that he or she has fully informed himself or herself regarding the accuracy of the statements contained in this certification, and under the penalties of perjury, affirms thet ruth thereof, such penalties being applicable to the offeror, all entities composing or represented in the joint venture (if any), as well as to the person signing on its behalf:

1. The prices in this proposal have been arrived at independently without collusion, consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other offeror or with any competitor;

2. Unless otherwise directed by law, the prices which have been quoted in this proposal have not been knowingly disclosed (directly or indirectly) by the offeror and will not knowingly be disclosed (directly or indirectly) by the offeror prior to contract award to any other offeror or to any competitor; and

3. No attempt has been made or will be made by the offeror to induce any other person, partnership, or corporation to submit or not to submit a proposal for the purpose of restricting competition.

The foregoing statements are subscribed by the offeror and affirmed by such offeror as true under the penalties of perjury.

This certification must be sworn and signed by the same person who signed the SF 1442 (proposal document) on behalf of the offeror.

Signed this date of , 2021.

Printed Name and Title

Signature

Attachment 5 - Anti-Collusion Certification