Solicitation_W912PB18Q3184.pdf

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Tools for Troop Construction Program
Solicitation number
W912PB18Q3184
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Solicitation

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(No Collect Calls)

(TYPE OR PRINT)

(TYPE OR PRINT)

31b. NAME OF CONTRACTING OFFICER

31a.UNITED STATES OF AMERICA

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

EMAIL:

TEL:

31c. DATE SIGNED

(Print)

(Location)

(YY/MM/DD)

The Entity Administrator must have an individual user account in SAM associated with the email address listed.

o

Definitions.

Annual Representations and Certifications

[Offeror to identify the applicable paragraphs at (c) through (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

Small business concern

Tie bid priority for labor surplus area concerns.

The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture

The offeror shall check the category in which its ownership falls

Affirmative Action Compliance

Certification Regarding Payments to Influence Federal Transactions

Buy American Certificate.

i.e.

Buy American -- Free Trade Agreements -- Israeli Trade Act Certificate

List as necessary i.e.

Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate I

[List as necessary]

Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate II.

List as necessary

Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate III.

Trade Agreements Certificate

Certification Regarding Responsibility Matters (Executive Order 12689)

The tax liability is finally determined.

The taxpayer is delinquent in making payment.

Place of manufacture.

Taxpayer identification number (TIN) (26 U.S.C. 6109, 31 U.S.C. 7701)

Restricted business operations in Sudan

XXX

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