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DEPARTMENT OF THE ARMY

NEW ORLEANS DISTRICT, CORPS OF ENGINEERS P.O. BOX 60267 NEW ORLEANS, LOUISIANA 70160-0267 REPLY TO ATTENTION OF:

Contracting Division Projects East Branch ATTENTION BIDDERS In preparing your bid ----1. Have you signed the bid? Are all blank spaces filled in? 2. If signing on behalf of your company and not an offer thereof, have you attached evidence of your authority to sign the bid? 3. Have you acknowledged receipt of all amendments? 4. Have you checked your bid for possible errors? Arithmetically? 5. Have you furnished all information required by the invitation for bids or the specifications? 6. Are you submitting your bid on time? If mailed, will it reach the place of bid opening at the designated hour? 7. If required by the invitation, have you submitted a bid bond? Is it signed? Is it in the proper amount? 8. Have you identified on the face of the envelope containing your bid, the invitation number to which it pertains, and the date and hour of opening? LMN FL 1078-1 AUGUST 90 (previous editions are obsolete) Proponent: CEMVN-CT-E

(See instructons on reverse)

BID BOND

DATE BOND EXECUTED (Must not be later than bid opening date)

FORM APPROVED OMB NO.

9000-0045
Public reporting burden for this collection of information is estimated to average 25 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (VRS). Office of Federal Acquisition Policy, GSA, Washington, D. C. 20405; and to the Office of Management and Budget, Paperwork Reduction Project (9000-0045), Washington, D.C. 20503. TYPE OF ORGANIZATION ("X" one) PRINCIPAL (Legal name and business address)

INDIVIDUAL JOINT VENTURE STATE OF INCORPORATION

PARTNERSHIP CORPORATION

SURETY(IES) (Name and business address)

PENAL SUM OF BOND
PERCENT OF BID PRICE AMOUNT NOT TO EXCEED MILLION(S) THOUSAND(S) HUNDRED(S) CENTS FOR (Construction, Supplies or Services) BID DATE

BID IDENTIFICATION
INVITATION NO.

OBLIGATION: We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum. CONDITIONS: The Principal has submitted the bid identified above. THEREFORE: The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid. Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance bid that the Principal may grant to the Government. Notice to the Surety(ies) of extension(s) are waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid. WITNESS The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

PRINCIPAL
1. SIGNATURE(S) (Seal) NAME(S) & TITLE(S) (Typed) 1. 2. (Seal) 3. (Seal) Corporate Seal 2. 3.

INDIVIDUAL SURETY(IES)
1. SIGNATURE(S) (Seal) NAME(S) (Typed) 1. 2. (Seal) 2.

CORPORATE SURETY(IES)
NAME & STATE OF INC. LIABILITY LIMIT $ Corporate 1. SIGNATURE(S) NAME(S) & TITLE(S) (Typed) 1. 2. 2. Seal

S U R E T Y A

ADDRESS

NSN 7540-01-152-8059 Previous edition not usable

EXPIRATION DATE 12-31-92

24-106

(REV. 1-90) STANDARD FORM 24 Prescribed by GSA - FAR (48 CFR) 53.228(a)

shall accompany the bond. or any other jurisdicton requiring adhesive seals. SIGNATURE(S) NAME(S) & TITLE(S) (Typed) NAME & 1. 6. an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm. In these cases. for each individual surety. Corporate Seal NAME(S) & TITLE(S) (Typed) NAME & 1. Where more than one corporate surety is involved. (b) Where individual sureties are involved." STANDARD FORM 24 (REV. This form is authorized for use when a bid guaranty is required.CORPORATE SURETY(IES) (Continued) NAME & S U R E T Y B STATE OF INC. their names and addresses shall appear in the spaces (Surety A. STATE OF INC. 2. or an officer of the corporation involved." In the space designated "SURETY(IES)" on the face of the form. 2. SIGNATURE(S) NAME(S) & TITLE(S) (Typed) NAME & 1. 2. 2. a completed affidavit of Individual Surety (Standard Form 28). The Government may require the surety to furnish additional substaining information concerning its financial capability. 2. Corporate Seal STATE OF INC. 2. In its application to negotiated contracts. Corporations executing the bond shall affix their corporate seals. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. the bond may state a maximum dollar limitation (e. LIABILITY LIMIT $ S U R E T Y G ADDRESS 1. Corporate Seal STATE OF INC. 5. LIABILITY LIMIT $ ADDRESS 1. LIABILITY LIMIT $ S U R E T Y F ADDRESS 1. STATE OF INC. An authorized person shall sign the bond. 7. STATE OF INC. Corporate Seal NAME(S) & TITLE(S) (Typed) NAME & 1. 4. Any person signing in a representative capacity (e. 3. and shall affix an adhesive seal if executed in Maine. Individuals shall execute the bond opposite the word "Corporate Seal". SIGNATURE(S) 2. 2. Type the name and the title of each person signing this bond in the space provided. the terms "bid" and "bidder" shall include "proposal" and "offeror. SIGNATURE(S) NAME(S) & TITLE(S) (Typed) 1. Surety B. insert only the letter identification of the sureties. The bond may express penal sum as a percentage of the bid price. LIABILITY LIMIT $ S U R E T Y D ADDRESS 1.. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury`s list of approved sureties and must act within the limitations listed therein. 2. 20% of the bid price but the amount not to exceed ___________ dollars). Any deviation from this form will require the written approval of the Administrator of General Services.g. SIGNATURE(S) 2. SIGNATURE(S) 2. Corporate Seal NAME(S) & TITLE(S) (Typed) NAME & 1. partnership. 2. 1-90) BACK . LIABILITY LIMIT $ S U R E T Y C ADDRESS 1.g. Corporate Seal INSTRUCTIONS 1. LIABILITY LIMIT $ S U R E T Y E ADDRESS 1. or joint venture.) headed "CORPORATE SURETY(IES). New Hampshire. etc. 2.

D. ADDRESS OFFER TO W912P8 OFFER 1 U. B. REQUISITION/PURCHASE REQUEST NO. NAME B. NEW ORLEANS. date): COASTAL WETLANDS PLANNING. (See calendar days after receiving notice to proceed.PILOTTOWN ANCHORAGE AREA. CWPPRA -.) 12A. ARMY ENGINEER DISTRICT. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title. and (2) other provisions and clauses incorporated in the solicitation in full text or by reference. TYPE OF SOLICITATION 3.SOLICITATION. or Repair) IMPORTANT . NEW ORLEANS 7400 LEAKE AVE. ISSUED BY CODE ED-12-036 8. containing offers shall be marked to show the offeror's name and address.236-1 (d) . TELEPHONE NO.00 FAR (48 CFR) 53. LA 70118-3651 9. OFFER.) 12B. 160 negotiable. 11. AND AWARD 1. NEW ORLEANS ATTN: CEMVN-CT 7400 LEAKE AVE NEW ORLEANS. identifying no. MAINTENANCE DREDGING. Sealed envelopes (date)." indicate within how may calendar days after award in Item 12B. An offer guarantee C. the solicitation number.. All offers are subject to the (1) work requirements. 19 DEC 2012 1 2 5. APR 1985) Prescribed by GSA APD PE v1. FOR INFORMATION CALL: A. DATE ISSUED PAGE OF PAGES W912P8-13-B-0016 SEALED BID (IFB) NEGOTIATED (RFP) (Construction. is. . SOLICITATION NO. Alteration. 6. is not required. offers will be publicly opened at that time. 7. and the disposal of all associated dredged material within the disposal areas shown on the drawings. LA 70118-3651 US.A. The work consists dredging the Pilottown Anchorage Area to the limits and templates provided.S. 10 calendar days and complete it within mandatory. CALENDAR DAYS YES NO 3 13. 4.The "offer" section on the reverse must be fully completed by offeror. 10. The Contractor shall begin performance within award. CONTRACT NO. LOUISIANA This is an UNRESTRICTED procurement. (Include area code) (NO COLLECT CALLS) Lydia A. and the date and time offers are due. PROJECT NO. Offers providing less than will be rejected. Quillens SOLICITATION (504) 862-1887 NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder". NSN 7540-01-155-3212 30 calendar days for Government acceptance after the date offers are due will not be considered and STANDARD FORM 1442 (REV. This performance period is . PLAQUEMINES PARISH. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS? (If "YES. Sealed offers in original and 0 1400 copies to perform the work required are due at the place specified in Item 8 by (hour) 01/24/2013 local time If this is a sealed bid solicitation.RMY ENGINEER DISTRICT. ADDITIONAL SOLICITATION REQUIREMENTS: A. PROTECTION AND RESTORATION ACT. 2.

REMITTANCE ADDRESS (Include only if different than Item 14) CAGE CODE NO. The offeror agrees to furnish any required performance and payment bonds. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED TO SIGN (Type or print) 31A. AWARD (Contractor is not required to sign this document. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO 26 10 U. NEGOTIATED AGREEMENT Contractor is required to sign this document and return copies to issuing office.S. (b) the solicitation. SIGNATURE 30C. Army Corps of Engineers West Bank Area Office 5750 Bayou Estates Avenue Marrero. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation. (Include area code) 16. 30A.) Contractor agrees to furnish and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. and (c) the clauses. SUBMIT INVOICES TO ADDRESS SHOWN IN (4 Copies unless otherwise specified) 26. FACILITY CODE DUNS NO. (Insert any number equal to or greater than the minimum requireby the Government in writing within ment stated in Item 13D.S. and specifications incorporated by reference in or attached to this contract. NAME OF CONTRACTING OFFICER (Type or print) 30B.C 253(c) ( ) 27. which consists of (a) the Government solicitation and your offer. FINANCE CENTER (UFC) ATTN: CEFC-AO-P 5720 INTEGRITY DRIVE MILLINGTON. SIGNATURE 20C. representations. TN 38054-5005 29. TELEPHONE NO. UNITED STATES OF AMERICA BY 31C. ACCOUNTING AND APPROPRIATION DATA 24.) Your offer on this solicitation is hereby accepted as to the items listed. certifications. ADMINISTERED BY CODE ITEM 25. 19. ITEMS ACCEPTED: 22. OFFER DATE AWARD (To be completed by Government) 21. The rights and obligations of the parties to this contract shall be governed by (a) this contract award. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or print) 20B. PAYMENT WILL BE MADE BY U. if this offer is accepted calendar days after the date offers are due. No further contractual document is necessary.OFFER (Must be fully completed by offeror) 14. ACKNOWLEDGMENT OF AMENDMENTS (The offeror acknowledges receipt of amendments to the solicitation . CODE 17. AWARD DATE STANDARD FORM 1442 BACK (REV. AMOUNTS 18.C 2304(c) ( ) 41 U. CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE 28.give number and date of each) AMENDMENT NO. and (b) this contract award. LA 70072 USAED NEW ORLEANS C/O USACE. This award consummates the contract. Failure to insert any number means the offeror accepts the minimum in Item 13D. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 15. AMOUNT 23. APR 1985) APD PE v1. DATE 31B.S.00 . DATE 20A.

000 Bird Nesting Prevention and Avoidance Measures 350. NOTE 2: Any bid may be rejected if the Contracting Officer determines in writing that it is unreasonable as to price.000 All Over 1. Pilottown Anchorage Area Maintenance Dredging Plaquemines Parish.SECTION 00010 – BIDDING SCHEDULE Coastal Wetlands Planning Protection & Restoration Act CWPPRA. or an estimated amount for such item(s). but does furnish an extended total.300. ITS BID SHALL BE DECLARED NON-RESPONSIVE AND THEREFORE INELIGIBLE FOR AWARD.000 Dredging (-41 Reach) Stations 70+59 to 182+74 First 1. Item DESCRIPTION Estimated Quantity Unit Unit Price Estimated Amount BASE WORK 0001 0002 0002AA 0002AB Mobilization and Demobilization Dredging (–44 Reach) Stations 0+00 to 70+59 First 600.000 75. LA.000 CY CY 0003 0003AA 0003AB 1.000 CY CY TOTAL BASE WORK: $ OPTIONAL WORK 0004 0004AA 0004AB Dredging (–48 Reach) Stations (-) 70+00 to 0+00 First 350.000 1 LS 600. If the bidder fails to insert a unit price in the appropriate blank for required item(s).000 All Over 350. IF A BIDDER OMITS BOTH THE UNIT PRICE AND THE EXTENDED TOTAL OR ESTIMATED AMOUNT FOR ANY ITEM.000 90 CY CY DAY $ $ 0005 TOTAL OPTIONAL WORK: TOTAL BASE WORK + OPTIONAL WORK: Award will be made as a whole to one bidder.300.000 250.000 All Over 600. NOTE 1: Bidders shall furnish unit prices for each item listed in the Schedule requiring a unit price.300.000 125. Unreasonableness of price includes not only 00010-3 ED 12-036 . the Government shall deem the unit price to be the quotient obtained by dividing the extended amount for that line item by the quantity.

404-2). Within 24 hours after issuance of the NTP. The NTP will be issued immediately after verification of acceptable performance and payment bonds. OPTIONAL WORK. the time required for completion of the contract will be increased by 35 calendar days beyond the original duration of 160 calendar days established for Basic Contract Work SET forth in the Contract Clause entitled “COMMENCEMENT. the Contractor shall initiate a meeting to discuss the submittal process with the Area or Resident Engineer or his authorized representative.usace. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for this basic requirement.mvn.asp 00010-4 ED 12-036 . in the quantities and prices stated in the schedule.total price of bid. Failure to bid on all items will result in a non-responsive bid. NOTE 6: TIME ADJUSTMENT IN THE EVENT OF OPTIONAL WORK. For partial award of OPTIONAL WORK. the 35 calendar day allowance will be prorated accordingly. In the event that OPTIONAL WORK.217-5 JUL 1990). NOTE 5: OPTIONAL WORK ITEMS. Evaluation of options will not obligate the Government to exercise the option(s). identified in the schedule as OPTIONAL WORK Items.217-5). Item 0004 is exercised under the terms of this contract.army. NOTE 3: THE NOTICE TO PROCEED (NTP): The successful bidder is advised that performance and payment bonds shall be submitted in accordance with the time frame in block 12B of SF 1442 after Notice of Award. have been submitted and approved and all preliminary meetings called for under the contract. thus the time required for completion of this contract will not be increased. in whole or part. Item 0004. have been conducted. Any bid may be rejected if the prices for any line items or subline items are materially unbalanced (See FAR 14. http://www. and other submittals which may be required. PROSECUTION. The Contracting Officer may exercise the OPTIONAL WORK Items.mil/ebs/rapid_vendor_payment. by written notice to the Contractor at least three (3) weeks prior to the estimated completion date of the BASE WORK items. NOTE 7: RAPID VENDOR PAYMENT: Web based instructions for the submission of invoices. Physical work cannot start until the Accident Prevention Program. The Government may require the delivery of the numbered line item(s). Bidders shall bid on all items including Optional Work items (see “Evaluation of Options” FAR 52. Contractor Quality Control Plan. NOTE 4: EVALUATION OF OPTIONS (FAR 52. but the price for individual line items as well. Item 0005 requires work to be performed concurrent with dredging operations. AND COMPLETION OF WORK”.

in addition. 0002. 0003. Where the actual quantity of work performed for Item Nos. VARIATIONS IN ESTIMATED QUANTITIES . (EFARS 52. and if such variation causes an increase or a decrease in the time required for performance of this contract. NONE exceeds 115% or is less than 85% of the estimated quantity of any such sub-item. or 0004 is less than 85% of the quantity of the first sub-item listed under such items. Variation in Estimated Quantity. 0003. and 0004. 00010-5 ED 12-036 . Item Nos.EVALUATION OF SUBDIVIDED ITEMS. or 0004 exceeds 115% or is less than 85% of the total estimated quantity of the subitems under that item. a. the Contractor will be paid at the contract unit price for that sub-item for the actual quantity of work performed and. 0002. and/or if the quantity of work performed under the second sub-item or any subsequent sub-item under Item No. 0002. 0003. Variation in Estimated Quantity. If the quantity of work performed under Item Nos. The Variations in Estimated Quantities Subdivided Items clause is applicable only in Item Nos.211-18. 0002. (EFARS 52.MAR 95). the contract completion time will be adjusted in accordance with the clause FAR 52.211-5001 .MAR 95).211-5000 . The Government will evaluate each of these items on the basis of total price of its sub-items. an equitable adjustment in contract price shall be made in accordance with the clause FAR 52. c. 0003. Variations from the estimated quantity in the actual work performed under any second or subsequent sub-item or elimination of all work under such a second or subsequent sub-item will not be the basis for an adjustment in contract unit price. and 0004 are subdivided into two (2) or more estimated quantities and are to be separately priced.SUBDIVIDED ITEMS. b.211-18.

..... 1  52.247-7022 SECONDARY ARAB BOYCOTT OF ISRAEL (JUN 2005) ..............203-2 CERTIFICATE OF INDEPENDENT PRICE DETERMINATION (APR 1985) .............219-1 52....................................209-7002 DISCLOSURE OF OWNERSHIP OR CONTROL BY A FOREIGN GOVERNMENT (JUN 2010) ...........................................225-7031 252. 4  52..........................................................209-5 52......................... 14    SECTION 00600 Page i  ED‐12‐036  ..................................... 8  PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FEB 1999) .................. 3  52......................................... 1  52................ 2  WOMEN-OWNED BUSINESS (OTHER THAN SMALL BUSINESS) (MAY 1999) ...209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS-REPRESENTATION (MAY 2011) ........................................................................ 4  SMALL BUSINESS PROGRAM REPRESENTATIONS (APR 2012) .................................................. 11  252........ 11  252..................................................... 9  52....................................... TERRORIST COUNTRY (JAN 2009) ......................................................203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS (SEP 2007) .............. (NOV 2011) ...................SECTION TABLE OF CONTENTS DIVISION 00 – PROCUREMENT AND CONTRACTING REQUIREMENTS SECTION 00600 – REPRESENTATIONS & CERTIFICATIONS CLAUSES INCORPORATED BY FULL TEXT ............. 12  252............................................................................................................................................................ (OCT 1995) ....... 8  SMALL DISADVANTAGED BUSINESS STATUS (OCT 1999) .....................219-22 52................................. 1  52...... 5  EQUAL LOW BIDS..........................222-38 COMPLIANCE WITH VETERANS' EMPLOYMENT REPORTING REQUIREMENTS (SEP 2010) ........................209-7001 DISCLOSURE OF OWNERSHIP OR CONTROL BY THE GOVERNMENT OF A ................................................... 9  52..............225-25 PROHIBITION ON CONTRACTING WITH ENTITIES ENGAGING IN SANCTIONED ACTIVITIES RELATING TO IRAN--REPRESENTATION AND CERTIFICATION...........................................219-2 52..204-5 TAXPAYER IDENTIFICATION (OCT 1998) ....................204-3 52........................................................................ 13  REPRESENTATION OF EXTENT OF TRANSPORTATION BY SEA (AUG 1992) ..............................203-7005 REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS (NOV ..........222-22 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (APR 2010) .. 10  252............................

As used in this provision--``Lobbying contact'' has the meaning provided at 2 U.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS (SEP 2007) (a) Definitions. (ii) The intention to submit an offer. communication. (End of clause) 52. and (3) No attempt has been made or will be made by the offeror to induce any other concern to submit or not to submit an offer for the purpose of restricting competition. has not personally participated.'' ``reasonable compensation. The terms ``agency. does certify that the principals named in subdivision (b)(2)(i) above have not participated.S.'' ``influencing or attempting to influence.'' ``person. or (iii) The methods of factors used to calculate the prices offered: (2) The prices in this offer have not been and will not be knowingly disclosed by the offeror. and (iii) As an agent.REPRESENTATIONS & CERTIFICATIONS CLAUSES INCORPORATED BY FULL TEXT 52. (b) Each signature on the offer is considered to be a certification by the signatory that the signatory -(1) Is the person in the offeror's organization responsible for determining the prices offered in this bid or proposal. in any action contrary to subparagraphs (a)(1) through (a)(3) above. and that the signatory has not participated and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) of this provision. to act as agent for the following principals in certifying that those principals have not participated. in any action contrary to subparagraphs (a)(1) through (a)(3) of this provision.   SECTION 00600 Page 1  ED‐12‐036  .203-12). in writing. to any other offeror or competitor before bid opening (in the case of a sealed bid solicitation) or contract award (in the case of a negotiated solicitation) unless otherwise required by law. (c) If the offeror deletes or modifies subparagraph (a)(2) of this provision. 1602(8).203-2 CERTIFICATE OF INDEPENDENT PRICE DETERMINATION (APR 1985) (a) The offeror certifies that -(1) The prices in this offer have been arrived at independently. any consultation.'' ``officer or employee of an agency. and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) of this provison ______________________________________________________ (insert full name of person(s) in the offeror's organization responsible for determining the prices offered in this bid or proposal. and will not participate. and the title of his or her position in the offeror's organization). the offeror must furnish with its offer a signed statement setting forth in detail the circumstances of the disclosure.SECTION 00600 . or agreement with any other offeror or competitor relating to – (i) Those prices. or (2) (i) Has been authorized. without. directly or indirectly. for the purpose of restricting competition.'' and ``regularly employed'' are defined in the FAR clause of this solicitation entitled ``Limitation on Payments to Influence Certain Federal Transactions'' (52. (ii) As an authorized agent. and will not participate.C.

204-3 TAXPAYER IDENTIFICATION (OCT 1998) (a) Definitions. and of which the offeror is a member. (e) Penalty. and 6050M. the offeror shall complete and submit. The offeror. Any person who makes an expenditure prohibited under this provision or who fails to file or amend the disclosure required to be filed or amended by this provision. to provide the name of the registrants. reporting requirements of 26 U. (d) Disclosure. the failure or refusal by the offeror to furnish the information may result in a 31 percent reduction of payments otherwise due under the contract.C. with its offer. Taxpayer Identification Number (TIN). Common parent. ___ TIN is not required because:   SECTION 00600 Page 2  ED‐12‐036  . as used in this provision. Disclosure of Lobbying Activities.000. The TIN may be either a Social Security Number or an Employer Identification Number.S. for each such failure. 7701(c) and 3325(d).C. hereby certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency.C. (c) Certification. the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN. (End of provision) 52. OMB Standard Form LLL. a Member of Congress. 1352. ___ TIN:. and implementing regulations issued by the IRS. If the resulting contract is subject to the payment reporting requirements described in Federal Acquisition Regulation (FAR) 4. (d) Taxpayer Identification Number (TIN). If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract. (c) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U. as used in this provision. by signing its offer.203-12) are hereby incorporated by reference in this provision. Submission of this certification and disclosure is a prerequisite for making or entering into this contract imposed by 31 U.904.(b) Prohibition. means the number required by the Internal Revenue Service (IRS) to be used by the offeror in reporting income tax and other returns.S.S. 6041A. If the resulting contract is subject to the payment reporting requirements described in FAR 4. an officer or employee of Congress. 7701(c)(3)). The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made. and not more than $100. (b) All offerors must submit the information required in paragraphs (d) through (f) of this provision to comply with debt collection requirements of 31 U.-------------------------------------------------------___ TIN has been applied for.904.000.S. or an employee of a Member of Congress on its behalf in connection with the awarding of this contract.C. The prohibition and exceptions contained in the FAR clause of this solicitation entitled ``Limitation on Payments to Influence Certain Federal Transactions'' (52. means that corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis. shall be subject to a civil penalty of not less than $10. 6041.

___ Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this provision. means a concern that is at least 51 percent owned by one or more women. foreign corporation. ___ Corporate entity (tax-exempt).] The offeror represents that it ( ) is a women-owned business concern.219-1.6049-4. of this solicitation. or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States. (b) Representation. Small Business Program Representations. ___ Corporate entity (not tax-exempt). ___ Other-------------------------------------------------------(f) Common parent. ___ Offeror is an agency or instrumentality of a foreign government.___ Offeror is a nonresident alien. (e) Type of organization. ___ Offeror is an agency or instrumentality of the Federal Government. Women-owned business concern. at least 51 percent of its stock is owned by one or more women. as used in this provision. ___ Government entity (Federal. ___ Foreign government. (End of provision)   SECTION 00600 Page 3  ED‐12‐036  .204-5 WOMEN-OWNED BUSINESS (OTHER THAN SMALL BUSINESS) (MAY 1999) (a) Definition. ___ Name and TIN of common parent: Name------------------------------------------------------------------TIN-------------------------------------------------------------------(End of provision) 52. or in the case of any publicly owned business. ___ International organization per 26 CFR 1. State. or local). and whose management and daily business operations are controlled by one or more women. [Complete only if the offeror is a women-owned business concern and has not represented itself as a small business concern in paragraph (b)(1) of FAR 52. ___ Sole proprietorship. ___ Partnership.

(End of provision) 52.209-10). An inverted domestic corporation as herein defined does not meet the definition of an inverted domestic corporation as defined by the Internal Revenue Code at 26 U. The liability is finally determined if it has been assessed. or performing a public (Federal. proposed for debarment.000 for which the liability remains unsatisfied. and (D) Have [ballot]. A taxpayer is not delinquent in cases where enforced collection action is precluded. suspended. if included in this solicitation). commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision. to the best of its knowledge and belief. (i) The taxpayer has received a statutory notice of deficiency. A liability is not finally determined if there is a pending administrative or judicial challenge. Should the taxpayer seek Tax Court review. this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.C. (ii) The taxpayer is delinquent in making payment.. and (C) Are ( ) are not ( ) presently indicted for. or commission of embezzlement. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. 6212. or declared ineligible for the award of contracts by any Federal agency. within a three-year period preceding this offer. In the case of a judicial challenge to the liability. falsification or destruction of records. or local) contract or subcontract. within a three-year period preceding this offer. Sec.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (APR 2010) (a)(1) The Offeror certifies. been notified of any delinquent Federal taxes in an amount that exceeds $3.R. By submission of its offer. Inverted domestic corporation and subsidiary have the meaning given in the clause of this contract entitled Prohibition on Contracting with Inverted Domestic Corporations (52. State. which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency.S.C. under I. and (2) It is not a subsidiary of an inverted domestic corporation. or otherwise criminally or civilly charged by a governmental entity with.   SECTION 00600 Page 4  ED‐12‐036  . attempting to obtain. been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining. (2) Examples. have not [ballot]. making false statements.209-7. forgery. violating Federal criminal tax laws. that(i) The Offeror and/or any of its Principals(A) Are ( ) are not ( ) presently debarred. (c) Representation. (B) Have ( ) have not ( ). This is not a delinquent tax because it is not a final tax liability. 7874. tax evasion. (1) Federal taxes are considered delinquent if both of the following criteria apply: (i) The tax liability is finally determined. theft. bribery. or receiving stolen property (if offeror checks “have”. violation of Federal or State antitrust statutes relating to the submission of offers. the offeror shall also see 52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS-REPRESENTATION (MAY 2011) (a) Definitions.52. the liability is not finally determined until all judicial appeal rights have been exhausted. (b) Relation to Internal Revenue Code. the offeror represents that-(1) It is not an inverted domestic corporation.

00. (ii) The Offeror has ( ) has not ( ). (d) Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render.000. and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. 6159. (3) The small business size standard for a concern which submits an offer in its own name. This is not a delinquent tax because it is not a final tax liability. the certification required by paragraph (a) of this provision. the certification will be considered in connection with a determination of the Offeror's responsibility.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS (APR 2012) (a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 237990. (iii) The taxpayer has entered into an installment agreement pursuant to I. general manager. or a person having primary management or supervisory responsibilities within a business entity (e. (End of provision) 52. However. The taxpayer is making timely payments and is in full compliance with the agreement terms. (b) Representations. 362 (the Bankruptcy Code). partner. the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. (2) Principal. means an officer. is 500 employees. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.C. If it is later determined that the Offeror knowingly rendered an erroneous certification. (c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. in addition to other remedies available to the Government. Sec. In the course of the hearing. (b) The Offeror shall provide immediate written notice to the Contracting Officer if. plant manager.g. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible. this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights. at any time prior to contract award.   SECTION 00600 Page 5  ED‐12‐036  . and the taxpayer has been issued a notice under I. Sec.R. 6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals contesting the lien filing. for the purposes of this certification.000. head of a division or business segment.S. owner. within a three-year period preceding this offer. director. and similar positions). the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.R.C. other than on a construction or service contract. but which proposes to furnish a product which it did not itself manufacture. (e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. The taxpayer is not delinquent because enforced collection action is stayed under 11 U. in good faith. the Contracting Officer may terminate the contract resulting from this solicitation for default..(ii) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability. (2) The small business size standard is $20. (iv) The taxpayer has filed for bankruptcy protection. had one or more contracts terminated for default by any Federal agency. Should the taxpayer seek tax court review.C.

] The offeror represents as part of its offer that-(i) It ( ) is. ( ) is not a WOSB concern eligible under the WOSB Program. and no change in circumstances or adverse decisions have been issued that affects its eligibility. and   SECTION 00600 Page 6  ED‐12‐036  . as part of its offer. has provided all the required documents to the WOSB Repository. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ----------. [ ] is not a joint venture that complies with the requirements of 13 CFR part 127. (6) (Complete only if the offeror represented itself as a small business concern in paragraph (b)(1) of this provision. and (ii) It [ ] is. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ----------. on the date of this representation. or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR Part 126.1002. [ ] is not a HUBZone small business concern listed. ( ) is not a women-owned small business concern. (3) (Complete only if the offeror represented itself as a small business concern in paragraph (b)(1) of this provision. (4) Women-owned small business (WOSB) concern eligible under the WOSB Program. and no change in circumstances or adverse decisions have been issued that affects its eligibility. on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration.) The offeror represents. ( ) is not a service-disabled veteran-owned small business concern.) The offeror represents as part of its offer that it ( ) is.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation. and no material changes in ownership and control.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation. [Complete only if the offeror represented itself as a women-owned small business concern eligible under the WOSB Program in (b)(4) of this provision. that it ( ) is. ( ) is not an EDWOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (b)(3) of this provision. (8) (Complete only if the offeror represented itself as a small business concern in paragraph (b)(1) of this provision. for general statistical purposes. (2) (Complete only if the offeror represented itself as a small business concern in paragraph (b)(1) of this provision. ( ) is not a small disadvantaged business concern as defined in 13 CFR 124.(1) The offeror represents as part of its offer that it ( ) is. that-(i) It [ ] is.] The offeror represents as part of its offer that-(i) It ( ) is. ( ) is not a veteran-owned small business concern. ( ) is not a small business concern. principal office. has provided all the required documents to the WOSB Repository.) The offeror represents. and the representation in paragraph (b)(4)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [ ] is not a joint venture that complies with the requirements of 13 CFR part 127. and the representation in paragraph (b)(5)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. (7) (Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (b)(6) of this provision.) The offeror represents as part of its offer that it ( ) is.) The offeror represents as part of its offer that it ( ) is. (5) Economically disadvantaged women-owned small business (EDWOSB) concern. and (ii) It [ ] is.

and qualified as a small business under the criteria in 13 CFR Part 121 and the size standard in paragraph (a) of this provision. in the case of any publicly owned business.C. that is independently owned and operated.C.S." means a concern. "Women-owned small business concern. in the case of any publicly owned business. [ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR Part 126.(ii) It [ ] is.S." means a small business concern -(1) That is at least 51 percent owned by one or more women. at least 51 percent of the stock of which is owned by one or more women. means a small business concern that is at least 51 percent directly and unconditionally owned by. in the case of any publicly owned business.S. (d) Notice. Veteran-owned small business concern means a small business concern-(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U. and the management and daily business operations of which are controlled by. one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. not less than 51 percent of the stock of which is owned by one or more service-disabled veterans. one or more women who are citizens of the United States.C. as defined in 38 U. Service-disabled veteran-owned small business concern-(1) Means a small business concern-(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or. not dominant in the field of operation in which it is bidding on Government contracts. “Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127)”. 101(2). in the case of a service-disabled veteran with permanent and severe disability. with a disability that is serviceconnected. "Small business concern. It automatically qualifies as a women-owned small business concern eligible under the WOSB Program. As used in this provision-“Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by. and the representation in paragraph (b)(8)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. 101(2)) or. not less than 51 percent of the stock of which is owned by one or more veterans. including its affiliates. (c) Definitions. and (2) Whose management and daily business operations are controlled by one or more women. (2) Service-disabled veteran means a veteran. and (ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or. and (2) The management and daily business operations of which are controlled by one or more veterans. and the management and daily business operations of which are controlled by.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation. 101(16). [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: --------. as defined in 38 U. the spouse or permanent caregiver of such veteran.   SECTION 00600 Page 7  ED‐12‐036  .

C. (End of provision) 52. _______________________________________________________________________________________ _______________________________________________________________________________________ (c) Failure to identify the labor surplus area as specified in paragraph (b) of this provision will preclude the bidder from receiving priority consideration. the bidder must identify. This provision is used to assess an offeror's small disadvantaged business status for the purpose of obtaining a benefit on this solicitation. in the following space. and either-___ (i) It has received certification by the Small Business Administration as a small disadvantaged business concern consistent with 13 CFR 124. or both. for small business concerns. and (iii) Be ineligible for participation in programs conducted under the authority of the Act. 52. If the bidder wishes to be considered for this priority.(1) If this solicitation is for supplies and has been set aside. 9.S. (2) Under 15 U. then the clause in this solicitation providing notice of the set-aside contains restrictions on the source of the end items to be furnished. 645(d). including suspension and debarment. and 36 of the Small Business Act or any other provision of Federal law that specifically references section 8(d) for a definition of program eligibility. (1) General. The offeror represents. that it is a small business under the size standard applicable to this acquisition. economically disadvantaged womenowned small. or women-owned small eligible under the WOSB Program in order to obtain a contract to be awarded under the preference programs established pursuant to section 8. shall— (i) Be punished by imposition of fine. If the bidder is awarded a contract as a result of receiving priority consideration under this provision and would not have otherwise received award. the bidder shall perform the contract or cause the contract to be performed in accordance with the obligations of an LSA concern. and (A) No material change in disadvantaged ownership and control has occurred since its certification. small disadvantaged. service-disabled veteran-owned small. Small Business Program Representation.219-22 SMALL DISADVANTAGED BUSINESS STATUS (OCT 1999) (a) General.   SECTION 00600 Page 8  ED‐12‐036  . Status as a small business and status as a small disadvantaged business for general statistical purposes is covered by the provision at FAR 52.219-1. 31. imprisonment. in whole or in part. 15.219-2 EQUAL LOW BIDS. (ii) Be subject to administrative remedies. (b) Representations. (OCT 1995) (a) This provision applies to small business concerns only. as part of its offer. (b) The bidder's status as a labor surplus area (LSA) concern may affect entitlement to award in case of tie bids. the LSA in which the costs to be incurred on account of manufacturing or production (by the bidder or the first-tier subcontractors) amount to more than 50 percent of the contract price. any person who misrepresents a firm's status as a business concern that is small. HUBZone small. Subpart B.

104(c)(2). (End of provision) 52.. and that no material change in disadvantaged ownership and control has occurred since its application was submitted. will be obtained before subcontract awards. [The offeror shall enter the name of the small disadvantaged business concern that is participating in the joint venture: ____________. signed by proposed subcontractors. that it is a joint venture that complies with the requirements at 13 CFR 124. it has submitted the most recent VETS-100A Report required by that clause. ( ) has not. (2) Be subject to administrative remedies. if it is subject to the reporting requirements of 38 U. (2)___ For Joint Ventures. The offeror represents. 4212(d) (i. (End of provision)   SECTION 00600 Page 9  ED‐12‐036  . the offeror represents that.C.(B) Where the concern is owned by one or more disadvantaged individuals. Employment Reports on Veterans).] (c) Penalties and Remedies. or both. Subpart B. imprisonment. as a certified small disadvantaged business concern in the database maintained by the Small Business Administration(PRO0Net). if it has any contract containing Federal Acquisition Regulation clause 52.S. Anyone who misrepresents any aspects of the disadvantaged status of a concern for the purposes of securing a contract or subcontract shall: (1) Be punished by imposition of a fine. the net worth of each individual upon whom the certification is based does not exceed $750. as part of its offer.000 after taking into account the applicable exclusions set forth at 13 CFR 124.1002(f) and that the representation in paragraph (b)(1) of this provision is accurate for the small disadvantaged business concern that is participating in the joint venture. ( ) has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation.222-22 PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FEB 1999) The offeror represents that -(a) ( ) It has. (b) ( ) It has. filed all required compliance reports.e. including suspension and debarment. (End of provision) 52. and (3) Be ineligible for participation in programs conducted under the authority of the Small Business Act. and (c) Representations indicating submission of required compliance reports.222-38 COMPLIANCE WITH VETERANS' EMPLOYMENT REPORTING REQUIREMENTS (SEP 2010) By submission of its offer.222-37. on the date of this representation. and a decision on that application is pending. and (C) It is identified. or ___ (ii) It has submitted a completed application to the Small Business Administration or a Private Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124.

organization. and (2) Certifies that the offeror. (d) Exception for trade agreements. the government of Iran. (c) Except as provided in paragraph (d) of this provision or if a waiver has been granted in accordance with 25. production of refined petroleum products in Iran. and contributing to Iran's ability to acquire or develop certain weapons or technologies. partnership. Sensitive technology-(1) Means hardware. does not engage in any activities for which sanctions may be imposed under section 5 of the Iran Sanctions Act. monitor. and (2) Does not include a government or governmental entity that is not operating as a business enterprise. business association. and any other business organization. software. or any person owned or controlled by the offeror. sale and provision of refined petroleum products to Iran. or otherwise restrict speech of the people of Iran.52. financial institution. and (2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U. and any governmental entity operating as a business enterprise. (NOV 2011) (a) Definitions. As used in this provision-Person-(1) Means-(i) A natural person. insurer. or group. any other nongovernmental entity. underwriter. and (iii) Any successor to any entity described in paragraph (1)(ii) of this definition. (ii) A corporation. telecommunications equipment. society.C. guarantor. trust. These sanctioned activities are in the areas of development of the petroleum resources of Iran.gov. that the offeror does not export any sensitive technology to the government of Iran or any entities or individuals owned or controlled by. to the best of its knowledge and belief. 1702(b)(3)). by submission of its offer. The representation requirement of paragraph (c)(1) and the certification requirement of paragraph (c)(2) of this provision do not apply if—   SECTION 00600 Page 10  ED‐12‐036  . or acting on behalf or at the direction of.225-25 PROHIBITION ON CONTRACTING WITH ENTITIES ENGAGING IN SANCTIONED ACTIVITIES RELATING TO IRAN--REPRESENTATION AND CERTIFICATION. or (ii) To disrupt. or any other technology that is to be used specifically-(i) To restrict the free flow of unbiased information in Iran.7034.S. (b) The offeror shall email questions concerning sensitive technology to the Department of State at CISADA106@state. the offeror-(1) Represents.

Sudan.C. 52.225-4. as well as any political subdivision. or comparable agency provision).S. Requirements Relating to Compensation of Former DoD Officials.104-2. 41 U." "street names. to be a country the government of which has repeatedly provided support for such acts of international terrorism. and Syria.22524. real estate. and (2) The offeror has certified that all the offered products to be supplied are designated country end products or designated country construction material.(1) This solicitation includes a trade agreements notice or certification (e.S. or other tangible assets of the firm. 207. that all covered DoD officials employed by or otherwise receiving compensation from the offeror. under section 6(j)(1)(A) of the Export Administration Act of 1979 (50 U. or instrumentality thereof. such as a director or officer..203-7000. App.   SECTION 00600 Page 11  ED‐12‐036  . Beneficial interest includes holding 5 percent or more of any class of the firm's securities in "nominee shares. including Federal Acquisition Regulation 3.C. (ii) Holding a management position in the firm.203-7005 REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS (NOV 2011) (a) Definition. 2405(j)(i)(A)). Covered DoD official is defined in the clause at 252. (End of provision) 252. (b) By submission of this offer.C." As used in this provision -(a) "Government of a terrorist country" includes the state and the government of a terrorist country.g. Iran. to the best of its knowledge and belief. 2101-2107. (3) "Significant interest" means -(i) Ownership of or beneficial interest in 5 percent or more of the firm's or subsidiary's securities.225-12." or some other method of holding securities that does not disclose the beneficial owner. agency. appointment. 52. and 5 CFR parts 2637 and 2641. 52. 52. are presently in compliance with all post-employment restrictions covered by 18 U. and who are expected to undertake activities on behalf of the offeror for any resulting contract.225-6. or tenure of directors or officers in the firm. As of the date of this provision. the offeror represents. or (v) Holding 50 percent or more of the indebtness of a firm.S. (iii) Ability to control or influence the election. (2) "Terrorist country" means a country determined by the Secretary of State.209-7001 DISCLOSURE OF OWNERSHIP OR CONTROL BY THE GOVERNMENT OF A TERRORIST COUNTRY (JAN 2009) (a) "Definitions. (End of provision) 252. (iv) Ownership of 10 percent or more of the assets of a firm such as equipment. terrorist countries subject to this provision include: Cuba. buildings.

unless a waiver is granted by the Secretary of Defense." In accordance with 10 U. the Offeror shall disclosure such interest in an attachment to its offer. the firm that owns the subsidiary. or (B) Any individual acting on behalf of a foreign government. whether exercised or exercisable.   SECTION 00600 Page 12  ED‐12‐036  . (End of provision) 252.. If the Offeror is a subsidiary. agency.(b) "Prohibition on award. (4) “Proscribed information” means— (i) Top Secret information. (ii) Does not include an organization or corporation that is owned. or operation of law (or equivalent power for unincorporated organizations). contract. As used in this provision-(1) “Effectively owned or controlled” means that a foreign government or any entity controlled by a foreign government has the power. either directly or indirectly. it shall also disclose any significant interest the government of a terrorist country has in any firm that owns or controls the subsidiary. 1992. The disclosure shall include -(1) Identification of each government holding a significant interest. either directly or indirectly. in the case of a subsidiary. e. (c) "Disclosure. or instrumentality thereof. to control the election. (ii) Communications security (COMSEC) material.S. or tenure of the Offeror’s officers or a majority of the Offeror’s board of directors by any means. by a foreign government if the ownership of that organization or corporation by that foreign government was effective before October 23.C. and (2) A description of the significant interest held by each government." If the government of a terrorist country has a significant interest in the Offeror or a subsidiary of the Offeror. but is not controlled. (2) “Entity controlled by a foreign government”— (i) Means— (A) Any domestic or foreign organization or corporation that is effectively owned or controlled by a foreign government. 2327. (3) “Foreign government” includes the state and the government of any country (other than the United States and its outlying areas) as well as any political subdivision. no contract may be awarded to a firm or a subsidiary of a firm if the government of a terrorist country has a significant interest in the firm or subsidiary or.g. excluding controlled cryptographic items when unkeyed or utilized with unclassified keys. ownership. appointment.209-7002 2010) DISCLOSURE OF OWNERSHIP OR CONTROL BY A FOREIGN GOVERNMENT (JUN (a) Definitions.

and the outer Continental Shelf as defined in 43 U.(iii) Restricted Data as defined in the U. City Code and Area Code. by submission of an offer. If the offeror is a foreign person.C. the offeror certifies. and (iii) Any foreign subsidiary or affiliate (including any permanent foreign establishment) of any domestic concern that is controlled in fact by such domestic concern. Ownership Percentage. Use separate paper as needed. and   SECTION 00600 Page 13  ED‐12‐036  . (b) Certification. it shall also disclose any reportable interest a foreign government has in any entity that owns or controls the subsidiary. or other form of association) other than a United States person. (ii) Any domestic concern (including any permanent domestic establishment of any foreign concern). (c) Disclosure. (b) Prohibition on award. and Identification of Foreign Government (End of provision) 252.C. As used in this provision-(1) Foreign person means any person (including any individual. the District of Columbia. outlying areas. partnership. 2536(a).S. and the ultimate parent. 2415(2) and means-(i) Any United States resident or national (other than an individual resident outside the United States who is employed by other than a United States person). as amended. unless the Secretary of Defense or a designee has waived application of 10 U. If the Offeror is a subsidiary. that it-(1) Does not comply with the Secondary Arab Boycott of Israel. and provide the information in the following format: Offeror’s Point of Contact for Questions about Disclosure (Name and Phone Number with Country Code. or (v) Sensitive Compartmented Information (SCI). App. 1331. (iv) Special Access Program (SAP) information.C.S.225-7031 SECONDARY ARAB BOYCOTT OF ISRAEL (JUN 2005) (a) Definitions. as applicable) Name and Address of Offeror Name and Address of Entity Controlled by a Foreign Government Description of Interest. including reportable interest concerning the Offeror’s immediate parent. Atomic Energy Act of 1954. (2) United States means the 50 States. corporation. No contract under a national security program may be awarded to an entity controlled by a foreign government if that entity requires access to proscribed information to perform the contract.S. (3) United States person is defined in 50 U. The Offeror shall disclose any interest a foreign government has in the Offeror when that interest constitutes control by a foreign government as defined in this provision.S. intermediate parents.

247-7022 REPRESENTATION OF EXTENT OF TRANSPORTATION BY SEA (AUG 1992) (a) The Offeror shall indicate by checking the appropriate blank in paragraph (b) of this provision whether transportation of supplies by sea is anticipated under the resultant contract. 2407(a) prohibits a United States person from taking.(2) Is not taking or knowingly agreeing to take any action. The Offeror represents that it: ____ (1) Does anticipate that supplies will be transported by sea in the performance of any contract or subcontract resulting from this solicitation. The term supplies is defined in the Transportation of Supplies by Sea clause of this solicitation. (End of provision) 252. ____ (2) Does not anticipate that supplies will be transported by sea in the performance of any contract or subcontract resulting from this solicitation. App. the resulting contract will also include the Defense FAR Supplement clause at 252. which 50 U. If the Offeror represents that it will not use ocean transportation. (c) Any contract resulting from this solicitation will include the Transportation of Supplies by Sea clause. (b) Representation.C.S. (End of provision)     SECTION 00600 Page 14  ED‐12‐036  .247-7024. Notification of Transportation of Supplies by Sea. with respect to the Secondary Boycott of Israel by Arab countries.