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TAXPAYER IDENTIFICATION |
(FAR 52.204-3) (MAR 1994) |
(a) Definitions. |
"Common parent" as used in this solicitation provision, means that |
corporate entity that owns or controls an affiliated group of corporations that |
files its Federal income tax returns on a consolidated basis, and of which the |
offeror is a member. |
"Corporate status" as used in this solicitation provision, means a |
designation as to whether the offeror is a corporate entity, an unincorporated |
entity (e.g., sole proprietorship or partnership), or a corporation providing |
medical and health care services. |
"Taxpayer Identification Number (TIN)" as used in this solicitation |
provision, means the number required by the IRS to be used by the offeror in |
reporting income tax and other returns. |
(b) All offerors are required to submit the information required in |
paragraphs (c) through (e) of this solicitation provision in order to comply |
with reporting requirements of 26 U.S.C. |
6041, 6041A, and 6050M and implementing |
regulations issued by the Internal Revenue Service (IRS). |
If the resulting |
contract is subject to reporting requirements described in 4.903, 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) Taxpayer Identification Number (TIN). |
(/) [TIN: 101556194 |
( ) TIN has been applied for. |
( ) TIN is not required because: |
( ) Offeror is a nonresident alien, foreign corporation, or |
foreign partnership that does not have income |
effectively connected with the conduct of a trade or |
business in the U.S. and does not have an office or |
place of business or a fiscal paying agent in the U.S.; |
( ) Offeror is an agency or instrumentality of a foreign |
government; |
( ) Offeror is an agency or instrumentality of a Federal, |
state, or local government; |
( ) Other. |
State basis. |
______________________________. |
(d) Corporate Status. |
( ) Corporation providing medical and health care services, |
or engaged in the billing and collecting of payments |
for such services; |
(?) |
Other corporate entity; |
( ) Not a corporate entity; |
( ) Sole proprietorship |
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( ) Partnership |
( ) Hospital or extended care facility described in 26 CFR |
501(c)(3) that is exempt from taxation under 26 CFR 501 |
(a). |
(e) Common Parent. |
(/) Offeror is not owned or controlled by a common parent |
as defined in paragraph (a) of this clause. |
( ) Name and TIN of common parent: |
Name |
TIN_________________________________ |
Offerors must complete the following representations when the resulting contract |
is to be performed inside the United States its territories or possessions |
Puerto Rico, the Trust Territory of the Pacific Islands or the District of |
Columbia. |
SMALL BUSINESS CONCERN REPRESENTATION |
(FAR 52.219-1 ) (FEB 1990) |
(a) Representation. |
The offeror represents and certifies as part of its |
offer that it (/) is, ( ) is not a small business concern and that (/) all, ( ) |
not all end items to be furnished will be manufactured or produced by a small |
business concern in the United States, its territories or possessions, Puerto |
Rico, or the Trust Territory of the Pacific Islands. |
(b) Definition. |
Small business concern, as used in this provision, means a concern, |
including its affiliates, that is independently owned and operated, not dominant |
in the field of operation in which it is bidding on Government contracts, and |
qualified as a small business under the criteria and size standards in this |
solicitation. |
(c) Notice. |
Under 15 U.S.C. |
645(d), any person who misrepresents a |
firm's status as a small business concern in paragraph (a) of this clause in |
order to obtain a contract to be awarded under the preference programs |
established pursuant to sections 8(a), 8(d), 9, or 15 of the Small Business Act |
or any other provision of Federal law that specifically references section 8(d) |
for a definition of program eligibility, shall (1) be punished by imposition of |
a fine, imprisonment, or both (2) be subject to administrative remedies; and (3) |
be ineligible for participation in programs conducted under the authority of the |
Act. |
SMALL DISADVANTAGED BUSINESS CONCERN |
REPRESENTATION (FAR 52.219-2) (FEB 1990) |
(a) Representation. |
The offeror represents that it ( ) is, (/) is not a |