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identified and certified below will not be deemed NAFTA country end products.
The offeror certifies that the following supplies qualify as "NAFTA country end
products" as that term is defined in the clause entitled "Buy American Act-North
American Free Trade Agreement Implementation Act-Balance of Payments Program."
_______________________________________________
Line Item No.-- Country of Origin
_______________________________________________
(List as necessary)
(d) Offers will be evaluated in accordance with Part 25 of the Federal
Acquisition Regulations.
(End of provision)
The following certification and representations is required to implement
provisions of Executive Order 12549 and must be completed by all Offerors.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, PROPOSED DEBARMENT, AND OTHER
RESPONSIBILITY MATTERS (FAR 52.209-5) (MAY 1989)
(a) (1) The Offeror certifies, to the best of its knowledge and
belief, that-
(i) The offeror and/or any of its Principals --
(A) Are ( ) are not (/) presently debarred,
suspended, proposed for debarment, or declared ineligible for the award of
contracts by any Federal agency;
(B) Have ( ) have not (/) within a 3-year period
preceding this offer, been convicted of or had a civil judgment rendered against
them for: commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (Federal, state, or
local) contract or subcontract; violation of Federal or state antitrust statutes
relating to the submission of offers; or commission of embezzlement, theft,
forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property; and
(C) Are ( ) are not (/) presently indicted for, or
otherwise criminally or civilly charged by a governmental entity with,
commission of any of the offenses enumerated in subdivision (A)(1)(i)(B) of this
provision.
(ii) The Offeror has ( ) has not (/) within a 3-year period
preceding this offer, had one or more contracts terminated for default by any
Federal agency.
(2) "Principals", for the purposes of this certification, means
officers; directors; owners, partners; and, persons having primary management or
supervisory responsibilities within a business entity (e.g., general manager;
plant manager; head of a subsidiary, division or business segment, and similar
positions).
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THIS CERTIFICATION CONCERNS A MATTER WITHIN THE JURISDICTION OF AN
AGENCY OF THE UNITED STATES AND THE MAKING OF A FALSE, FICTITIOUS, OR FRAUDULENT
CERTIFICATION MAY RENDER THE MAKER SUBJECT TO PROSECUTION UNDER SECTION 1001,
TITLE 18, UNITED STATES CODE.
(b) The Offeror shall provide immediate written notice to the
Contracting Officer if, at any time prior to contract award, the Offeror learns
that its certification was erroneous when submitted or has become erroneous by
reasons of changed circumstances.
(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.
However, the certification will be considered in connection
with a determination of the Offeror's responsibility.
Failure of the Offeror to
furnish a certification or provide such additional information as requested by
the Contracting Officer may render the Offeror nonresponsible.
(d) Nothing contained in the foregoing shall be construed to require
establishment of a system of records in order to render, in good faith, the
certification required by paragraph (a) of this provision.
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.
(e) The certification in paragraph (a) of this provision is a material
representation of fact upon which reliance was placed when making award.
If it
is later determined that the Offeror knowingly rendered an erroneous
certification, in addition to other remedies available to the Government, the
Contracting Officer may terminate the contract resulting from this solicitation
for default.
CERTIFICATION:
The undersigned certifies under penalty of law that the information provided
above to the best of his/her knowledge is true and correct.
I have executed this
certification as of the day and year stated below.
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Signature of authorized representative
William Chambers
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Typed name of authorized representative
Vice President Business Development
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Title of authorized representative