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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). |
27 |
<PAGE> |
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 |