[**SECTION K - REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF
OFFERORS OR QUOTERS** 3](#__RefHeading___Toc126658651)

[**K.1.** **52.204-8 Annual Representations and Certifications (Jan
2006)** 3](#__RefHeading___Toc126658652)

[**K.2.** **52.227-15 Representation of Limited Rights Data and
Restricted Computer Software. (MAY 1999)**
4](#__RefHeading___Toc126658653)

[**K.3.** **970.5223-3 Agreement Regarding Workplace Substance Abuse
Programs at DOE Facilities (DEC 2000)** 5](#__RefHeading___Toc126658654)

[**K.4.** **ORO K10 Signature/Certification**
5](#__RefHeading___Toc126658655)

[**Certificate Pertaining to Foreign Interests**
7](#__RefHeading___Toc126658656)

Page Blank

[]{#__RefHeading___Toc126658651 .anchor}**SECTION K - REPRESENTATIONS,
CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS OR QUOTERS**

1.  []{#__RefHeading___Toc126658652 .anchor}**52.204-8** **Annual
    Representations and Certifications (Jan 2006)**

> \(a\) (1) The North American Industry Classification System (NAICS)
> code for this acquisition is 541611.
>
> \(2\) The small business size standard is less than six million
> dollars per year.
>
> \(3\) The small business size standard for a concern which submits an
> offer in its own name, other than on a construction or service
> contract, but which proposes to furnish a product which it did not
> itself manufacture, is 500 employees.
>
> \(b\) (1) If the clause at 52.204-7, Central Contractor Registration,
> is included in this solicitation, paragraph (c) of this provision
> applies.
>
> \(2\) If the clause at 52.204-7 is not included in this solicitation,
> and the offeror is currently registered in CCR, and has completed the
> ORCA electronically, the offeror may choose to use paragraph (c) of
> this provision instead of completing the corresponding individual
> representations and certifications in the solicitation. The offeror
> shall indicate which option applies by checking one of the following
> boxes:
>
> \(i\) Paragraph (c) applies.
>
> \(ii\) Paragraph (c) does not apply and the offeror has completed the
> individual representations and certifications in the solicitation.
>
> \(c\) The offeror has completed the annual representations and
> certifications electronically via the Online Representations and
> Certifications Application (ORCA) website at
> [http://orca.bpn.gov](http://orca.bpn.gov/). After reviewing the ORCA
> database information, the offeror verifies by submission of the offer
> that the representations and certifications currently posted
> electronically have been entered or updated within the last 12 months,
> are current, accurate, complete, and applicable to this solicitation
> (including the business size standard applicable to the NAICS code
> referenced for this solicitation), as of the date of this offer and
> are incorporated in this offer by reference (see FAR 4.1201); except
> for the changes identified below \[offeror to insert changes,
> identifying change by clause number, title, date\]. 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 on ORCA.

2.  []{#__RefHeading___Toc126658653 .anchor}**52.227-15 Representation
    of Limited Rights Data and Restricted Computer Software. (MAY
    1999)**

> \(a\) This solicitation sets forth the work to be performed if a
> contract award results, and the Government\'s known delivery
> requirements for data (as defined in FAR 27.401). Any resulting
> contract may also provide the Government the option to order
> additional data under the Additional Data Requirements clause at
> 52.227-16 of the FAR, if included in the contract. Any data delivered
> under the resulting contract will be subject to the Rights in Data -
> General clause at 52.227-14 that is to be included in this contract.
> Under the latter clause, a Contractor may withhold from delivery data
> that qualify as limited rights data or restricted computer software,
> and deliver form, fit, and function data in lieu thereof. The latter
> clause also may be used with its Alternates II and/or III to obtain
> delivery of limited rights data or restricted computer software,
> marked with limited rights or restricted rights notices, as
> appropriate. In addition, use of Alternate V with this latter clause
> provides the Government the right to inspect such data at the
> Contractor\'s facility.
>
> \(b\) As an aid in determining the Government\'s need to include
> Alternate II or Alternate III in the clause at 52.227-14, Rights in
> Data - General, the offeror shall complete paragraph (c) of this
> provision to either state that none of the data qualify as limited
> rights data or restricted computer software, or identify, to the
> extent feasible, which of the data qualifies as limited rights data or
> restricted computer software. Any identification of limited rights
> data or restricted computer software in the offeror\'s response is not
> determinative of the status of such data should a contract be awarded
> to the offeror.
>
> \(c\) The offeror has reviewed the requirements for the delivery of
> data or software and states \[offeror check appropriate block\] -
>
> \[ \] None of the data proposed for fulfilling such requirements
> qualifies as limited rights data or restricted computer software.
>
> \[ \] Data proposed for fulfilling such requirements qualify as
> limited rights data or restricted computer software and are identified
> as follows:
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Note: "Limited rights data" and "Restricted computer software" are
> defined in the contract clause entitled "Rights in Data - General."

3.  []{#__RefHeading___Toc126658654 .anchor}**970.5223-3 Agreement
    Regarding Workplace Substance Abuse Programs at DOE Facilities (DEC
    2000)**

> \(a\) Any contract awarded as a result of this solicitation will be
> subject to the policies, criteria, and procedures of 10 CFR part 707,
> Workplace Substance Abuse Programs at DOE Sites.
>
> \(b\) By submission of its offer, the officer agrees to provide to the
> contracting officer, within 30 days after notification of selection
> for award, or award of a contract, whichever occurs first, pursuant to
> this solicitation, its written workplace substance abuse program
> consistent with the requirements of 10 CFR part 707.
>
> \(c\) Failure of the offeror to agree to the condition of
> responsibility set forth in paragraph (b) of this provision, renders
> the offeror unqualified and ineligible for award.

4.  []{#__RefHeading___Toc126658655 .anchor}**ORO K10
    Signature/Certification**

> By completing and submitting a proposal/bid via Industry Interactive
> Procurement System (IIPS), the bidder/offeror certifies, under penalty
> of law, that the representations and certifications are accurate,
> current, and complete. The bidder/offeror further certifies that it
> will notify the Contracting Officer of any changes to these
> representations and certifications. The representations and
> certifications made by the bidder/offeror, as contained herein,
> concern matters within the jurisdiction of an agency of the United
> States and the making of false, fictitious, or fraudulent
> representation or certification may render the maker subject to
> prosecution under 18 U.S.C. 1001.
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Typed Name and Title of the Officer or Employee
>
> Responsible for the Bid/Offer
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Date of Execution

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> Name of Organization
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Street
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> City, State
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Solicitation Number

Page Blank

[]{#__RefHeading___Toc126658656 .anchor}**Certificate Pertaining to
Foreign Interests**

+-------------------------------+---+------------+-------------+----+----+
| Page Blank                    |   |            | Form        |    |    |
|                               |   |            | Approved    |    |    |
| **CERTIFICATE PERTAINING TO   |   |            |             |    |    |
| FOREIGN INTERESTS**           |   |            | OMB No.     |    |    |
|                               |   |            | 0704-0194   |    |    |
| *(Type or print all answers)* |   |            |             |    |    |
|                               |   |            | Expires     |    |    |
|                               |   |            | 06/30/07    |    |    |
+-------------------------------+---+------------+-------------+----+----+
| The public reporting burden   |   |            |             |    |    |
| for this collection of        |   |            |             |    |    |
| information is estimated to   |   |            |             |    |    |
| average 70 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 the  |   |            |             |    |    |
| burden, to Department of      |   |            |             |    |    |
| Defense, Washington           |   |            |             |    |    |
| Headquarters Services,        |   |            |             |    |    |
| Directorate for Information   |   |            |             |    |    |
| Operations and Reports        |   |            |             |    |    |
| (0704-0194), 1215 Jefferson   |   |            |             |    |    |
| Davis Highway, Suite 1204,    |   |            |             |    |    |
| Arlington, VA 22202-4302.     |   |            |             |    |    |
| Respondents should be aware   |   |            |             |    |    |
| that notwithstanding any      |   |            |             |    |    |
| other provision of law, no    |   |            |             |    |    |
| person shall be subject to    |   |            |             |    |    |
| any penalty for failing to    |   |            |             |    |    |
| comply with a collection of   |   |            |             |    |    |
| information if does not       |   |            |             |    |    |
| display a currently valid OMB |   |            |             |    |    |
| control number.               |   |            |             |    |    |
|                               |   |            |             |    |    |
| **PLEASE DO NOT RETURN YOUR   |   |            |             |    |    |
| FORM TO THE ABOVE ADDRESS.    |   |            |             |    |    |
| RETURN COMPLETED FORM TO YOUR |   |            |             |    |    |
| RESPECTIVE COGNIZANT SECURITY |   |            |             |    |    |
| OFFICE.**                     |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| **PENALTY NOTICE**            |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| Failure to answer all         |   | repr       |             |    |    |
| questions or any              |   | esentation |             |    |    |
| misrepresentation (by         |   | to any     |             |    |    |
| omission or concealment, or   |   | Department |             |    |    |
| by misleading, false or       |   | or Agency  |             |    |    |
| partial answers) may serve as |   | of the     |             |    |    |
| a basis for denial of         |   | United     |             |    |    |
| clearance for access to       |   | States, as |             |    |    |
| classified information. In    |   | to any     |             |    |    |
| addition, Title 18, United    |   | matter     |             |    |    |
| States Code 1001, makes it a  |   | within the |             |    |    |
| criminal offense, punishable  |   | ju         |             |    |    |
| by a maximum of (5) five      |   | risdiction |             |    |    |
| years imprisonment, \$15,000  |   | of any     |             |    |    |
| fine or both, knowingly to    |   | Department |             |    |    |
| make a false statement or     |   | or Agency  |             |    |    |
|                               |   | of the     |             |    |    |
|                               |   | United     |             |    |    |
|                               |   | States.    |             |    |    |
|                               |   | This       |             |    |    |
|                               |   | includes   |             |    |    |
|                               |   | any        |             |    |    |
|                               |   | statement  |             |    |    |
|                               |   | made       |             |    |    |
|                               |   | herein     |             |    |    |
|                               |   | which is   |             |    |    |
|                               |   | knowingly  |             |    |    |
|                               |   | incorrect, |             |    |    |
|                               |   | incomplete |             |    |    |
|                               |   | or         |             |    |    |
|                               |   | misleading |             |    |    |
|                               |   | in any     |             |    |    |
|                               |   | important  |             |    |    |
|                               |   | p          |             |    |    |
|                               |   | articular. |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| **PROVISIONS**                |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 1\. This report is authorized | 2 |            |             |    |    |
| by the Secretary of Defense,  | \ |            |             |    |    |
| as Executive Agent for the    | . |            |             |    |    |
| National Industrial Security  | W |            |             |    |    |
| Program, pursuant to          | h |            |             |    |    |
| Executive Order 12829. While  | e |            |             |    |    |
| you are not required to       | n |            |             |    |    |
| respond, your eligibility for | t |            |             |    |    |
| a facility security clearance | h |            |             |    |    |
| cannot be determined if you   | i |            |             |    |    |
| do not complete this form.    | s |            |             |    |    |
| The retention of a facility   | r |            |             |    |    |
| security clearance is         | e |            |             |    |    |
| contingent upon, your         | p |            |             |    |    |
| compliance with the           | o |            |             |    |    |
| requirements of DoD 5220.22-M | r |            |             |    |    |
| for submission of a revised   | t |            |             |    |    |
| form as appropriate.          | i |            |             |    |    |
|                               | s |            |             |    |    |
|                               | s |            |             |    |    |
|                               | u |            |             |    |    |
|                               | b |            |             |    |    |
|                               | m |            |             |    |    |
|                               | i |            |             |    |    |
|                               | t |            |             |    |    |
|                               | t |            |             |    |    |
|                               | e |            |             |    |    |
|                               | d |            |             |    |    |
|                               | i |            |             |    |    |
|                               | n |            |             |    |    |
|                               | c |            |             |    |    |
|                               | o |            |             |    |    |
|                               | n |            |             |    |    |
|                               | f |            |             |    |    |
|                               | i |            |             |    |    |
|                               | d |            |             |    |    |
|                               | e |            |             |    |    |
|                               | n |            |             |    |    |
|                               | c |            |             |    |    |
|                               | e |            |             |    |    |
|                               | a |            |             |    |    |
|                               | n |            |             |    |    |
|                               | d |            |             |    |    |
|                               | i |            |             |    |    |
|                               | s |            |             |    |    |
|                               | s |            |             |    |    |
|                               | o |            |             |    |    |
|                               | m |            |             |    |    |
|                               | a |            |             |    |    |
|                               | r |            |             |    |    |
|                               | k |            |             |    |    |
|                               | e |            |             |    |    |
|                               | d |            |             |    |    |
|                               | , |            |             |    |    |
|                               | a |            |             |    |    |
|                               | p |            |             |    |    |
|                               | p |            |             |    |    |
|                               | l |            |             |    |    |
|                               | i |            |             |    |    |
|                               | c |            |             |    |    |
|                               | a |            |             |    |    |
|                               | b |            |             |    |    |
|                               | l |            |             |    |    |
|                               | e |            |             |    |    |
|                               | e |            |             |    |    |
|                               | x |            |             |    |    |
|                               | e |            |             |    |    |
|                               | m |            |             |    |    |
|                               | p |            |             |    |    |
|                               | t |            |             |    |    |
|                               | i |            |             |    |    |
|                               | o |            |             |    |    |
|                               | n |            |             |    |    |
|                               | s |            |             |    |    |
|                               | t |            |             |    |    |
|                               | o |            |             |    |    |
|                               | t |            |             |    |    |
|                               | h |            |             |    |    |
|                               | e |            |             |    |    |
|                               | F |            |             |    |    |
|                               | r |            |             |    |    |
|                               | e |            |             |    |    |
|                               | e |            |             |    |    |
|                               | d |            |             |    |    |
|                               | o |            |             |    |    |
|                               | m |            |             |    |    |
|                               | o |            |             |    |    |
|                               | f |            |             |    |    |
|                               | I |            |             |    |    |
|                               | n |            |             |    |    |
|                               | f |            |             |    |    |
|                               | o |            |             |    |    |
|                               | r |            |             |    |    |
|                               | m |            |             |    |    |
|                               | a |            |             |    |    |
|                               | t |            |             |    |    |
|                               | i |            |             |    |    |
|                               | o |            |             |    |    |
|                               | n |            |             |    |    |
|                               | A |            |             |    |    |
|                               | c |            |             |    |    |
|                               | t |            |             |    |    |
|                               | w |            |             |    |    |
|                               | i |            |             |    |    |
|                               | l |            |             |    |    |
|                               | l |            |             |    |    |
|                               | b |            |             |    |    |
|                               | e |            |             |    |    |
|                               | i |            |             |    |    |
|                               | n |            |             |    |    |
|                               | v |            |             |    |    |
|                               | o |            |             |    |    |
|                               | k |            |             |    |    |
|                               | e |            |             |    |    |
|                               | d |            |             |    |    |
|                               | t |            |             |    |    |
|                               | o |            |             |    |    |
|                               | w |            |             |    |    |
|                               | i |            |             |    |    |
|                               | t |            |             |    |    |
|                               | h |            |             |    |    |
|                               | h |            |             |    |    |
|                               | o |            |             |    |    |
|                               | l |            |             |    |    |
|                               | d |            |             |    |    |
|                               | i |            |             |    |    |
|                               | t |            |             |    |    |
|                               | f |            |             |    |    |
|                               | r |            |             |    |    |
|                               | o |            |             |    |    |
|                               | m |            |             |    |    |
|                               | p |            |             |    |    |
|                               | u |            |             |    |    |
|                               | b |            |             |    |    |
|                               | l |            |             |    |    |
|                               | i |            |             |    |    |
|                               | c |            |             |    |    |
|                               | d |            |             |    |    |
|                               | i |            |             |    |    |
|                               | s |            |             |    |    |
|                               | c |            |             |    |    |
|                               | l |            |             |    |    |
|                               | o |            |             |    |    |
|                               | s |            |             |    |    |
|                               | u |            |             |    |    |
|                               | r |            |             |    |    |
|                               | e |            |             |    |    |
|                               | . |            |             |    |    |
|                               |   |            |             |    |    |
|                               | 3 |            |             |    |    |
|                               | \ |            |             |    |    |
|                               | . |            |             |    |    |
|                               | C |            |             |    |    |
|                               | o |            |             |    |    |
|                               | m |            |             |    |    |
|                               | p |            |             |    |    |
|                               | l |            |             |    |    |
|                               | e |            |             |    |    |
|                               | t |            |             |    |    |
|                               | e |            |             |    |    |
|                               | a |            |             |    |    |
|                               | l |            |             |    |    |
|                               | l |            |             |    |    |
|                               | q |            |             |    |    |
|                               | u |            |             |    |    |
|                               | e |            |             |    |    |
|                               | s |            |             |    |    |
|                               | t |            |             |    |    |
|                               | i |            |             |    |    |
|                               | o |            |             |    |    |
|                               | n |            |             |    |    |
|                               | s |            |             |    |    |
|                               | o |            |             |    |    |
|                               | n |            |             |    |    |
|                               | t |            |             |    |    |
|                               | h |            |             |    |    |
|                               | i |            |             |    |    |
|                               | s |            |             |    |    |
|                               | f |            |             |    |    |
|                               | o |            |             |    |    |
|                               | r |            |             |    |    |
|                               | m |            |             |    |    |
|                               | . |            |             |    |    |
|                               | M |            |             |    |    |
|                               | a |            |             |    |    |
|                               | r |            |             |    |    |
|                               | k |            |             |    |    |
|                               | " |            |             |    |    |
|                               | Y |            |             |    |    |
|                               | e |            |             |    |    |
|                               | s |            |             |    |    |
|                               | " |            |             |    |    |
|                               | o |            |             |    |    |
|                               | r |            |             |    |    |
|                               | " |            |             |    |    |
|                               | N |            |             |    |    |
|                               | o |            |             |    |    |
|                               | " |            |             |    |    |
|                               | f |            |             |    |    |
|                               | o |            |             |    |    |
|                               | r |            |             |    |    |
|                               | e |            |             |    |    |
|                               | a |            |             |    |    |
|                               | c |            |             |    |    |
|                               | h |            |             |    |    |
|                               | q |            |             |    |    |
|                               | u |            |             |    |    |
|                               | e |            |             |    |    |
|                               | s |            |             |    |    |
|                               | t |            |             |    |    |
|                               | i |            |             |    |    |
|                               | o |            |             |    |    |
|                               | n |            |             |    |    |
|                               | . |            |             |    |    |
|                               | I |            |             |    |    |
|                               | f |            |             |    |    |
|                               | y |            |             |    |    |
|                               | o |            |             |    |    |
|                               | u |            |             |    |    |
|                               | r |            |             |    |    |
|                               | a |            |             |    |    |
|                               | n |            |             |    |    |
|                               | s |            |             |    |    |
|                               | w |            |             |    |    |
|                               | e |            |             |    |    |
|                               | r |            |             |    |    |
|                               | i |            |             |    |    |
|                               | s |            |             |    |    |
|                               | " |            |             |    |    |
|                               | Y |            |             |    |    |
|                               | e |            |             |    |    |
|                               | s |            |             |    |    |
|                               | " |            |             |    |    |
|                               | f |            |             |    |    |
|                               | u |            |             |    |    |
|                               | r |            |             |    |    |
|                               | n |            |             |    |    |
|                               | i |            |             |    |    |
|                               | s |            |             |    |    |
|                               | h |            |             |    |    |
|                               | i |            |             |    |    |
|                               | n |            |             |    |    |
|                               | f |            |             |    |    |
|                               | u |            |             |    |    |
|                               | l |            |             |    |    |
|                               | l |            |             |    |    |
|                               | t |            |             |    |    |
|                               | h |            |             |    |    |
|                               | e |            |             |    |    |
|                               | c |            |             |    |    |
|                               | o |            |             |    |    |
|                               | m |            |             |    |    |
|                               | p |            |             |    |    |
|                               | l |            |             |    |    |
|                               | e |            |             |    |    |
|                               | t |            |             |    |    |
|                               | e |            |             |    |    |
|                               | i |            |             |    |    |
|                               | n |            |             |    |    |
|                               | f |            |             |    |    |
|                               | o |            |             |    |    |
|                               | r |            |             |    |    |
|                               | m |            |             |    |    |
|                               | a |            |             |    |    |
|                               | t |            |             |    |    |
|                               | i |            |             |    |    |
|                               | o |            |             |    |    |
|                               | n |            |             |    |    |
|                               | u |            |             |    |    |
|                               | n |            |             |    |    |
|                               | d |            |             |    |    |
|                               | e |            |             |    |    |
|                               | r |            |             |    |    |
|                               | " |            |             |    |    |
|                               | R |            |             |    |    |
|                               | e |            |             |    |    |
|                               | m |            |             |    |    |
|                               | a |            |             |    |    |
|                               | r |            |             |    |    |
|                               | k |            |             |    |    |
|                               | s |            |             |    |    |
|                               | " |            |             |    |    |
|                               | . |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| **QUESTIONS AND ANSWERS**     |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 1\. (Answer 1a. or 1b.)       |   |            |             | Y  | No |
|                               |   |            |             | es |    |
| a\. (For entities which issue |   |            |             |    |    |
| stock). Do any foreign        |   |            |             |    |    |
| person(s), directly or        |   |            |             |    |    |
| indirectly, own or have       |   |            |             |    |    |
| beneficial ownership of 5     |   |            |             |    |    |
| percent or more of the        |   |            |             |    |    |
| outstanding shares of any     |   |            |             |    |    |
| class of your organization's  |   |            |             |    |    |
| equity securities?            |   |            |             |    |    |
|                               |   |            |             |    |    |
| b\. (For entities which do    |   |            |             |    |    |
| not issue stock). Has any     |   |            |             |    |    |
| foreign person directly or    |   |            |             |    |    |
| indirectly subscribed 5       |   |            |             |    |    |
| percent or more of your       |   |            |             |    |    |
| organization's total capital  |   |            |             |    |    |
| commitment?                   |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
|                               |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
|                               |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 2\. Does your organization    |   |            |             |    |    |
| directly, or indirectly       |   |            |             |    |    |
| through your subsidiaries     |   |            |             |    |    |
| and/or affiliates, own 10     |   |            |             |    |    |
| percent or more of any        |   |            |             |    |    |
| foreign interest?             |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 3\. Do any non-U.S. citizens  |   |            |             |    |    |
| serve as members of your      |   |            |             |    |    |
| organization's board of       |   |            |             |    |    |
| directors (or similar         |   |            |             |    |    |
| governing body), officers,    |   |            |             |    |    |
| executive personnel, general  |   |            |             |    |    |
| partners, regents, trustees   |   |            |             |    |    |
| or senior management          |   |            |             |    |    |
| officials?                    |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 4\. Does any foreign          |   |            |             |    |    |
| person(s) have the power,     |   |            |             |    |    |
| direct or indirect, to        |   |            |             |    |    |
| control the election,         |   |            |             |    |    |
| appointment, or tenure of     |   |            |             |    |    |
| members of your               |   |            |             |    |    |
| organization's board of       |   |            |             |    |    |
| directors (or similar         |   |            |             |    |    |
| governing body) or other      |   |            |             |    |    |
| management positions of your  |   |            |             |    |    |
| organization, or have the     |   |            |             |    |    |
| power to control or cause the |   |            |             |    |    |
| direction of other decisions  |   |            |             |    |    |
| or activities of your         |   |            |             |    |    |
| organization?                 |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 5\. Does your organization    |   |            |             |    |    |
| have any contracts,           |   |            |             |    |    |
| agreements, understandings,   |   |            |             |    |    |
| or arrangements with a        |   |            |             |    |    |
| foreign person(s)?            |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 6\. Does your organization,   |   |            |             |    |    |
| whether as borrower, surety,  |   |            |             |    |    |
| guarantor or otherwise have   |   |            |             |    |    |
| any indebtedness, liabilities |   |            |             |    |    |
| or obligations to a foreign   |   |            |             |    |    |
| person(s)?                    |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 7\. During your last fiscal   |   |            |             |    |    |
| year, did your organization   |   |            |             |    |    |
| derive:                       |   |            |             |    |    |
|                               |   |            |             |    |    |
| a\. 5 percent or more of its  |   |            |             |    |    |
| total revenues or net income  |   |            |             |    |    |
| from any single foreign       |   |            |             |    |    |
| person?                       |   |            |             |    |    |
|                               |   |            |             |    |    |
| b\. In the aggregate 30       |   |            |             |    |    |
| percent or more of its        |   |            |             |    |    |
| revenues or net income from   |   |            |             |    |    |
| foreign persons?              |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
|                               |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 8\. Is 10 percent or more of  |   |            |             |    |    |
| any class of your             |   |            |             |    |    |
| organization's voting         |   |            |             |    |    |
| securities held in "nominee"  |   |            |             |    |    |
| shares, in "street names" or  |   |            |             |    |    |
| in some other method which    |   |            |             |    |    |
| does not identify the         |   |            |             |    |    |
| beneficial owner?             |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 9\. Do any of the members of  |   |            |             |    |    |
| your organization's board of  |   |            |             |    |    |
| directors (or similar         |   |            |             |    |    |
| governing body), officer,     |   |            |             |    |    |
| executive personnel, general  |   |            |             |    |    |
| partners, regents, trustees   |   |            |             |    |    |
| or senior management          |   |            |             |    |    |
| officials hold any positions  |   |            |             |    |    |
| with, or serve as             |   |            |             |    |    |
| consultants, for any foreign  |   |            |             |    |    |
| person(s)?                    |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| 10\. Is there any other       |   |            |             |    |    |
| factor(s) that indicates or   |   |            |             |    |    |
| demonstrates a capability on  |   |            |             |    |    |
| the part of foreign persons   |   |            |             |    |    |
| to control or influence the   |   |            |             |    |    |
| operations or management of   |   |            |             |    |    |
| your organization?            |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+
| STANDARD FORM 328 (REV        |   |            |             |    |    |
| 7/2004) REPLACES DD FORM      |   |            |             |    |    |
| 441S,                         |   |            |             |    |    |
|                               |   |            |             |    |    |
| WHICH IS OBSOLETE             |   |            |             |    |    |
+-------------------------------+---+------------+-------------+----+----+

+-----------------------------------------------------------------------+
| > REMARKS (Attach additional sheets, if necessary, for a full         |
| > detailed statement)                                                 |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| CERTIFICATION                                                         |
+-----------------------------------------------------------------------+
| I CERTIFY that the entries made by me above are true, complete, and   |
| correct to the best of my knowledge and belief and are made in good   |
| faith.                                                                |
|                                                                       |
| WITNESSES:                                                            |
| \_\_\_\_\_\_\_\_\                                                     |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| > (Date Certified)                                                    |
|                                                                       |
| \_\_\_\_\_\_\_\_\_\_\                                                 |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
| By                                                                    |
| \_\_\_\_\_\_\_\_\                                                     |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| (Signature of Authorized Contractor Representative)                   |
|                                                                       |
| \_\_\_\_\_\_\_\_\_\_\_\                                               |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
| \_\_\_\_\_\_\_\_\_\                                                   |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| > (Contractor)                                                        |
|                                                                       |
| NOTE: In case of a corporation, a witness is not required but         |
| \_\_\_\_\_\_\_\_\_\                                                   |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| the certificate below must be completed. Type or print names (Title)  |
|                                                                       |
| under all signatures.                                                 |
|                                                                       |
| \_\_\_\_\_\_\_\_\_\                                                   |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| > (Address)                                                           |
|                                                                       |
| NOTE: Contractor, if a corporation, should cause the following        |
| certificate to be executed under its corporate seal, provided that    |
| the same officer shall not execute both the Agreement and the         |
| Certificate.                                                          |
+-----------------------------------------------------------------------+
| CERTIFICATE                                                           |
+-----------------------------------------------------------------------+
| I,                                                                    |
| \_\_\_\_\_\_\_                                                        |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, |
| certify that I am the                                                 |
| \_\_\                                                                 |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| of the corporation named as Contractor herein; that                   |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\                   |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| of said corporation; that said certificate was duly signed for and in |
| behalf of said corporation by authority of its governing body, and is |
| within the scope of its corporate powers.                             |
|                                                                       |
| \_\_\_\_\_\_\_\_\_\_\                                                 |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| > (Corporate Seal) (Signature and Date)                               |
+-----------------------------------------------------------------------+

> **STANDARD FORM 328 (BACK) (REV 7/2004)**
>
> **[INSTRUCTIONS FOR COMPLETION OF THE CERTIFICATE PERTAINING TO
> FOREIGN INTERESTS]{.underline}**

IF THE OFFEROR/BIDDER/CONTRACTOR IS OWNED BY A PARENT ORGANIZATION(S),
THE FOCI CERTIFICATE PERTAINING TO FOREIGN INTERESTS (SF-328) MUST BE
ATTACHED FOR ALL TIER PARENTS, I.E., ULTIMATE PARENT AND ANY INTERVENING
LEVELS OF OWNERSHIP. EACH CERTIFICATION MUST BE SIGNED AND DATED BY AN
AUTHORIZED OFFICIAL OF THE RESPECTIVE ORGANIZATION, I.E., AN OFFICIAL
IDENTIFIED IN YOUR ORGANIZATION\'S ARTICLES OF INCORPORATION OR BY‑LAWS
AS RESPONSIBLE FOR MANAGING THE BUSINESS AFFAIRS OF THE ORGANIZATION, OR
ANY OTHER EMPLOYEE, IDENTIFIED BY NAME, OF THE ORGANIZATION IF
DESIGNATED IN WRITING BY SUCH AN AUTHORIZED OFFICIAL AS HAVING BEEN
DELEGATED AUTHORITY TO EXECUTE THE FOCI CERTIFICATE PERTAINING TO
FOREIGN INTERESTS (SF-328) ON BEHALF OF THE ORGANIZATION.

IF YOUR ORGANIZATION OWNS OTHER ENTITIES, CONSOLIDATED INFORMATION FOR
ALL YOUR WHOLLY‑AND/OR MAJORITY‑OWNED SUBSIDIARIES (FOREIGN AND
DOMESTIC) MUST BE PROVIDED.

IF THE OFFEROR/BIDDER/CONTRACTOR IS A PUBLICLY TRADED COMPANY OR A
SUBSIDIARY OF ANOTHER CORPORATION, THE CONTRACTOR AND ALL TIER PARENTS
MUST SUBMIT THE FOLLOWING INFORMATION IN ADDITION TO THE EXECUTED FOCI
REPRESENTATIONS:

1.  THE ULTIMATE PARENT MUST SUBMIT ITS MOST RECENT ANNUAL REPORT, MOST
    RECENT PROXY STATEMENT FOR ITS ANNUAL MEETING OF STOCKHOLDERS, AND
    ITS SECURITIES AND EXCHANGE COMMISSION 10‑K REPORT.

2.  SUBSIDIARIES MUST SUBMIT SEPARATE CONSOLIDATED FINANCIAL INFORMATION
    FOR THEIR ORGANIZATION AND ALL THEIR WHOLLY AND/OR MAJORITY‑OWNED
    SUBSIDIARIES AND AFFILIATES.

3.  THE CONTRACTOR AND ALL TIER PARENTS MUST SUBMIT A LIST IDENTIFYING
    THEIR RESPECTIVE ORGANIZATION\'S OFFICERS, DIRECTORS, AND EXECUTIVE
    PERSONNEL, TO INCLUDE THEIR NAMES; SOCIAL SECURITY NUMBERS;
    CITIZENSHIP; TITLES OF ALL POSITIONS THEY HOLD WITHIN THE
    ORGANIZATION; AND WHAT CLEARANCES, IF ANY, THEY POSSESS OR ARE IN
    THE PROCESS OF OBTAINING AND IDENTIFICATION OF THE GOVERNMENT
    AGENCY(IES) THAT GRANTED OR WILL BE GRANTING THOSE CLEARANCES.

4.  IF ANY POSITION IS VACANT, SO STATE.

IF THE OFFEROR/BIDDER/CONTRACTOR IS A PRIVATELY OWNED COMPANY, THE
FOLLOWING INFORMATION MUST BE PROVIDED IN ADDITION TO THE EXECUTED FOCI
REPRESENTATIONS:

CONSOLIDATED FINANCIAL INFORMATION FOR THEIR ORGANIZATION AND ALL THEIR
WHOLLY‑AND/OR MAJORITY‑OWNED SUBSIDIARIES AND AFFILIATES.

THIS INFORMATION MUST BE PROVIDED BY THE APPROPRIATE OFFICIAL WITHIN
THEIR ORGANIZATION, E.G., CHIEF FINANCIAL OFFICER, TREASURER.

A LIST IDENTIFYING THE ORGANIZATION\'S OWNERS, OFFICERS, DIRECTORS, AND
EXECUTIVE PERSONNEL, TO INCLUDE THEIR NAMES; SOCIAL SECURITY NUMBERS;
CITIZENSHIP; TITLES OF ALL POSITIONS THEY HOLD WITHIN THE ORGANIZATION;
AND WHAT CLEARANCES, IF ANY, THEY POSSESS OR ARE IN THE PROCESS OF
OBTAINING AND IDENTIFICATION OF THE GOVERNMENT AGENCY(IES) THAT GRANTED
OR WILL BE GRANTING THOSE CLEARANCES. (ALL BLANKS AND COLUMNS MUST BE
ADDRESSED. IF NOT APPLICABLE (N/A), STATE N/A OR NONE.) IF ANY POSITION
IS VACANT, SO STATE.

> (Version 12.3g, FAC 97-01, DEAR 9/4/97) (OCT 97)

Question #1:

> a\. Do any foreign person(s), directly or indirectly, own or have
> beneficial ownership of 5% or more of the outstanding shares of any
> class of your organization\'s equity securities? If yes:

-   Identify the percentage of any class of stock or other securities
    issued, which are owned by foreign persons, broken down by country.
    Include indirect ownership through one or more intermediate level(s)
    of subsidiaries. Indicate voting rights of each class of stock.

-   Are there shareholder agreements? If yes, attach a copy(ies), and if
    none, so state.

-   Indicate whether a copy of SEC Schedule 13D/13G report has been
    received from any investor. If yes, attach a copy(ies).

> NOTE: Ownership of less than 5% should be included if the holder is
> entitled to control the appointment and tenure of any management
> position.
>
> b\. (for entities which do not issue stock): Has any foreign person
> directly or indirectly subscribed 5% or more of your organization\'s
> total/capital commitment? If yes:

-   Identify the percentage of total capital commitment which is
    subscribed by foreign persons.

-   Is there an agreement (s) with the subscriber (s)? If yes, attach a
    copy(ies), and if none, so state.

Question #2

> Does your organization directly, or indirectly through your
> subsidiaries and/or affiliates, own 10% or more of any foreign
> interest? If yes:

-   Identify the foreign interest by name, country, percentage owned,
    and personnel who occupy management positions with the
    organizations.

-   If there are personnel from your organization who occupy management
    positions with the foreign firm(s), identify the name(s), title, and
    extent of involvement in the operations of the organizations (to
    include access to classified information).

Question #3:

> Do any non‑U.S. citizens serve as members of your organization\'s
> board of directors (or similar governing body), officers, executive
> personnel, general partners, regents, trustees or senior management
> officials? If yes:

-   Identify the foreign person(s) by name, title, citizenship,
    immigration status and clearance or exclusion status.

-   Attach copies of applicable by‑laws or articles of incorporation
    which describe the affected position(s). However, if you have
    already provided such copies to the Cognizant Security Agency
    Industrial Security Representative, so state.

Question #4

> Does any foreign person(s) have the power, direct or indirect, to
> control the election, appointment, or tenure of members of your
> organization\'s board of directors (or similar governing body) or
> other management positions of your organization, or have the power to
> control or cause the direction of other decisions or activities of
> your organization? If yes:
>
> Identify the foreign person(s) by name, title, citizenship, and all
> details concerning the control or influence.
>
> Note: If any foreign person(s) have such power, this question shall be
> answered in the affirmative even if such power has not been exercised,
> and whether or not it is exercisable through ownership of your
> facility's securities, if such power may be invoked by contractual
> arrangements or by other means.

Question #5

> Does your organization have any contracts, agreements, understandings,
> or arrangements with a foreign person(s)? If yes:
>
> For each instance, provide the name of the foreign person, country,
> percentage of gross income derived, and nature of involvement,
> including:

-   whether defense/nuclear related or not

-   involvement with classified or export controlled technology

-   compliance with export control requirements

> Where the organization has a large number of involvements and where
> these involvements are not defense nuclear related and represent a
> small percentage of gross income, the explanation can be a generalized
> statement addressing the totals by country.
>
> Note: We do not expect and will not require the contractor to ask
> every customer if he/she falls within the NISPOM definition of a
> foreign person. We will ask the contractor to provide ongoing security
> education to those individuals who negotiate and/or administer such
> agreements regarding their responsibilities to report agreements with
> a foreign person(s) to the best of their knowledge. The contractor
> will be certifying the response to this question to "the best of
> his/her knowledge" or "through his/her best efforts".

Question #6:

> Does your organization, whether as borrower, surety, guarantor or
> otherwise have any indebtedness, liabilities or obligations to a
> foreign person(s)? If yes:

-   Provide your overall debt‑to‑equity ratio (in percentage).

-   With respect to indebtedness or liability to a foreign person,
    indicate to whom indebted or liable, what collateral has been
    furnished or pledged, and any conditions or covenants of the loan
    agreement. If stock or assets have been furnished or pledged as
    collateral, provide a copy of the loan agreement or pertinent
    extracts thereof (to include procedures to be followed in the event
    of default).

-   If any debentures are convertible, provide specifics.

-   If loan payments are in default, provide details.

> This question should be answered in the affirmative if the debt is
> with a U.S. entity that is owned or controlled either directly or
> indirectly by a foreign person. If unknown, so state.
>
> Note: As stated above, we do not expect and will not require the
> contractor to ask every lender if he/she qualifies as a foreign
> person. We will ask the contractor to provide ongoing security
> education to those employees who handle lending arrangements regarding
> their responsibilities to report any such arrangements with a foreign
> person lender, to the best of their knowledge. The contractor will be
> certifying the response to this question as being to "the best of
> his/her knowledge" or "through his/her best efforts".

Question #7:

> During your last fiscal year, did your organization derive:
>
> a\. 5% or more of its total revenues or net income from any single
> foreign person?
>
> b\. In the aggregate 30% or more of its revenues or net income from
> foreign persons?
>
> If yes to either part of the question:

-   Provide overall percentage of income derived from foreign sources
    [by country]{.underline}, nature of involvement, and type of
    services or products.

-   Indicate if any single foreign source represents in excess of 5% or
    total revenues or net income.

-   Indicate whether any classified information is involved.

-   State whether facility is in compliance with applicable export
    control requirements.

> Note: As previously stated, we do not expect and will not require the
> contractor to ask every customer if he/she qualifies as a foreign
> person. We will ask the contractor to provide ongoing security
> education to those employees who handle information about company
> revenues regarding their responsibility to report revenues derived
> from a foreign person(s) to the best of their knowledge. The
> contractor will be certifying the response to this question as being
> to "the best of his/her knowledge" or "through his/her best effort".

Question #8:

> Is 10% or more of your organization\'s securities held in \"nominee
> shares,\" in \"street names\" or in some other method which does not
> disclose the beneficial owner? If yes:

-   Identify each foreign institutional investor holding 10% or more of
    the voting stock by name and address and the percentage of stock
    held.

-   Indicate whether any investor has attempted to, or has exerted any
    control or influence over appointments to management positions or
    influenced the policies of the organization.

-   Include copies of SEC Schedule 13D/13G.

Question #9:

> Do any of the members of your organization\'s board of directors (or
> similar governing body), officers, executive personnel, general
> partners, regent\'s, trustees or senior management officials hold any
> positions with, or serve as consultants for, any foreign person(s)? If
> yes:

-   Provide the name, title, citizenship, immigration status and
    clearance or exclusion status on all such persons.

-   Identify, by name and address, each foreign organization with which
    such persons serve and indicate the capacity in which they are
    serving.

-   Include a Statement of Full Disclosure of Foreign Affiliations for
    every cleared individual who is a representative of a foreign
    interest

> Note: We expect the contractor to be able to answer this question
> fully for those individuals holding such positions with his/her
> foreign subsidiaries and any foreign interests. However, we do not
> expect and will not require the contractor to ask every individual to
> ascertain if he/she is serving as a director, officer or manager of a
> foreign person. We will ask the contractor to provide ongoing security
> education to all key management personnel of their responsibilities to
> report serving as an interlocking director or in any other type of
> positions with a foreign person to the best of their knowledge. The
> contractor will be certifying the response to this question as being
> to \"the best of his/her knowledge\" or \"through his/her best
> efforts\".

Question #10:

> Is there any other factor (s) that indicates or demonstrates a
> capability on the part of foreign persons to control or influence the
> operations or management of your organization? If yes:

-   Describe the foreign involvement in detail, including why the
    involvement would not be reportable in the preceding questions.

    Page Blank

    **DEFINITIONS FOR COMPLETION OF THE CERTIFICATE PERTAINING TO
    FOREIGN INTERESTS**

Affiliate - Any entity effectively owned or controlled by another
entity.

Beneficial Owner ‑ The true owner of a security who may, for
convenience, be recorded under the name of a nominee. Such ownership
entitles the owner to the power to vote or direct the voting of a
security or to impose or direct the disposition of a security.

Bond ‑ A certificate which is evidence of a debt in which the issuer
promises to repay a specific amount of money to the bondholder, plus a
certain amount of interest, within a fixed period of time.

Convertible Debentures ‑ Bonds which the holder can exchange for shares
of voting stock.

Covenant ‑ A detailed clause in a lending agreement designed to protect
the lender.

Debenture ‑ A general debt unsecured by a pledge of any specific piece
of property. Like any other general creditor claims, a debenture is
secured by any property not otherwise pledged.

Debt‑to‑Equity Ratio ‑ Total liabilities divided by total shareholders\'
equity (total assets minus total liabilities of a corporation; also
called stockholders\' equity, equity, and net worth). This shows to what
extent owners\' equity can cushion creditors' claims in the event of
liquidation.

Equity Security - An ownership interest in a company, most often taking
the form of corporate stock.

Foreign Interest - Any foreign government, agency of a foreign
government, or representative of a foreign government; any form of
business enterprise or legal entity organized, chartered or incorporated
under the laws of any country other than the U.S. or its possessions and
trust territories, and any person who is not a citizen or national of
the United States.

Foreign Person - Any foreign interest and any U.S. person effectively
owned or controlled by a foreign interest.

Guarantor - One who makes the guaranty (an agreement or promise to
answer for the debt, default or miscarriage of another).

Immigration Status - Legal basis for a non-U.S. citizen\'s residence in
the United States (e.g., work visa, admission for permanent residence).
Note: Immigration and Naturalization Service Form I-9 is an excellent
source for this information.

Joint Venture ‑ A partnership or cooperative agreement between two or
more persons or firms, usually restricted to a single specific
undertaking. Normally the undertaking is of short duration, such as for
the design and construction of a dam.

Liability ‑ Claim on the assets of a company or individual.

Licensing Agreement ‑ A permit granted by one business to another which
permits duplication of processes and production of similar items.

Management Positions ‑ For the purposes of the questions on this form,
management positions shall include owners, officers, directors,
partners, regents, trustees, senior management officials, other
executive personnel and the facility security.

Nominee Share ‑ A share of stock or registered bond certificate which
has been registered in a name other than the actual owner.

Proxy ‑ One who acts for another. Also, the document by which such a
representative is authorized to act.

Representative of a Foreign Interest (RFI ) ‑ A citizen or national of
the U.S., who is acting as a representative of a foreign interest (see
Foreign Interest).

S.E.C. Schedule 13D ‑ This schedule discloses beneficial ownership of
certain registered equity securities. Any person or group of persons who
acquire a beneficial ownership of more than 5 percent of a class of
registered equity securities of certain issuers must file a Schedule 13D
reporting such acquisition with certain other information.

S.E.C. Schedule 13G ‑ This schedule is a much abbreviated version of
Schedule 13D that is only available for use by a limited category of
\"persons" (such as banks, broker/dealers, and insurance companies) and
even then only when the securities were acquired in the ordinary course
of business‑ and not with the purpose or effect of changing or
influencing the control of the issuer.

Sales Agreement ‑ An agreement between two parties for the sale of goods
or services on a continuing basis.

Stock Option ‑ An option is the right to buy or sell at some point in
the future.

Street Name ‑ The common practice of registering publicly traded
securities in the name of one or more brokerage firms.

Subordinated Debenture ‑ A bond having a claim on assets only after the
senior debt has been paid off in the event of liquidation.

Surety ‑ One who is immediately liable for the debt of another if that
other person or entity fails to pay.

Total Capital Commitment ‑ The sum of money and other property an
enterprise uses in transacting its business.

U.S. Person ‑ Any form of business enterprise or entity organized,
chartered or incorporated under the laws of the United States or its
possessions and trust territories and any person who is a citizen or
national of the United States.

List ALL Owners, Officers, Directors, and Executive Personnel (OODEPs),
Company's Current Legal Name, Address, and Phone Number of Company's
Principal Executive Offices, Other names used (e.g., doing business as):

Date Submitted:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> Tax Identification No.
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Date Company was Incorporated:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

State of Incorporation:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Must
provide any name or address change of the Company's principal executive
office and date(s) of change during past 10 years on the Attachment
page.)

> Organization Status:

+-----------+------------+-------------+------------------------------+
| -   Co    | -   Sole   | P           | -   Other:                   |
| rporation |     Prop   | artnership: |                              |
|           | rietorship |             |                              |
|           |            | -   General |                              |
|           |            |             |                              |
|           |            | -   Limited |                              |
+-----------+------------+-------------+------------------------------+

+---------------------+----------------------+------------------------+
| -   Privately-Owned | -   Publicly-Traded  | -   Subsidiary of:     |
+---------------------+----------------------+------------------------+

> Stock Ownership:

+---------------+----------+----------+--------+-------------+------+
| NAME          | POSITION | IF       | SSN    | CLEARANCE   | CIT  |
|               | TITLES   | OWNER,   |        | HELD AND/OR | IZEN |
| First Name,   |          |          |        | BEING       | SHIP |
| Initial, Last |          | \% OF    |        | OBTAINED    |      |
| Name          |          | O        |        | AND ISSUING |      |
|               |          | WNERSHIP |        | AGENCY      |      |
|               |          | 2        |        |             |      |
+---------------+----------+----------+--------+-------------+------+
|               |          |          |        |             |      |
+---------------+----------+----------+--------+-------------+------+
|               |          |          |        |             |      |
+---------------+----------+----------+--------+-------------+------+
|               |          |          |        |             |      |
+---------------+----------+----------+--------+-------------+------+
|               |          |          |        |             |      |
+---------------+----------+----------+--------+-------------+------+
|               | Facility |          |        |             |      |
|               | Security |          |        |             |      |
|               | Officer  |          |        |             |      |
+---------------+----------+----------+--------+-------------+------+

> 1The above information, i.e., name, titles, etc., must be provided for
> the following: (a) the proprietor of a sole proprietorship; (b)
> [all]{.underline} individuals managing the business affairs of a
> corporation. In most cases, these individuals are identified in the
> Articles of Incorporation or By-Laws and include the Board of
> Directors, President, Secretary, and Treasurer;
>
> \(c\) the General Partner(s) of a Limited Partnership; and (d) all
> partners of a General Partnership. 2 In addition, privately-held
> entities must provide the above information, i.e., name, titles, etc.,
> for all owners, and also provide the percentage of issued stock/shares
> held by each owner List certified correct by:
>
> [\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}
>
> Typed or Printed Name and Signature Title Date
>
> Page Blank

COMPANY'S PRINCIPAL EXECUTIVE OFFICE NAME/ADDRESS CHANGE

Company Name/Address Change: Date of Change:

Page Blank

**FOCI DATA SHEET**

COMPANY NAME:

Listed below are documents required to complete a FOCI Determination.

[FOCI Determination Documents common to all Business
Structures]{.underline}

OODEP LIST

RFI STATEMENT

SF-328

WEB PAGE ADDRESS (if applicable)

[Additional documents required to be included for a PUBLICLY TRADED
CORPORATION]{.underline}

ARTICLES OF INCORPORATION

SEC 10K REPORT

PROXY STATEMENT

SEC SCHEDULES 13D & 13G

CORPORATE BY-LAWS

IRS FORM 5471

ANNUAL REPORT WITH FINANCIAL INFORMATION

[Additional documents required to be included for a PRIVATELY OWNED
CORPORATION]{.underline}

ARTICLES OF INCORPORATION

CORPORATE BY-LAWS

IRS FORM 5471 (IF APPLICABLE)

ANNUAL REPORT WITH FINANCIAL INFORMATION (OR)

AUDITED FINANCIAL INFORMATION IN LIEU OF ANNUAL REPORT

> (IF UNAUDITED, SUBMIT A CERTIFICATION ATTESTING TO THE UNAVAILABILITY
> OF AUDITED INFORMATION)

[Additional documents required for a PARTNERSHIP]{.underline}

PARTNERSHIP AGREEMENT

SEC 10K REPORT

PROXY STATEMENT

SEC SCHEDULES 13D & 13G

IRS FORMS 5471 & 1065

LATEST ANNUAL REPORT WITH FINANCIAL INFORMATION (OR)

AUDITED FINANCIAL INFORMATION IN LIEU OF ANNUAL REPORT

> (IF UNAUDITED, SUBMIT A CERTIFICATION ATTESTING TO THE

UNAVAILABILITY OF AUDITED INFORMATION)

MOST CURRENT BOARD MEETING MINUTES IDENTIFYING

EXECUTIVE APPOINTMENTS/CHANGES

[Additional documents required for a PROPRIETORSHIP]{.underline}

TAX ID NO./STATE REGISTRATION CERTIFICATE

IRS FORM 1040

ANNUAL REPORT OR AUDITED FINANCIAL INFORMATION FOR MOST

RECENT FISCAL YEAR (IF AUDITED REPORT IS NOT AVAILABLE

CFO/TREASURER MUST SIGN AND DATE THE FINANCIAL STATEMENT

CERTIFYING THAT IT IS CURRENT AND CORRECT)

IF COMMUNITY PROPERTY STATE (AZ, CA, ID, LA, NV, NM, TX, WA,

WI) SPOUSAL INFORMATION IS ALSO REQUESTED. IF SUBJECT IS

SINGLE PLEASE SO STATE.

[Additional documents required for a LIMITED LIABILITY
CORPORATION]{.underline}

CERTIFICATE OF ORGANIZATION

OPERATING AGREEMENT

AUDITED FINANCIAL INFORMATION FOR MOST RECENT FISCAL YEAR

(IF UNAUDITED THE CFO/TREASURER MUST SIGN AND DATE THE

FINANCIAL STATEMENT CERTIFYING THAT IT IS CURRENT AND

CORRECT)

[Additional documents required for a COLLEGE/UNIVERSITY]{.underline}

UNIVERSITY CHARTER

LATEST ANNUAL REPORT

MOST CURRENT BOARD MEETING MINUTES IDENTIFYING

EXECUTIVE APPOINTMENTS/CHANGE

SAMPLE FORMAT

[REPRESENTATIVE FOR FOREIGN INTEREST STATEMENT]{.underline}

This form is to be initially submitted, as part of the FOCI package, by
the contractor or subcontractor. The form should be completed and
executed by each employee who holds a position with a foreign interest
and who possesses or is being processed for a DOE security clearance who
becomes an RFI or whose status as an RFI changes in a manager that would
make him/her ineligible for a security clearance.)

[Name and address of the foreign firm]{.underline}:

[Nature of business of foreign firm]{.underline}:

[Details of ownership of foreign firm]{.underline}:

[The specific relationship between the foreign firm and the United
States firm]{.underline}:

[Percentage of time devoted to foreign firm]{.underline}:

[Summary of duties with the United State firm. Provide detailed
information as well as title of position]{.underline}:

[Summary of duties with the foreign firm. Provide detailed information
as well as title of position]{.underline}:

[Have you ever registered as an Agent of a foreign government as
detailed in 18 U.S.C. 219? If so, provide details]{.underline}:

[Communist affiliation; if none, so state]{.underline}:

**CERTIFICATION**

I recognize my special responsibility to protect classified information
from disclosure to any unauthorized person, foreign or domestic.

Typed or Printed Name:

Full Name: Date:

(Signature)

SSN:

Facility:

Page Blank