**OFFEROR REPRESENTATIONS AND CERTIFICATIONS\-- COMMERCIAL ITEMS
(FAR 52.212-3) (APR 2002)**

> \(a\) *Definitions.* As used in this provision:

**\"Emerging small business,"** means a small business concern whose
size is no greater than 50 percent of the numerical size standard for
the NAICS code designated.

**"Forced or indentured child labor,"** means all work or service-

(1) Exacted from any person under the age of 18 under menace of any
    penalty for its nonperformance and for which the worker does not
    offer himself voluntarily; or

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(1) Performed by any person under the age of 18 pursuant to a contract
    the enforcement of which can be accomplished by process or
    penalties.

> **\"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, in the case of any publicly owned
business, not less than 51 percent of the stock of which is owned by one
or more service-disabled veterans; and

\(ii\) The management and daily business operations of which are
controlled by one or more service-disabled veterans or, in the case of a
veteran with permanent and severe disability, the spouse or permanent
caregiver of such veteran.

\(2\) Service-disabled veteran means a veteran, as defined in 38 U.S.C.
101(2), with a disability that is service-connected, as defined in 38
U.S.C. 101(16).

**\"Small business concern\"** 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 in 13 CFR part 121
and size standards in this solicitation.

> **\"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.S.C. 101(2)) or, in the case of any publicly owned
business, not less than 51 percent of the stock of which is owned by one
or more veterans; and

> \(2\) The management and daily business operations of which are
> controlled by one or more veterans.

**\"Women-owned business concern\"** means a concern which is at least
51 percent owned by one or more women; or in the case of any publicly
owned business, at least 51 percent of its stock is owned by one or more
women; and whose management and daily business operations are controlled
by one or more women.

**"Women-owned small business concern\"** means a small business
concern\--

\(1\) Which is at least 51 percent owned by one or more women or, in the
case of any publicly owned business, at least 51 percent of the stock of
which is owned by one or more women; and

> \(2\) Whose management and daily business operations are controlled by
> one or more women.

\(b\) *Taxpayer Identification Number (TIN) (26 U.S.C. 6109, 31 U.S.C.
7701).* (Not applicable if the offeror is required to provide this
information to a central contractor registration database to be eligible
for award.)

\(1\) All offerors must submit the information required in paragraphs
(b)(3) through (b)(5) of this provision to comply with debt collection
requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of
26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by
the Internal Revenue Service (IRS).

\(2\) 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.S.C. 7701(c)(3)). If the resulting contract is subject
to the payment reporting requirements described in FAR 4.904, the TIN
provided hereunder may be matched with IRS records to verify the
accuracy of the offeror\'s TIN.

> \(3\) *Taxpayer Identification Number (TIN).*
>
> TIN: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
>
> 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 United States and does not have
> an office or place of business or a fiscal paying agent in the United
> States;
>
> Offeror is an agency or instrumentality of a foreign government;
>
> Offeror is an agency or instrumentality of the Federal Government.
>
> \(4\) *Type of organization*.
>
> Sole proprietorship;
>
> Partnership;
>
> Corporate entity (not tax-exempt);
>
> Corporate entity (tax-exempt);
>
> Government entity (Federal, State, or Local);
>
> Foreign Government;
>
> International organization per 26 CFR 1.6049-4;
>
> Other \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
>
> \(5\) *Common parent.*
>
> Offeror is not owned or controlled by a common parent;
>
> Name and TIN of common parent:
>
> Name \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
>
> TIN \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
>
> \(c\) 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. ***Check all that
> apply:***

\(1\) *Small business concern*. The offeror represents as part of its
offer that it is, is not a small business concern.

\(2\) *Veteran-owned small business concern*. \[Complete only if the
offeror represented itself as a small business concern in paragraph
(c)(1) of this provision.\] The offeror represents as part of its offer
that it is, is not a veteran-owned small business concern.

\(3\) *Service-disabled veteran-owned small business concern.*
\[Complete only if the offeror represented itself as a veteran-owned
small business concern in paragraph (c)(2) of this provision.\] The
offeror represents as part of its offer that it is, is not a
service-disabled veteran-owned small business concern.

\(4\) *Small disadvantaged business concern.* \[Complete only if the
offeror represented itself as a small business concern in paragraph
(c)(1) of this provision.\] The offeror represents, for general
statistical purposes, that it is, is not a small disadvantaged business
concern as defined in 13 CFR 124.1002.

\(5\) *Women-owned small business concern.* \[Complete only if the
offeror represented itself as a small business concern in paragraph
(c)(1) of this provision.\] The offeror represents that it is, is not a
women-owned small business concern.

> Note: Complete paragraphs (c)(6) and (c)(7) only if this solicitation
> is expected to exceed the simplified acquisition threshold.

\(6\) *Women-owned business concern (*other than small business
concern). \[Complete only if the offeror is a women-owned business
concern and did not represent itself as a small business concern in
paragraph (c)(1) of this provision.\] The offeror represents that it is
a women-owned business concern.

\(7\) *Tie bid priority for labor surplus area concerns*. If this is an
invitation for bid, small business offerors may identify the labor
surplus areas in which costs to be incurred on account of manufacturing
or production (by offeror or first-tier subcontractors) amount to more
than 50 percent of the contract price:

\(8\) Small Business Size for the Small Business Competitiveness
Demonstration Program and for the Targeted Industry Categories under the
Small Business Competitiveness Demonstration Program. \[Complete only if
the offeror has represented itself to be a small business concern under
the size standards for this solicitation.\]

\(i\) \[Complete only for solicitations indicated in an addendum as
being set-aside for emerging small businesses in one of the four
designated industry groups (DIGs).\] The offeror represents as part of
its offer that it is, is not an emerging small business.

(ii*)* \[Complete only for solicitations indicated in an addendum as
being for one of the targeted industry categories (TICs) or four
designated industry groups (DIGs).\] Offeror represents as follows:

\(A\) Offeror\'s number of employees for the past 12 months (check the
Employees column if size standard stated in the solicitation is
expressed in terms of number of employees); or

\(B\) Offeror\'s average annual gross revenue for the last 3 fiscal
years (check the Average Annual Gross Number of Revenues column if size
standard stated in the solicitation is expressed in terms of annual
receipts).

> *(Check one of the following):*

+--------------------------------+-------------------------------------+
| # NUMBER OF EMPLOYEES          | # AVERAGE ANNUAL GROSS REVENUES     |
+--------------------------------+-------------------------------------+
| > \_\_\_ 50 or fewer           | > \_\_\_ \$1 million or less        |
+--------------------------------+-------------------------------------+
| > \_\_\_ 51-100                | > \_\_\_ \$1,000,001-\$2 million    |
+--------------------------------+-------------------------------------+
| > \_\_\_ 101-250               | > \_\_\_ \$2,000,001-\$3.5 million  |
+--------------------------------+-------------------------------------+
| > \_\_\_ 251-500               | > \_\_\_ \$3,500,001-\$5 million    |
+--------------------------------+-------------------------------------+
| > \_\_\_ 501-750               | > \_\_\_ \$5,000,001-\$10 million   |
+--------------------------------+-------------------------------------+
| > \_\_\_ 751-1000              | > \_\_\_ \$10,000,001-\$17 million  |
+--------------------------------+-------------------------------------+
| > \_\_\_ Over 1000             | > \_\_\_ Over \$17 million          |
+--------------------------------+-------------------------------------+
|                                |                                     |
+--------------------------------+-------------------------------------+

\(9\) \[Complete only if the solicitation contains the clause at FAR
52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged
Business Concerns, or FAR 52.219-25, Small Disadvantaged Business
Participation Program\--Disadvantaged Status and Reporting, and the
offeror desires a benefit based on its disadvantaged status.\]

> \(i\) *General.* The offeror represents that either\--

\(A\) It is, is not certified by the Small Business Administration as a
small disadvantaged business concern and identified, on the date of this
representation, as a certified small disadvantaged business concern in
the database maintained by the Small Business Administration (PRO-Net),
and that no material change in disadvantaged ownership and control has
occurred since its certification, and, where the concern is owned by one
or more individuals claiming disadvantaged status, the net worth of each
individual upon whom the certification is based does not exceed
\$750,000 after taking into account the applicable exclusions set forth
at 13 CFR 124.104(c)(2); or

\(B\) It has, has not 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,
Subpart B, and a decision on that application is pending, and that no
material change in disadvantaged ownership and control has occurred
since its application was submitted.

\(ii\) *Joint Ventures under the Price Evaluation Adjustment for Small
Disadvantaged Business Concerns.* The offeror represents, as part of its
offer, that it is a joint venture that complies with the requirements in
13 CFR 124.1002(f) and that the representation in paragraph (c)(7)(i) of
this provision is accurate for the small disadvantaged business concern
that is participating in the joint venture. \[The offeror shall enter
the name of the small disadvantaged business concern that is
participating in the joint
venture:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.\]

\(10\) HUBZone small business concern. \[Complete only if the offeror
represented itself as a small business concern in paragraph (c)(1) of
this provision.\] The offeror represents as part of its offer that\--

\(i\) It is, is not a HUBZone small business concern listed, on the date
of this representation, on the List of Qualified HUBZone Small Business
Concerns maintained by the Small Business Administration, and no
material change in ownership and control, principal place of ownership,
or HUBZone employee percentage has occurred since it was certified by
the Small Business Administration in accordance with 13 CFR part 126;
and

\(ii\) It is, is not a joint venture that complies with the requirements
of 13 CFR part 126, and the representation in paragraph (c)(11)(i) of
this provision is accurate for the HUBZone small business concern or
concerns that are participating in the joint venture. \[The offeror
shall enter the name or names of the HUBZone small business concern or
concerns that are participating in the joint venture:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.\]
Each HUBZone small business concern participating in the joint venture
shall submit a separate signed copy of the HUBZone representation.

\(d\) *Representations required to implement provisions of Executive
Order 11246---*

\(1\) Previous contracts and compliance. The offeror represents that\--

\(i\) It has, has not participated in a previous contract or subcontract
subject to the Equal Opportunity clause of this solicitation; and

> \(ii\) It has, has not filed all required compliance reports.
>
> \(2\) *Affirmative Action Compliance.* The offeror represents that\--

\(i\) It has developed and has on file, has not developed and does not
have on file, at each establishment, affirmative action programs
required by rules and regulations of the Secretary of Labor (41 CFR
parts 60-1 and 60-2), or

\(ii\) It has not previously had contracts subject to the written
affirmative action programs requirement of the rules and regulations of
the Secretary of Labor.

\(e\) *Certification Regarding Payments to Influence Federal
Transactions (31 U.S.C. 1352).* (Applies only if the contract is
expected to exceed \$100,000.) By submission of its offer, the offeror
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, a Member of Congress, an officer or employee of Congress or an
employee of a Member of Congress on his or her behalf in connection with
the award of any resultant contract.

\(f\) *Buy American Act\--Balance of Payments Program Certificate.*
(Applies only if the clause at Federal Acquisition Regulation (FAR)
52.225-1, Buy American Act\--Balance of Payments Program\--Supplies, is
included in this solicitation.)

\(1\) The offeror certifies that each end product, except those listed
in paragraph (f)(2) of this provision, is a domestic end product as
defined in the clause of this solicitation entitled \"Buy American
Act\--Balance of Payments Program\--Supplies\" and that the offeror has
considered components of unknown origin to have been mined, produced, or
manufactured outside the United States. The offeror shall list as
foreign end products those end products manufactured in the United
States that do not qualify as domestic end products.

\(2\) Foreign End Products:

> Line Item No Country of Origin
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\[*List as necessary*\]

\(3\) The Government will evaluate offers in accordance with the
policies and procedures of FAR Part 25.

(g)(1) *Buy American Act\--North American Free Trade Agreement\--Israeli
Trade Act\--Balance of Payments Program Certificate*. (Applies only if
the clause at FAR 52.225-3, Buy American Act\--North American Free Trade
Agreement---Israeli Trade Act\--Balance of Payments Program, is included
in this solicitation.)

\(i\) The offeror certifies that each end product, except those listed
in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic
end product as defined in the clause of this solicitation entitled \"Buy
American Act\--North American Free Trade Agreement\--Israeli Trade
Act\--Balance of Payments Program\" and that the offeror has considered
components of unknown origin to have been mined, produced, or
manufactured outside the United States.

\(ii\) The offeror certifies that the following supplies are NAFTA
country end products or Israeli end products as defined in the clause of
this solicitation entitled \"Buy American Act\--North American Free
Trade Agreement\--Israeli Trade Act\--Balance of Payments Program\":

> **NAFTA Country or Israeli End Products**:
>
> Line Item No Country of Origin
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\[*List as necessary*\]

\(iii\) The offeror shall list those supplies that are foreign end
products (other than those listed in paragraph (g)(1)(ii) of this
provision) as defined in the clause of this solicitation entitled \"Buy
American Act\--North American Free Trade Agreement\--Israeli Trade
Act\--Balance of Payments Program.\" The offeror shall list as other
foreign end products those end products manufactured in the United
States that do not qualify as domestic end products.

> **Other Foreign End Products**:
>
> Line Item No Country of Origin
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\[*List as necessary*\]

\(iv\) The Government will evaluate offers in accordance with the
policies and procedures of FAR Part 25.

\(2\) *Buy American Act\--North American Free Trade Agreements\--Israeli
Trade Act\--Balance of Payments Program Certificate, **Alternate I**
(Feb 2000).* If Alternate I to the clause at FAR 52.225-3 is included in
this solicitation, substitute the following paragraph (g)(1)(ii) for
paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are
Canadian end products as defined in the clause of this solicitation
entitled \"Buy American Act\--North American Free Trade
Agreement\--Israeli Trade Act\--Balance of Payments Program\":

> **Canadian End Products:**

Line Item No.

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(*List as neces*sary)

\(3\) *Buy American Act\--North American Free Trade Agreements\--Israeli
Trade Act\--Balance of Payments Program Certificate, **Alternate II**
(Feb 2000)*. If Alternate II to the clause at FAR 52.225-3 is included
in this solicitation, substitute the following paragraph (g)(1)(ii) for
paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are
Canadian end products or Israeli end products as defined in the clause
of this solicitation entitled \"Buy American Act\--North American Free
Trade Agreement\--Israeli Trade Act\--Balance of Payments Program\":

> **Canadian or Israeli End Products:**
>
> Line Item No Country of Origin
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \[*List as necessary*\]

\(4\) *Trade Agreements Certificate.* (Applies only if the clause at FAR
52.225-5, Trade Agreements, is included in this solicitation.)

\(i\) The offeror certifies that each end product, except those listed
in paragraph (g)(4)(ii) of this provision, is a U.S.-made, designated
country, Caribbean Basin country, or NAFTA country end product, as
defined in the clause of this solicitation entitled \"Trade
Agreements.\"

\(ii\) The offeror shall list as other end products those end products
that are not U.S.-made, designated country, Caribbean Basin country, or
NAFTA country end products.

> **Other End Products**:
>
> Line Item No Country of Origin
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \[List as necessary\]

\(iii\) The Government will evaluate offers in accordance with the
policies and procedures of FAR Part 25. For line items subject to the
Trade Agreements Act, the Government will evaluate offers of U.S.-made,
designated country, Caribbean Basin country, or NAFTA country end
products without regard to the restrictions of the Buy American Act or
the Balance of Payments Program. The Government will consider for award
only offers of U.S.-made, designated country, Caribbean Basin country,
or NAFTA country end products unless the Contracting Officer determines
that there are no offers for such products or that the offers for such
products are insufficient to fulfill the requirements of the
solicitation.

\(h\) *Certification Regarding Debarment, Suspension or Ineligibility
for Award* (Executive

Order 12549). (Applies only if the contract value is expected to exceed
the simplified acquisition

threshold.) The offeror certifies, to the best of its knowledge and
belief, that\--

\(1\) Are, are not presently debarred, suspended, proposed for
debarment, or declared ineligible for the award of contracts by any
Federal agency; and

\(2\) Have, have not, within the three-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
Federal, state or local

government 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, tax evasion, or
receiving stolen property;

\(3\) Are, are not presently indicted for, or otherwise criminally or
civilly charged by a

government entity with, commission of any of these offenses; and

(i) *Certification Regarding Knowledge of Child Labor for Listed End
    Products (Executive Order 13126).* \[The Contracting Officer must
    list in Paragraph (i)(1) any end products being acquired under this
    solicitation that are included in the List of Products Requiring
    Contractor Certification as to Forced or Indentured Child Labor,
    unless excluded at 22.1503(b).\]

\(1\) Listed end products

> Listed End Product Listed Countries of Origin
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(2) Certification. \[If the Contracting Officer has identified end
    products and countries of origin in paragraph (i)(1) of this
    provision, then the offer must certify to either (i)(2)(i) or
    (i)(2)(ii) by checking the appropriate block.\]

> \[ \] (i) The offeror will not supply any end product listed in
> paragraph (j)(1) of this provision that was mined, produced, or
> manufactured in the corresponding country as listed for that product.
>
> \[ \] (ii) The offeror may supply an end product listed in paragraph
> (j)(1) of this provision that was mined, produced, or manufactured in
> the corresponding country as listed for that product. The offeror
> certifies that it has made a good faith effort to determine whether
> forced or indentred child labor was used to mine, produce, or
> manufacture any such end product furnished under this contract. On the
> basis of those efforts, the offeror certifies that it is not aware of
> any such use of child labor.

(End of provision)

Alternate I (APR 2002). As prescribed in 12.301(b)(2), add the following
paragraph (c)(11) to the basic provision:

\(11\) (Complete if the offeror has represented itself as disadvantaged
in paragraph (c)(2) or (c)(9) of this provision.)

\[The offeror shall check the category in which its ownership falls\]:

\_\_\_\_ Black American.

\_\_\_\_ Hispanic American.

\_\_\_\_ Native American (American Indians, Eskimos, Aleuts, or Native
Hawaiians).

\_\_\_\_ Asian-Pacific American (persons with origins from Burma,
Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan,
Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, U.S. Trust
Territory of the Pacific Islands (Republic of Palau), Republic of the
Marshall Islands, Federated States of Micronesia, the Commonwealth of
the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji,
Tonga, Kiribati, Tuvalu, or Nauru).

\_\_\_\_ Subcontinent Asian (Asian-Indian) American (persons with
origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the
Maldives Islands, or Nepal).

\_\_\_\_ Individual/concern, other than one of the preceding.

Alternate II(OCT 2000). As prescribed in 12.301(b)(2), add the following
parargraph (c)(9)(iii) to the basic provision:

\(iii\) Address. The offeror represents that its address is, is not in a
region for which a small disadvantaged business procurement mechanism is
authorized and its address has not changed since its certification as a
small disadvantaged business concern or submission of its application
for certification. The list of authorized small disadvantaged business
procurement mechanisms and regions is posted at
http://www.arnet.gov/References/sdbadjustments.htm. The offeror shall
use the list in effect on the date of this solicitation. \"Address,\" as
used in this provision, means the address of the offeror as listed on
the Small Business Administration\'s register of small disadvantaged
business concerns or the address on the completed application that the
concern has submitted to the Small Business Administration or a Private
Certifier in accordance with 13 CFR part 124, subpart B. For joint
ventures, \"address\" refers to the address of the small disadvantaged
business concern that is participating in the joint venture

*(End of provision)*

**CENTRAL CONTRACTOR REGISTRATION (NFS 1852.204-74)**

**(AUGUST 2000)**

## 

(a) *Definitions.* As used in this clause --

\(1\) "Central Contractor Registration (CCR) database" means the primary
DoD repository for contractor information required for the conduct of
business with NASA.

\(2\) "Data Universal Number System (DUNS) number" means the 9-digit
number assigned by Dun and Bradstreet Information Services to identify
unique business entities.

\(3\) "Data Universal Numbering System +4 (DUNS+4) number" means the
DUNS number assigned by Dun and Bradstreet plus a 4-digit suffix that
may be assigned by a parent (controlling) business concern. This 4-digit
suffix may be assigned at the discretion of the parent business concern
for such purposes as identifying sub-units or affiliates of the parent
business concern.

\(4\) "Commercial Government and Entity Code (CAGE Code)" means

\(i\) A code assigned by the Defense Logistics Information Service
(DLIS) to identify a commercial or Government entity; or

\(ii\) A code assigned by a member of the North Atlantic Treaty
Organization (NATO) that is recorded and maintained by DLIS in the CAGE
master file.

\(5\) "Registered in the CCR database" means that all mandatory
information, including the DUNS number or the DUNS+4 number, if
applicable, and the corresponding CAGE code, is in the CCR database; the
DUNS number and the CAGE code have been validated; and all edits have
been successfully completed.

\(b\) (1) By submission of an offer, the offeror acknowledges the
requirement that a prospective awardee **must** be registered in the CCR
database prior to award, during performance, and through final payment
of any contract resulting from this solicitation, except for awards to
foreign vendors performing work outside of the United States.

\(2\) The Contracting Officer will verify that the offeror is registered
in the CCR database.

**(3) Lack of registration in the CCR database will make an offeror
ineligible for award after March 31, 2001.**

\(4\) DoD has established a goal of registering an applicant in the CCR
database within 48 hours after receipt of a complete and accurate
application via the Internet. However, registration of an applicant
submitting an application through a method other than the Internet may
take up to 30 days. Therefore, offerors that are not registered should
consider applying for registration immediately upon receipt of this
solicitation.

\(c\) The Contractor is responsible for the accuracy and completeness of
the data within the CCR, and for any liability resulting from the
Government's reliance on inaccurate or incomplete data. To remain
registered in the CCR database after the initial registration, the
Contractor is required to confirm on an annual basis that its
information in the CCR database is accurate and complete.

\(d\) Offerors and contractors may obtain information on registration
and annual confirmation requirements via the Internet at
[http://www.ccr.dlis.dla.mil](http://www.ccr.dlis.dla.mil/) or by
calling 888-CCR-2423 (888-227-2423).

(*End of clause*)

**Compliance with Veterans' Employment Reporting Requirements
(February 1999) (PIC 99-12)**

By submission of its offer, the offeror represents that, if it is
subject to the reporting requirements of 37 U.S.C. 4212(d) (i.e., the
VETS-100 report required by Federal Acquisition Regulation clause
52.222-37, Employment Reports on Disabled Veterans and Veterans of the
Vietnam Era), it has submitted the most recent report required by 37
U.S.C. 4212(d).

(*End of provision*)

**I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT TO THE BEST OF MY
KNOWLEDGE.**

## Signature Date 

## Title

Company Name