Certificate of Citizenship (SCM-FRM-201.0.3) by EQ7Al75w

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									                                            FFATA Certification
Firm: _________________________

Name: _________________________

Title: _________________________

Please fill in below as appropriate

Exemption for Reporting Information in Accordance with FAR 52.204-10
I hereby certify that, to the best of my belief, my gross income from all sources is less
than $300,000 for my proceeding fiscal year and I am not required to report any
information in accordance with FAR 52.204-10
Signature:             _________________________

Date of Execution:       ___/___/_

Exemption from Reporting Executive Compensation in Accordance with FAR 52.204-10
I hereby certify that, to the best of my belief, my annual gross revenue from U. S.
federal contracts, subcontracts, loans, grants, subgrants, and/ or cooperative
agreements was less than $25,000,000 or less than 80% of my annual gross revenue
was from U. S. federal contracts, subcontracts, loans, grants, subgrants, and/ or
cooperative agreements and I am not required to report Executive Compensation in
accordance with FAR 52.204-10

Signature:             _________________________

Date of Execution:       ___/___/_


Exemption from Reporting Executive Compensation to GDATP in Accordance with FAR
52.204-10
I hereby certify that the public has access to information about the compensation of my
top 5 executives through periodic reports filed under section 13(a) or 15(d) of the
Securities Exchange Act of 1934 (15 U.S.C. 78m (a), 78o (d)) or section 6104 of the
Internal Revenue Code 1986 and I do not have to report this information to GDATP in
accordance with FAR 52.204-10
Signature:             _________________________

Date of Execution:       ___/___/_

Federal Funding Accountability and Transparency Act (FFTA) Certification




SCM-FRM-8.6.0.1      07/12

								
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