Alliant Techsystems reference number/RFP number (to be provided by buyer):
Supplier: Complete the following information based upon the maximum proposed value and submit the signed form to the buyer. 1. Seller’s signature for the following certifications must be by Seller’s principal(s) having primary management or supervisory responsibility within Seller’s business entity. 2. Seller must immediately notify buyer of any changes to the following certifications and/or Seller’s status under such certifications based upon the referenced FAR clauses. 3. Seller will request from its lower tier subcontractors, if any, similar certifications in all subawards. 4. Seller’s signature for the following certifications is a material representation of fact upon which Buyer relies upon prior to making award. Completion and submission of these certifications is a prerequisite for making or entering into an order with Alliant Techsystems. If it is later determined, that the Seller knowingly rendered an erroneous certification, in addition to the other remedies available, Buyer may terminate any order resulting from this solicitation for default.
I. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, OR PROPOSED DEBARMENT
The Seller certifies, to the best of its knowledge and belief, that the Seller and/or any of its Principals ARE ARE NOT presently debarred, suspended, or proposed for debarment by any Federal agency. II. NOTIFICATION OF INTERNATIONAL TRANSPORTATION OF SUPPLIES BY SEA (FAR 52.247-64; DFARS 252.247-7023 & 252.247-7024) Seller completes either Section 1 or Section 2, whichever is applicable.
SECTION 1: Seller certifies that neither it nor its lower tier subcontractors will be transporting by sea any readily identifiable supplies in the performance of any resulting order. SECTION 2: Seller certifies that it or its lower tier subcontractors will be transporting by sea readily identifiable supplies for eventual use by the armed services or owned by the armed services in the performance of any resulting order. Seller shall indicate below the supplies, materials, or component parts that may require such transportation under any resulting order or any tier of subcontracting.
III. CERTIFICATION FOR LIMITATIONS ON THE PAYMENT OF FUNDS TO INFLUENCE FEDERAL TRANSACTIONS
(PUBLIC LAW 101-121, FAR 52.203-11) (Byrd Amendment)
Seller completes either Section 1 or Section 2, whichever is applicable. The Seller hereby certifies, to the best of his or her knowledge and belief, that on or after December 23, 1989:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the Seller, 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 awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds (including profit or fee received under a covered Federal transaction) 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 in connection with this solicitation, the offeror shall complete and submit Standard Form LLL, “Disclosure of Lobbying Activities,” enclosed herein in accordance with its instructions. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Disclosure of Lobbying Activities; complete and submit Form # AD-102.
IV. CONTRACTOR CODE OF BUSINESS ETHICS AND CONDUCT (FAR 52.203-13) The Seller hereby certifies that the Seller requirements of FAR 52.2303-13. The Seller hereby certifies that the Seller
will comply within 30 days of contract award with the full intent and
V. DISPLAY OF HOTLINE POSTER(S) (FAR 52.203-14) complies with the full intent and requirements of FAR 52.2303-14.
NAME AND TITLE (PRINT)
AC-1079 REV 10/08