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Submission: On July 14 via manual from US — Scanned from DE
Submission: On July 14 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST /RepsAndCerts/RepsAndCerts/SaveRepsAndCerts
<form action="/RepsAndCerts/RepsAndCerts/SaveRepsAndCerts" id="SaveForm" method="post" novalidate="novalidate"><input data-val="true" data-val-number="The field RnCId must be a number." data-val-required="The RnCId field is required." id="RnCId"
name="RnCId" type="hidden" value="127757">
<div class="row">
<div class="col-lg-3">
<label class="text-danger" for="CompanyName">*COMPANY NAME</label>
</div>
<div class="col-lg-3">
<input class="form-control" data-val="true" data-val-required="Company Name is required" id="CompanyName" name="CompanyName" onblur="validate()" type="text" value="">
</div>
<div class="col-lg-6" style="padding-top: 6px;">
<span class="field-validation-valid validationFailed" data-valmsg-for="CompanyName" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger" for="Street1">*STREET ADDRESS 1</label>
</div>
<div class="col-lg-3">
<input class="form-control" data-val="true" data-val-required="Street Address is required" id="Street1" name="Street1" onblur="validate()" type="text" value="">
</div>
<div class="col-lg-6" style="padding-top: 6px;">
<span class="field-validation-valid validationFailed" data-valmsg-for="Street1" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger" for="Street2">STREET ADDRESS 2</label>
</div>
<div class="col-lg-3">
<input class="form-control" id="Street2" name="Street2" type="text" value="">
</div>
<div class="col-lg-6"></div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger" for="City">*CITY</label>
</div>
<div class="col-lg-3">
<input class="form-control" data-val="true" data-val-required="City is required" id="City" name="City" onblur="validate()" type="text" value="">
</div>
<div class="col-lg-6" style="padding-top: 6px;">
<span class="field-validation-valid validationFailed" data-valmsg-for="City" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row" id="stateDiv">
<div class="col-lg-3">
<label>STATE</label>
</div>
<div class="col-lg-3">
<select class="form-control" id="StateAddressDD" name="SelectedAddressState">
<option value="">-Select a State-</option>
<option value="ALABAMA">AL</option>
<option value="ALASKA">AK</option>
<option value="ARIZONA">AZ</option>
<option value="ARKANSAS">AR</option>
<option value="CALIFORNIA">CA</option>
<option value="COLORADO">CO</option>
<option value="CONNECTICUT">CT</option>
<option value="DELAWARE">DE</option>
<option value="DISTRICT OF COLUMBIA">DC</option>
<option value="FLORIDA">FL</option>
<option value="GEORGIA">GA</option>
<option value="HAWAII">HI</option>
<option value="IDAHO">ID</option>
<option value="ILLINOIS">IL</option>
<option value="INDIANA">IN</option>
<option value="IOWA">IA</option>
<option value="KANSAS">KS</option>
<option value="KENTUCKY">KY</option>
<option value="LOUISIANA">LA</option>
<option value="MAINE">ME</option>
<option value="MARYLAND">MD</option>
<option value="MASSACHUSETTS">MA</option>
<option value="MICHIGAN">MI</option>
<option value="MINNESOTA">MN</option>
<option value="MISSISSIPPI">MS</option>
<option value="MISSOURI">MO</option>
<option value="MONTANA">MT</option>
<option value="NEBRASKA">NE</option>
<option value="NEVADA">NV</option>
<option value="NEW HAMPSHIRE">NH</option>
<option value="NEW JERSEY">NJ</option>
<option value="NEW MEXICO">NM</option>
<option value="NEW YORK">NY</option>
<option value="NORTH CAROLINA">NC</option>
<option value="NORTH DAKOTA">ND</option>
<option value="OHIO">OH</option>
<option value="OKLAHOMA">OK</option>
<option value="OREGON">OR</option>
<option value="PENNSYLVANIA">PA</option>
<option value="RHODE ISLAND">RI</option>
<option value="SOUTH CAROLINA">SC</option>
<option value="SOUTH DAKOTA">SD</option>
<option value="TENNESSEE">TN</option>
<option value="TEXAS">TX</option>
<option value="UTAH">UT</option>
<option value="VERMONT">VT</option>
<option value="VIRGINIA">VA</option>
<option value="WASHINGTON">WA</option>
<option value="WEST VIRGINIA">WV</option>
<option value="WISCONSIN">WI</option>
<option value="WYOMING">WY</option>
</select>
</div>
<div class="col-lg-6"></div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger" for="Zip">*ZIP/Postal Code</label>
</div>
<div class="col-lg-3">
<input class="form-control" data-val="true" data-val-required="ZIP/Postal Code is required" id="Zip" name="Zip" onblur="validate()" type="text" value="">
</div>
<div class="col-lg-6" style="padding-top: 6px;">
<span class="field-validation-valid validationFailed" data-valmsg-for="Zip" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row" id="zipPlus4Div">
<div class="col-lg-3">
<label>ZIP + 4</label>
</div>
<div class="col-lg-3">
<input class="form-control" type="number" id="ZipPlus4" name="ZipPlus4" maxlength="4">
</div>
<div class="col-lg-6" style="padding-top: 6px;"></div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger">*COUNTRY</label>
</div>
<div class="col-lg-3">
<select class="form-control" data-val="true" data-val-required="Country is required" id="CountryDD" name="SelectedAddressCountry">
<option value="">-Select a Country-</option>
<option value="AFGHANISTAN">AFGHANISTAN</option>
<option value="ALBANIA">ALBANIA</option>
<option value="ALGERIA">ALGERIA</option>
<option value="AMERICAN SAMOA">AMERICAN SAMOA</option>
<option value="ANDORRA">ANDORRA</option>
<option value="ANGOLA">ANGOLA</option>
<option value="ANGUILLA">ANGUILLA</option>
<option value="ANTARCTICA">ANTARCTICA</option>
<option value="ANTIGUA AND BARBUDA">ANTIGUA AND BARBUDA</option>
<option value="ARGENTINA">ARGENTINA</option>
<option value="ARMENIA">ARMENIA</option>
<option value="ARUBA">ARUBA</option>
<option value="AUSTRALIA">AUSTRALIA</option>
<option value="AUSTRIA">AUSTRIA</option>
<option value="AZERBAIJAN">AZERBAIJAN</option>
<option value="BAHAMAS">BAHAMAS</option>
<option value="BAHRAIN">BAHRAIN</option>
<option value="BANGLADESH">BANGLADESH</option>
<option value="BARBADOS">BARBADOS</option>
<option value="BELARUS">BELARUS</option>
<option value="BELGIUM">BELGIUM</option>
<option value="BELIZE">BELIZE</option>
<option value="BENIN">BENIN</option>
<option value="BERMUDA">BERMUDA</option>
<option value="BHUTAN">BHUTAN</option>
<option value="BOLIVIA">BOLIVIA</option>
<option value="BOSNIA AND HERZEGOVINA">BOSNIA AND HERZEGOVINA</option>
<option value="BOTSWANA">BOTSWANA</option>
<option value="BOUVET ISLAND">BOUVET ISLAND</option>
<option value="BRAZIL">BRAZIL</option>
<option value="BRITISH INDIAN OCEAN TERRITORY">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="BRUNEI DARUSSALAM">BRUNEI DARUSSALAM</option>
<option value="BULGARIA">BULGARIA</option>
<option value="BURKINA FASO">BURKINA FASO</option>
<option value="BURUNDI">BURUNDI</option>
<option value="CAMBODIA">CAMBODIA</option>
<option value="CAMEROON">CAMEROON</option>
<option value="CANADA">CANADA</option>
<option value="CAPE VERDE">CAPE VERDE</option>
<option value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
<option value="CENTRAL AFRICAN REPUBLIC">CENTRAL AFRICAN REPUBLIC</option>
<option value="CHAD">CHAD</option>
<option value="CHILE">CHILE</option>
<option value="CHINA">CHINA</option>
<option value="CHRISTMAS ISLAND">CHRISTMAS ISLAND</option>
<option value="COCOS (KEELING) ISLANDS">COCOS (KEELING) ISLANDS</option>
<option value="COLOMBIA">COLOMBIA</option>
<option value="COMOROS">COMOROS</option>
<option value="CONGO">CONGO</option>
<option value="CONGO, THE DEMOCRATIC REPUBLIC OF THE">CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
<option value="COOK ISLANDS">COOK ISLANDS</option>
<option value="COSTA RICA">COSTA RICA</option>
<option value="COTE D'IVOIRE">COTE D'IVOIRE</option>
<option value="CROATIA">CROATIA</option>
<option value="CUBA">CUBA</option>
<option value="CYPRUS">CYPRUS</option>
<option value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option value="DENMARK">DENMARK</option>
<option value="DJIBOUTI">DJIBOUTI</option>
<option value="DOMINICA">DOMINICA</option>
<option value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
<option value="EAST TIMOR">EAST TIMOR</option>
<option value="ECUADOR">ECUADOR</option>
<option value="EGYPT">EGYPT</option>
<option value="EL SALVADOR">EL SALVADOR</option>
<option value="EQUATORIAL GUINEA">EQUATORIAL GUINEA</option>
<option value="ERITREA">ERITREA</option>
<option value="ESTONIA">ESTONIA</option>
<option value="ETHIOPIA">ETHIOPIA</option>
<option value="FALKLAND ISLANDS (MALVINAS)">FALKLAND ISLANDS (MALVINAS)</option>
<option value="FAROE ISLANDS">FAROE ISLANDS</option>
<option value="FIJI">FIJI</option>
<option value="FINLAND">FINLAND</option>
<option value="FRANCE">FRANCE</option>
<option value="FRENCH GUIANA">FRENCH GUIANA</option>
<option value="FRENCH POLYNESIA">FRENCH POLYNESIA</option>
<option value="FRENCH SOUTHERN TERRITORIES">FRENCH SOUTHERN TERRITORIES</option>
<option value="GABON">GABON</option>
<option value="GAMBIA">GAMBIA</option>
<option value="GEORGIA">GEORGIA</option>
<option value="GERMANY">GERMANY</option>
<option value="GHANA">GHANA</option>
<option value="GIBRALTAR">GIBRALTAR</option>
<option value="GREECE">GREECE</option>
<option value="GREENLAND">GREENLAND</option>
<option value="GRENADA">GRENADA</option>
<option value="GUADELOUPE">GUADELOUPE</option>
<option value="GUAM">GUAM</option>
<option value="GUATEMALA">GUATEMALA</option>
<option value="GUINEA">GUINEA</option>
<option value="GUINEA-BISSAU">GUINEA-BISSAU</option>
<option value="GUYANA">GUYANA</option>
<option value="HAITI">HAITI</option>
<option value="HEARD ISLAND AND MCDONALD ISLANDS">HEARD ISLAND AND MCDONALD ISLANDS</option>
<option value="HOLY SEE (VATICAN CITY STATE)">HOLY SEE (VATICAN CITY STATE)</option>
<option value="HONDURAS">HONDURAS</option>
<option value="HONG KONG">HONG KONG</option>
<option value="HUNGARY">HUNGARY</option>
<option value="ICELAND">ICELAND</option>
<option value="INDIA">INDIA</option>
<option value="INDONESIA">INDONESIA</option>
<option value="IRAN, ISLAMIC REPUBLIC OF">IRAN, ISLAMIC REPUBLIC OF</option>
<option value="IRAQ">IRAQ</option>
<option value="IRELAND">IRELAND</option>
<option value="ISRAEL">ISRAEL</option>
<option value="ITALY">ITALY</option>
<option value="JAMAICA">JAMAICA</option>
<option value="JAPAN">JAPAN</option>
<option value="JORDAN">JORDAN</option>
<option value="KAZAKSTAN">KAZAKSTAN</option>
<option value="KENYA">KENYA</option>
<option value="KIRIBATI">KIRIBATI</option>
<option value="KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF">KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF</option>
<option value="KOREA, REPUBLIC OF">KOREA, REPUBLIC OF</option>
<option value="KUWAIT">KUWAIT</option>
<option value="KYRGYZSTAN">KYRGYZSTAN</option>
<option value="LAO PEOPLE'S DEMOCRATIC REPUBLIC">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
<option value="LATVIA">LATVIA</option>
<option value="LEBANON">LEBANON</option>
<option value="LESOTHO">LESOTHO</option>
<option value="LIBERIA">LIBERIA</option>
<option value="LIBYAN ARAB JAMAHIRIYA">LIBYAN ARAB JAMAHIRIYA</option>
<option value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option value="LITHUANIA">LITHUANIA</option>
<option value="LUXEMBOURG">LUXEMBOURG</option>
<option value="MACAU">MACAU</option>
<option value="MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF</option>
<option value="MADAGASCAR">MADAGASCAR</option>
<option value="MALAWI">MALAWI</option>
<option value="MALAYSIA">MALAYSIA</option>
<option value="MALDIVES">MALDIVES</option>
<option value="MALI">MALI</option>
<option value="MALTA">MALTA</option>
<option value="MARSHALL ISLANDS">MARSHALL ISLANDS</option>
<option value="MARTINIQUE">MARTINIQUE</option>
<option value="MAURITANIA">MAURITANIA</option>
<option value="MAURITIUS">MAURITIUS</option>
<option value="MAYOTTE">MAYOTTE</option>
<option value="MEXICO">MEXICO</option>
<option value="MICRONESIA, FEDERATED STATES OF">MICRONESIA, FEDERATED STATES OF</option>
<option value="MOLDOVA, REPUBLIC OF">MOLDOVA, REPUBLIC OF</option>
<option value="MONACO">MONACO</option>
<option value="MONGOLIA">MONGOLIA</option>
<option value="MONTSERRAT">MONTSERRAT</option>
<option value="MOROCCO">MOROCCO</option>
<option value="MOZAMBIQUE">MOZAMBIQUE</option>
<option value="MYANMAR">MYANMAR</option>
<option value="NAMIBIA">NAMIBIA</option>
<option value="NAURU">NAURU</option>
<option value="NEPAL">NEPAL</option>
<option value="NETHERLANDS">NETHERLANDS</option>
<option value="NETHERLANDS ANTILLES">NETHERLANDS ANTILLES</option>
<option value="NEW CALEDONIA">NEW CALEDONIA</option>
<option value="NEW ZEALAND">NEW ZEALAND</option>
<option value="NICARAGUA">NICARAGUA</option>
<option value="NIGER">NIGER</option>
<option value="NIGERIA">NIGERIA</option>
<option value="NIUE">NIUE</option>
<option value="NORFOLK ISLAND">NORFOLK ISLAND</option>
<option value="NORTHERN MARIANA ISLANDS">NORTHERN MARIANA ISLANDS</option>
<option value="NORWAY">NORWAY</option>
<option value="OMAN">OMAN</option>
<option value="PAKISTAN">PAKISTAN</option>
<option value="PALAU">PALAU</option>
<option value="PALESTINIAN TERRITORY, OCCUPIED">PALESTINIAN TERRITORY, OCCUPIED</option>
<option value="PANAMA">PANAMA</option>
<option value="PAPUA NEW GUINEA">PAPUA NEW GUINEA</option>
<option value="PARAGUAY">PARAGUAY</option>
<option value="PERU">PERU</option>
<option value="PHILIPPINES">PHILIPPINES</option>
<option value="PITCAIRN">PITCAIRN</option>
<option value="POLAND">POLAND</option>
<option value="PORTUGAL">PORTUGAL</option>
<option value="PUERTO RICO">PUERTO RICO</option>
<option value="QATAR">QATAR</option>
<option value="REUNION">REUNION</option>
<option value="ROMANIA">ROMANIA</option>
<option value="RUSSIAN FEDERATION">RUSSIAN FEDERATION</option>
<option value="RWANDA">RWANDA</option>
<option value="SAINT HELENA">SAINT HELENA</option>
<option value="SAINT KITTS AND NEVIS">SAINT KITTS AND NEVIS</option>
<option value="SAINT LUCIA">SAINT LUCIA</option>
<option value="SAINT PIERRE AND MIQUELON">SAINT PIERRE AND MIQUELON</option>
<option value="SAINT VINCENT AND THE GRENADINES">SAINT VINCENT AND THE GRENADINES</option>
<option value="SAMOA">SAMOA</option>
<option value="SAN MARINO">SAN MARINO</option>
<option value="SAO TOME AND PRINCIPE">SAO TOME AND PRINCIPE</option>
<option value="SAUDI ARABIA">SAUDI ARABIA</option>
<option value="SENEGAL">SENEGAL</option>
<option value="SEYCHELLES">SEYCHELLES</option>
<option value="SIERRA LEONE">SIERRA LEONE</option>
<option value="SINGAPORE">SINGAPORE</option>
<option value="SLOVAKIA">SLOVAKIA</option>
<option value="SLOVENIA">SLOVENIA</option>
<option value="SOLOMON ISLANDS">SOLOMON ISLANDS</option>
<option value="SOMALIA">SOMALIA</option>
<option value="SOUTH AFRICA">SOUTH AFRICA</option>
<option value="SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS">SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS</option>
<option value="SPAIN">SPAIN</option>
<option value="SRI LANKA">SRI LANKA</option>
<option value="SUDAN">SUDAN</option>
<option value="SURINAME">SURINAME</option>
<option value="SVALBARD AND JAN MAYEN">SVALBARD AND JAN MAYEN</option>
<option value="SWAZILAND">SWAZILAND</option>
<option value="SWEDEN">SWEDEN</option>
<option value="SWITZERLAND">SWITZERLAND</option>
<option value="SYRIAN ARAB REPUBLIC">SYRIAN ARAB REPUBLIC</option>
<option value="TAIWAN, PROVINCE OF CHINA">TAIWAN, PROVINCE OF CHINA</option>
<option value="TAJIKISTAN">TAJIKISTAN</option>
<option value="TANZANIA, UNITED REPUBLIC OF">TANZANIA, UNITED REPUBLIC OF</option>
<option value="THAILAND">THAILAND</option>
<option value="TOGO">TOGO</option>
<option value="TOKELAU">TOKELAU</option>
<option value="TONGA">TONGA</option>
<option value="TRINIDAD AND TOBAGO">TRINIDAD AND TOBAGO</option>
<option value="TUNISIA">TUNISIA</option>
<option value="TURKEY">TURKEY</option>
<option value="TURKMENISTAN">TURKMENISTAN</option>
<option value="TURKS AND CAICOS ISLANDS">TURKS AND CAICOS ISLANDS</option>
<option value="TUVALU">TUVALU</option>
<option value="UGANDA">UGANDA</option>
<option value="UKRAINE">UKRAINE</option>
<option value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
<option value="UNITED KINGDOM">UNITED KINGDOM</option>
<option value="UNITED STATES">UNITED STATES</option>
<option value="UNITED STATES MINOR OUTLYING ISLANDS">UNITED STATES MINOR OUTLYING ISLANDS</option>
<option value="URUGUAY">URUGUAY</option>
<option value="UZBEKISTAN">UZBEKISTAN</option>
<option value="VANUATU">VANUATU</option>
<option value="VENEZUELA">VENEZUELA</option>
<option value="VIET NAM">VIET NAM</option>
<option value="VIRGIN ISLANDS, BRITISH">VIRGIN ISLANDS, BRITISH</option>
<option value="VIRGIN ISLANDS, U.S.">VIRGIN ISLANDS, U.S.</option>
<option value="WALLIS AND FUTUNA">WALLIS AND FUTUNA</option>
<option value="WESTERN SAHARA">WESTERN SAHARA</option>
<option value="YEMEN">YEMEN</option>
<option value="YUGOSLAVIA">YUGOSLAVIA</option>
<option value="ZAMBIA">ZAMBIA</option>
<option value="ZIMBABWE">ZIMBABWE</option>
</select>
</div>
<div class="col-lg-6" style="padding-top: 6px;">
<span class="field-validation-valid text-danger" data-valmsg-for="SelectedAddressCountry" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger">*PHONE NUMBER</label>
</div>
<div class="col-lg-3">
<input class="form-control" data-val="true" data-val-required="Phone is required" id="Phone" name="Phone" onblur="validate()" type="text" value="">
</div>
<div class="col-lg-6" style="padding-top: 6px;">
<span class="field-validation-valid validationFailed" data-valmsg-for="Phone" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label>FAX NUMBER</label>
</div>
<div class="col-lg-3">
<input class="form-control" type="text" id="Fax" name="Fax">
</div>
<div class="col-lg-6" style="padding-top: 6px;"></div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger">*EMAIL ADDRESS</label>
</div>
<div class="col-lg-3">
<input class="form-control" data-val="true" data-val-required="Email is required" id="Email" name="Email" onblur="validate()" type="text" value="">
</div>
<div class="col-lg-6" style="padding-top: 6px;">
<span class="field-validation-valid validationFailed" data-valmsg-for="Email" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label><a href="https://cage.dla.mil/" target="_blank">CAGE CODE</a></label>
</div>
<div class="col-lg-3">
<input class="form-control" type="text" id="CAGE" name="CAGE">
</div>
<div class="col-lg-6" style="padding-top: 6px;">
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger">*<a href="https://www.sam.gov/" target="_blank">DUNS NUMBER (FAR 52-204-6)</a></label>
</div>
<div class="col-lg-3">
<input class="form-control" data-val="true" data-val-required="DUNS is required" id="DUNS" name="DUNS" onblur="validate()" type="text" value="">
</div>
<div class="col-lg-6" style="padding-top: 6px;">
<span class="field-validation-valid validationFailed" data-valmsg-for="DUNS" data-valmsg-replace="true"></span>
<p style="margin-top: 6px;">(numbers only - no dashes please)</p>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label style="margin-top: -3px;" class="text-danger"> *NUMBER OF EMPLOYEES FOR LAST 12 MONTHS(FAR 52.212- 3 (c)(8)(ii)(A)) </label>
</div>
<div class="col-lg-3">
<input class="form-control" data-val="true" data-val-number="The field NumberOfEmployees must be a number." data-val-range="Number of employees is required" data-val-range-max="100000000" data-val-range-min="1"
data-val-required="The NumberOfEmployees field is required." id="NumberOfEmployees" name="NumberOfEmployees" onblur="validate()" type="text" value="0">
</div>
<div class="col-lg-6" style="padding-top: 6px;">
<span class="field-validation-valid validationFailed" data-valmsg-for="NumberOfEmployees" data-valmsg-replace="true"></span>
<p style="margin-top: 6px;">(numbers only - no dashes or commas please)</p>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger">*<a href="https://www.census.gov/naics/" target="_blank">****NAICS****</a></label>
</div>
<div class="col-lg-3">
<input class="form-control" data-val="true" data-val-required="NAICS is required" id="NAICS" name="NAICS" onblur="validate()" type="text" value="">
</div>
<div style="margin-top: -3px;" class="col-lg-6">
<span class="field-validation-valid validationFailed" data-valmsg-for="NAICS" data-valmsg-replace="true"></span>
<p>(numbers only - no dashes or spaces. Separate additionals NAICS with a single comma and no spaces e.g. 12345678,87654321)</p>
</div>
</div>
<div class="row">
<div class="col-lg-1">
<label class="text-danger">**NOTE**</label>
</div>
<div class="col-lg-11">
<label>if you are certifying more than one NAICS code, you must ensure they are the same business size as certified in Section 2 of this form. If they are not, you must request and complete a separate form for each business size.</label>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12">
<p> Please review each statement below and select the option that represents your current state of compliance with each requirement.<br>
<b>NOTE: DO NOT LEAVE ANY OF THE SECTIONS BLANK.</b>
</p>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<h4 class="text-danger">*1. TYPE OF BUSINESS ORGANIZATION (Must be on file for each Supplier) – (FAR 52.204-3)(OCT 1998) All Orders</h4>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger">*Tax Identification Number (TIN)</label>
</div>
<div class="col-lg-3">
<select class="form-control" data-val="true" data-val-required="Please select one of Tax Id Number options" id="TaxIdDD" name="SelectedTINOption">
<option value="">- Select an option -</option>
<option value="TIN_Provided">TIN Provided:</option>
<option value="TIN_Applied">TIN has been applied for</option>
<option value="TIN_NA">TIN not Required</option>
</select>
</div>
<div class="col-lg-6">
<span class="field-validation-valid validationFailed" data-valmsg-for="SelectedTINOption" data-valmsg-replace="true"></span>
<input class="form-control" style="display: none;" type="text" id="TaxIdNumber" name="TaxIdNumber" onblur="validateTaxIdNo()" placeholder="Tax Identification Number">
<label id="taxIdReqLabel" class="validationFailed" style="display:none;">Tax Identification Number is required</label>
<div id="div_TIN_NA" style="display: none; margin-top:-10px;">
<div class="radio">
<label>
<input id="TIN_NA_radio" name="TIN_NA_radio" onchange="validateTaxIdNo()" type="radio" value="ALIEN">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. </label>
</div>
<div class="radio">
<label>
<input id="TIN_NA_radio" name="TIN_NA_radio" onchange="validateTaxIdNo()" type="radio" value="FOREIGN_GOVT">Offeror is an agency or instrumentality of a foreign government </label>
</div>
<div class="radio">
<label>
<input id="TIN_NA_radio" name="TIN_NA_radio" onchange="validateTaxIdNo()" type="radio" value="FED_GOVT">Offeror is an agency or instrumentality of the Federal Government. </label>
</div>
<label id="taxIdNALabel" class="validationFailed" style="display:none;">A reason why a Tax Identification Number is not required must be provided</label>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger">*The offeror operates as</label>
</div>
<div class="col-lg-3">
<select class="form-control" data-val="true" data-val-required="Please select one of the Offeror operates as options" id="OperatesAsDD" name="SelectedOperatesAsOption">
<option value="">- Select an option -</option>
<option value="CORP">a Corporate Entity (not tax-exempt)</option>
<option value="CORP_TE">a Corporate Entity (tax-exempt)</option>
<option value="SOLE_PROP">a sole proprietorship</option>
<option value="GOVT">a government entity (Federal, State, or local)</option>
<option value="FOREIGN">a foreign entity, registered for business in </option>
<option value="PART">a partnership</option>
<option value="INT_ORG">an International organization per 26 CFR 1.6049-4</option>
<option value="JOINT">a joint venture between</option>
<option value="INDY">an individual</option>
</select>
</div>
<div class="col-lg-6">
<span class="field-validation-valid validationFailed" data-valmsg-for="SelectedOperatesAsOption" data-valmsg-replace="true"></span>
<div id="foreignEntityDiv" style="display: none;">
<select class="form-control" id="OpAsCountryDD" name="OperatesAsCountry">
<option value="">-Select a Country-</option>
<option value="AFGHANISTAN">AFGHANISTAN</option>
<option value="ALBANIA">ALBANIA</option>
<option value="ALGERIA">ALGERIA</option>
<option value="AMERICAN SAMOA">AMERICAN SAMOA</option>
<option value="ANDORRA">ANDORRA</option>
<option value="ANGOLA">ANGOLA</option>
<option value="ANGUILLA">ANGUILLA</option>
<option value="ANTARCTICA">ANTARCTICA</option>
<option value="ANTIGUA AND BARBUDA">ANTIGUA AND BARBUDA</option>
<option value="ARGENTINA">ARGENTINA</option>
<option value="ARMENIA">ARMENIA</option>
<option value="ARUBA">ARUBA</option>
<option value="AUSTRALIA">AUSTRALIA</option>
<option value="AUSTRIA">AUSTRIA</option>
<option value="AZERBAIJAN">AZERBAIJAN</option>
<option value="BAHAMAS">BAHAMAS</option>
<option value="BAHRAIN">BAHRAIN</option>
<option value="BANGLADESH">BANGLADESH</option>
<option value="BARBADOS">BARBADOS</option>
<option value="BELARUS">BELARUS</option>
<option value="BELGIUM">BELGIUM</option>
<option value="BELIZE">BELIZE</option>
<option value="BENIN">BENIN</option>
<option value="BERMUDA">BERMUDA</option>
<option value="BHUTAN">BHUTAN</option>
<option value="BOLIVIA">BOLIVIA</option>
<option value="BOSNIA AND HERZEGOVINA">BOSNIA AND HERZEGOVINA</option>
<option value="BOTSWANA">BOTSWANA</option>
<option value="BOUVET ISLAND">BOUVET ISLAND</option>
<option value="BRAZIL">BRAZIL</option>
<option value="BRITISH INDIAN OCEAN TERRITORY">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="BRUNEI DARUSSALAM">BRUNEI DARUSSALAM</option>
<option value="BULGARIA">BULGARIA</option>
<option value="BURKINA FASO">BURKINA FASO</option>
<option value="BURUNDI">BURUNDI</option>
<option value="CAMBODIA">CAMBODIA</option>
<option value="CAMEROON">CAMEROON</option>
<option value="CANADA">CANADA</option>
<option value="CAPE VERDE">CAPE VERDE</option>
<option value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
<option value="CENTRAL AFRICAN REPUBLIC">CENTRAL AFRICAN REPUBLIC</option>
<option value="CHAD">CHAD</option>
<option value="CHILE">CHILE</option>
<option value="CHINA">CHINA</option>
<option value="CHRISTMAS ISLAND">CHRISTMAS ISLAND</option>
<option value="COCOS (KEELING) ISLANDS">COCOS (KEELING) ISLANDS</option>
<option value="COLOMBIA">COLOMBIA</option>
<option value="COMOROS">COMOROS</option>
<option value="CONGO">CONGO</option>
<option value="CONGO, THE DEMOCRATIC REPUBLIC OF THE">CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
<option value="COOK ISLANDS">COOK ISLANDS</option>
<option value="COSTA RICA">COSTA RICA</option>
<option value="COTE D'IVOIRE">COTE D'IVOIRE</option>
<option value="CROATIA">CROATIA</option>
<option value="CUBA">CUBA</option>
<option value="CYPRUS">CYPRUS</option>
<option value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option value="DENMARK">DENMARK</option>
<option value="DJIBOUTI">DJIBOUTI</option>
<option value="DOMINICA">DOMINICA</option>
<option value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
<option value="EAST TIMOR">EAST TIMOR</option>
<option value="ECUADOR">ECUADOR</option>
<option value="EGYPT">EGYPT</option>
<option value="EL SALVADOR">EL SALVADOR</option>
<option value="EQUATORIAL GUINEA">EQUATORIAL GUINEA</option>
<option value="ERITREA">ERITREA</option>
<option value="ESTONIA">ESTONIA</option>
<option value="ETHIOPIA">ETHIOPIA</option>
<option value="FALKLAND ISLANDS (MALVINAS)">FALKLAND ISLANDS (MALVINAS)</option>
<option value="FAROE ISLANDS">FAROE ISLANDS</option>
<option value="FIJI">FIJI</option>
<option value="FINLAND">FINLAND</option>
<option value="FRANCE">FRANCE</option>
<option value="FRENCH GUIANA">FRENCH GUIANA</option>
<option value="FRENCH POLYNESIA">FRENCH POLYNESIA</option>
<option value="FRENCH SOUTHERN TERRITORIES">FRENCH SOUTHERN TERRITORIES</option>
<option value="GABON">GABON</option>
<option value="GAMBIA">GAMBIA</option>
<option value="GEORGIA">GEORGIA</option>
<option value="GERMANY">GERMANY</option>
<option value="GHANA">GHANA</option>
<option value="GIBRALTAR">GIBRALTAR</option>
<option value="GREECE">GREECE</option>
<option value="GREENLAND">GREENLAND</option>
<option value="GRENADA">GRENADA</option>
<option value="GUADELOUPE">GUADELOUPE</option>
<option value="GUAM">GUAM</option>
<option value="GUATEMALA">GUATEMALA</option>
<option value="GUINEA">GUINEA</option>
<option value="GUINEA-BISSAU">GUINEA-BISSAU</option>
<option value="GUYANA">GUYANA</option>
<option value="HAITI">HAITI</option>
<option value="HEARD ISLAND AND MCDONALD ISLANDS">HEARD ISLAND AND MCDONALD ISLANDS</option>
<option value="HOLY SEE (VATICAN CITY STATE)">HOLY SEE (VATICAN CITY STATE)</option>
<option value="HONDURAS">HONDURAS</option>
<option value="HONG KONG">HONG KONG</option>
<option value="HUNGARY">HUNGARY</option>
<option value="ICELAND">ICELAND</option>
<option value="INDIA">INDIA</option>
<option value="INDONESIA">INDONESIA</option>
<option value="IRAN, ISLAMIC REPUBLIC OF">IRAN, ISLAMIC REPUBLIC OF</option>
<option value="IRAQ">IRAQ</option>
<option value="IRELAND">IRELAND</option>
<option value="ISRAEL">ISRAEL</option>
<option value="ITALY">ITALY</option>
<option value="JAMAICA">JAMAICA</option>
<option value="JAPAN">JAPAN</option>
<option value="JORDAN">JORDAN</option>
<option value="KAZAKSTAN">KAZAKSTAN</option>
<option value="KENYA">KENYA</option>
<option value="KIRIBATI">KIRIBATI</option>
<option value="KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF">KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF</option>
<option value="KOREA, REPUBLIC OF">KOREA, REPUBLIC OF</option>
<option value="KUWAIT">KUWAIT</option>
<option value="KYRGYZSTAN">KYRGYZSTAN</option>
<option value="LAO PEOPLE'S DEMOCRATIC REPUBLIC">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
<option value="LATVIA">LATVIA</option>
<option value="LEBANON">LEBANON</option>
<option value="LESOTHO">LESOTHO</option>
<option value="LIBERIA">LIBERIA</option>
<option value="LIBYAN ARAB JAMAHIRIYA">LIBYAN ARAB JAMAHIRIYA</option>
<option value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option value="LITHUANIA">LITHUANIA</option>
<option value="LUXEMBOURG">LUXEMBOURG</option>
<option value="MACAU">MACAU</option>
<option value="MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF</option>
<option value="MADAGASCAR">MADAGASCAR</option>
<option value="MALAWI">MALAWI</option>
<option value="MALAYSIA">MALAYSIA</option>
<option value="MALDIVES">MALDIVES</option>
<option value="MALI">MALI</option>
<option value="MALTA">MALTA</option>
<option value="MARSHALL ISLANDS">MARSHALL ISLANDS</option>
<option value="MARTINIQUE">MARTINIQUE</option>
<option value="MAURITANIA">MAURITANIA</option>
<option value="MAURITIUS">MAURITIUS</option>
<option value="MAYOTTE">MAYOTTE</option>
<option value="MEXICO">MEXICO</option>
<option value="MICRONESIA, FEDERATED STATES OF">MICRONESIA, FEDERATED STATES OF</option>
<option value="MOLDOVA, REPUBLIC OF">MOLDOVA, REPUBLIC OF</option>
<option value="MONACO">MONACO</option>
<option value="MONGOLIA">MONGOLIA</option>
<option value="MONTSERRAT">MONTSERRAT</option>
<option value="MOROCCO">MOROCCO</option>
<option value="MOZAMBIQUE">MOZAMBIQUE</option>
<option value="MYANMAR">MYANMAR</option>
<option value="NAMIBIA">NAMIBIA</option>
<option value="NAURU">NAURU</option>
<option value="NEPAL">NEPAL</option>
<option value="NETHERLANDS">NETHERLANDS</option>
<option value="NETHERLANDS ANTILLES">NETHERLANDS ANTILLES</option>
<option value="NEW CALEDONIA">NEW CALEDONIA</option>
<option value="NEW ZEALAND">NEW ZEALAND</option>
<option value="NICARAGUA">NICARAGUA</option>
<option value="NIGER">NIGER</option>
<option value="NIGERIA">NIGERIA</option>
<option value="NIUE">NIUE</option>
<option value="NORFOLK ISLAND">NORFOLK ISLAND</option>
<option value="NORTHERN MARIANA ISLANDS">NORTHERN MARIANA ISLANDS</option>
<option value="NORWAY">NORWAY</option>
<option value="OMAN">OMAN</option>
<option value="PAKISTAN">PAKISTAN</option>
<option value="PALAU">PALAU</option>
<option value="PALESTINIAN TERRITORY, OCCUPIED">PALESTINIAN TERRITORY, OCCUPIED</option>
<option value="PANAMA">PANAMA</option>
<option value="PAPUA NEW GUINEA">PAPUA NEW GUINEA</option>
<option value="PARAGUAY">PARAGUAY</option>
<option value="PERU">PERU</option>
<option value="PHILIPPINES">PHILIPPINES</option>
<option value="PITCAIRN">PITCAIRN</option>
<option value="POLAND">POLAND</option>
<option value="PORTUGAL">PORTUGAL</option>
<option value="PUERTO RICO">PUERTO RICO</option>
<option value="QATAR">QATAR</option>
<option value="REUNION">REUNION</option>
<option value="ROMANIA">ROMANIA</option>
<option value="RUSSIAN FEDERATION">RUSSIAN FEDERATION</option>
<option value="RWANDA">RWANDA</option>
<option value="SAINT HELENA">SAINT HELENA</option>
<option value="SAINT KITTS AND NEVIS">SAINT KITTS AND NEVIS</option>
<option value="SAINT LUCIA">SAINT LUCIA</option>
<option value="SAINT PIERRE AND MIQUELON">SAINT PIERRE AND MIQUELON</option>
<option value="SAINT VINCENT AND THE GRENADINES">SAINT VINCENT AND THE GRENADINES</option>
<option value="SAMOA">SAMOA</option>
<option value="SAN MARINO">SAN MARINO</option>
<option value="SAO TOME AND PRINCIPE">SAO TOME AND PRINCIPE</option>
<option value="SAUDI ARABIA">SAUDI ARABIA</option>
<option value="SENEGAL">SENEGAL</option>
<option value="SEYCHELLES">SEYCHELLES</option>
<option value="SIERRA LEONE">SIERRA LEONE</option>
<option value="SINGAPORE">SINGAPORE</option>
<option value="SLOVAKIA">SLOVAKIA</option>
<option value="SLOVENIA">SLOVENIA</option>
<option value="SOLOMON ISLANDS">SOLOMON ISLANDS</option>
<option value="SOMALIA">SOMALIA</option>
<option value="SOUTH AFRICA">SOUTH AFRICA</option>
<option value="SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS">SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS</option>
<option value="SPAIN">SPAIN</option>
<option value="SRI LANKA">SRI LANKA</option>
<option value="SUDAN">SUDAN</option>
<option value="SURINAME">SURINAME</option>
<option value="SVALBARD AND JAN MAYEN">SVALBARD AND JAN MAYEN</option>
<option value="SWAZILAND">SWAZILAND</option>
<option value="SWEDEN">SWEDEN</option>
<option value="SWITZERLAND">SWITZERLAND</option>
<option value="SYRIAN ARAB REPUBLIC">SYRIAN ARAB REPUBLIC</option>
<option value="TAIWAN, PROVINCE OF CHINA">TAIWAN, PROVINCE OF CHINA</option>
<option value="TAJIKISTAN">TAJIKISTAN</option>
<option value="TANZANIA, UNITED REPUBLIC OF">TANZANIA, UNITED REPUBLIC OF</option>
<option value="THAILAND">THAILAND</option>
<option value="TOGO">TOGO</option>
<option value="TOKELAU">TOKELAU</option>
<option value="TONGA">TONGA</option>
<option value="TRINIDAD AND TOBAGO">TRINIDAD AND TOBAGO</option>
<option value="TUNISIA">TUNISIA</option>
<option value="TURKEY">TURKEY</option>
<option value="TURKMENISTAN">TURKMENISTAN</option>
<option value="TURKS AND CAICOS ISLANDS">TURKS AND CAICOS ISLANDS</option>
<option value="TUVALU">TUVALU</option>
<option value="UGANDA">UGANDA</option>
<option value="UKRAINE">UKRAINE</option>
<option value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
<option value="UNITED KINGDOM">UNITED KINGDOM</option>
<option value="UNITED STATES">UNITED STATES</option>
<option value="UNITED STATES MINOR OUTLYING ISLANDS">UNITED STATES MINOR OUTLYING ISLANDS</option>
<option value="URUGUAY">URUGUAY</option>
<option value="UZBEKISTAN">UZBEKISTAN</option>
<option value="VANUATU">VANUATU</option>
<option value="VENEZUELA">VENEZUELA</option>
<option value="VIET NAM">VIET NAM</option>
<option value="VIRGIN ISLANDS, BRITISH">VIRGIN ISLANDS, BRITISH</option>
<option value="VIRGIN ISLANDS, U.S.">VIRGIN ISLANDS, U.S.</option>
<option value="WALLIS AND FUTUNA">WALLIS AND FUTUNA</option>
<option value="WESTERN SAHARA">WESTERN SAHARA</option>
<option value="YEMEN">YEMEN</option>
<option value="YUGOSLAVIA">YUGOSLAVIA</option>
<option value="ZAMBIA">ZAMBIA</option>
<option value="ZIMBABWE">ZIMBABWE</option>
</select>
<label id="opAsCountryLabel" class="validationFailed" style="display:none;">Please select a coutry from the dropdown</label>
<div class="checkbox">
<label>
<input data-val="true" data-val-required="The IsForeignEntityOperatingInUS field is required." id="IsForeignEntityOperatingInUS" name="IsForeignEntityOperatingInUS" type="checkbox" value="true"><input name="IsForeignEntityOperatingInUS"
type="hidden" value="false">If a foreign entity, is work being completed in the U.S.? </label>
<div id="opAsCountryInStateDDDiv" style="display: none;">
<select class="form-control" id="OpAsCountryStateDD" name="OperatesAsCountryInState">
<option value="">-Select a State-</option>
<option value="ALABAMA">AL</option>
<option value="ALASKA">AK</option>
<option value="ARIZONA">AZ</option>
<option value="ARKANSAS">AR</option>
<option value="CALIFORNIA">CA</option>
<option value="COLORADO">CO</option>
<option value="CONNECTICUT">CT</option>
<option value="DELAWARE">DE</option>
<option value="DISTRICT OF COLUMBIA">DC</option>
<option value="FLORIDA">FL</option>
<option value="GEORGIA">GA</option>
<option value="HAWAII">HI</option>
<option value="IDAHO">ID</option>
<option value="ILLINOIS">IL</option>
<option value="INDIANA">IN</option>
<option value="IOWA">IA</option>
<option value="KANSAS">KS</option>
<option value="KENTUCKY">KY</option>
<option value="LOUISIANA">LA</option>
<option value="MAINE">ME</option>
<option value="MARYLAND">MD</option>
<option value="MASSACHUSETTS">MA</option>
<option value="MICHIGAN">MI</option>
<option value="MINNESOTA">MN</option>
<option value="MISSISSIPPI">MS</option>
<option value="MISSOURI">MO</option>
<option value="MONTANA">MT</option>
<option value="NEBRASKA">NE</option>
<option value="NEVADA">NV</option>
<option value="NEW HAMPSHIRE">NH</option>
<option value="NEW JERSEY">NJ</option>
<option value="NEW MEXICO">NM</option>
<option value="NEW YORK">NY</option>
<option value="NORTH CAROLINA">NC</option>
<option value="NORTH DAKOTA">ND</option>
<option value="OHIO">OH</option>
<option value="OKLAHOMA">OK</option>
<option value="OREGON">OR</option>
<option value="PENNSYLVANIA">PA</option>
<option value="RHODE ISLAND">RI</option>
<option value="SOUTH CAROLINA">SC</option>
<option value="SOUTH DAKOTA">SD</option>
<option value="TENNESSEE">TN</option>
<option value="TEXAS">TX</option>
<option value="UTAH">UT</option>
<option value="VERMONT">VT</option>
<option value="VIRGINIA">VA</option>
<option value="WASHINGTON">WA</option>
<option value="WEST VIRGINIA">WV</option>
<option value="WISCONSIN">WI</option>
<option value="WYOMING">WY</option>
</select>
<label id="opAsCountryInState" class="validationFailed" style="display:none;">Please select a state from the dropdown</label>
</div>
</div>
</div>
<div id="JointVentureDiv" style="display: none;">
<input class="form-control" type="text" id="JointVentureBetween" name="JointVentureBetween" placeholder="Joint Venture Members">
<label id="opAsJointVenture" class="validationFailed" style="display:none;">Please provide the Joint Venture Members</label>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<label class="text-danger">*Common parent (as defined in paragraph (a) of this provision)</label>
</div>
<div class="col-lg-3">
<select class="form-control" data-val="true" data-val-required="Please select one of the Common parent options" id="CommonParentDD" name="SelectedParentOption">
<option value="">- Select an option -</option>
<option value="NOT_OWNED">Offeror is not owned or controlled by a common parent.</option>
<option value="OWNED">Name and TIN of common parent:</option>
</select>
</div>
<div class="col-lg-6">
<span class="field-validation-valid validationFailed" data-valmsg-for="SelectedParentOption" data-valmsg-replace="true"></span>
<div id="OWNED_DIV" style="display: none;">
<input class="form-control" type="text" id="CommonParentName" name="CommonParentName" placeholder="Common Parent Name" onblur="validateCommonParent()">
<label id="CommonParentNameVal" class="validationFailed" style="display:none;">Please provide the common parent name</label>
<input class="form-control" type="text" id="CommonParentTIN" name="CommonParentTIN" placeholder="Common Parent Tax Id" onblur="validateCommonParent()">
<label id="CommonParentTINVal" class="validationFailed" style="display:none;">Please provide the common parent Tax Id</label>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<label>REPORTING EXECUTIVE COMPENSATION AND FIRST TIER SUBCONTRACT AWARDS(FAR 52.204 - 10) (JUN 2020) - $30,000</label>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<label>1) In the previous tax year, was your company's gross income from all sources under $300,000?</label><br>
<select class="form-control" data-val="true" data-val-required="Please select an option" id="CompQ1DD" name="CompensationQ1">
<option value="">- Select an option -</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</div>
<div class="col-lg-6">
<span class="field-validation-valid validationFailed" data-valmsg-for="CompensationQ1" data-valmsg-replace="true"></span>
</div>
</div>
<div id="CompensationQ2Div" style="display: none;">
<div class="row">
<div class="col-lg-12">
<label>2) In your preceding completed fiscal year, did you receive:</label>
<p style="margin-left: 10px;"> 1) 80% or more of annual gross revenues from U.S. Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance; and<br> 2)
$25,000,000 or more in annual gross revenues from U.S. Federal contracts (and subcontracts), subcontracts, loans, grants (and subgrants), subgrants, and/or cooperative agreements and other forms of Federal financial assistance; and<br> 3)
The public does not have access to information about the compensation of the 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 of 1986. (To determine if the public has access to the compensation information, see the U.S. Security and Exchange Commission total compensation filings at
<a href="https://www.investor.gov/introduction-investing/investing-basics/glossary/executive-compensation" target="_blank">Investor.gov</a>
</p>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<select class="form-control" data-val="true" data-val-required="Please select an option" id="CompQ2DD" name="CompensationQ2">
<option value="">- Select an option -</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</div>
<div class="col-lg-9">
<span class="field-validation-valid validationFailed" data-valmsg-for="CompensationQ2" data-valmsg-replace="true"></span>
</div>
</div>
<div id="CompensationQ3Div" style="display: none;">
<div class="row">
<div class="col-lg-12">
<label>3) Does the public have access to information about the compensation of the senior 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 of 1986?</label>
</div>
</div>
<div class="row">
<div class="col-lg-3">
<select class="form-control" data-val="true" data-val-required="Please select an option" id="CompQ3DD" name="CompensationQ3">
<option value="">- Select an option -</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</div>
<div class="col-lg-9">
<span class="field-validation-valid validationFailed" data-valmsg-for="CompensationQ3" data-valmsg-replace="true"></span>
</div>
</div>
<div id="CompensationInfoDiv" style="display: none;">
<div class="row">
<div class="col-lg-12">
<label>Please complete compensation information as indicated below</label>
</div>
</div>
<div class="row">
<div class="col-lg-1">
<label>Name:</label>
</div>
<div class="col-lg-2">
<input class="form-control" data-val="true" data-val-required="Required" id="ExecName1" name="ExecName1" onblur="validate()" placeholder="Name" type="text" value="">
<span class="field-validation-valid validationFailed" data-valmsg-for="ExecName1" data-valmsg-replace="true"></span>
</div>
<div class="col-lg-1">
<label>Position:</label>
</div>
<div class="col-lg-2">
<input class="form-control" data-val="true" data-val-required="Required" id="ExecPosition1" name="ExecPosition1" onblur="validate()" placeholder="Position" type="text" value="">
<span class="field-validation-valid validationFailed" data-valmsg-for="ExecPosition1" data-valmsg-replace="true"></span>
</div>
<div class="col-lg-2">
<label>Salary: (US dollar)</label>
</div>
<div class="col-lg-2">
<input class="form-control" data-val="true" data-val-required="Required" id="ExecSalary1" name="ExecSalary1" onblur="validate()" placeholder="Salary" type="text" value="">
<span class="field-validation-valid validationFailed" data-valmsg-for="ExecSalary1" data-valmsg-replace="true"></span>
</div>
<div class="col-lg-2"></div>
</div>
<div class="row">
<div class="col-lg-1">
<label>Name:</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecName2" name="ExecName2" placeholder="Name">
</div>
<div class="col-lg-1">
<label>Position:</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecPosition2" name="ExecPosition2" placeholder="Position">
</div>
<div class="col-lg-2">
<label>Salary: (US dollar)</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecSalary2" name="ExecSalary2" placeholder="Salary">
</div>
<div class="col-lg-2"></div>
</div>
<div class="row">
<div class="col-lg-1">
<label>Name:</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecName3" name="ExecName3" placeholder="Name">
</div>
<div class="col-lg-1">
<label>Position:</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecPosition3" name="ExecPosition3" placeholder="Position">
</div>
<div class="col-lg-2">
<label>Salary: (US dollar)</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecSalary3" name="ExecSalary3" placeholder="Salary">
</div>
<div class="col-lg-2"></div>
</div>
<div class="row">
<div class="col-lg-1">
<label>Name:</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecName4" name="ExecName4" placeholder="Name">
</div>
<div class="col-lg-1">
<label>Position:</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecPosition4" name="ExecPosition4" placeholder="Position">
</div>
<div class="col-lg-2">
<label>Salary: (US dollar)</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecSalary4" name="ExecSalary4" placeholder="Salary">
</div>
<div class="col-lg-2"></div>
</div>
<div class="row">
<div class="col-lg-1">
<label>Name:</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecName5" name="ExecName5" placeholder="Name">
</div>
<div class="col-lg-1">
<label>Position:</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecPosition5" name="ExecPosition5" placeholder="Position">
</div>
<div class="col-lg-2">
<label>Salary: (US dollar)</label>
</div>
<div class="col-lg-2">
<input class="form-control" type="text" id="ExecSalary5" name="ExecSalary5" placeholder="Salary">
</div>
<div class="col-lg-2"></div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12">
<h4 class="text-danger">*2. SMALL BUSINESS PROGRAM REPRESENTATIONS (FAR 52.219-1)(SEP 2021) - All Orders.</h4>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<label>NOTICE OF PENALTY</label><br>
<p> Under <a href="http://uscode.house.gov/browse.xhtml" target="_blank">15 U.S.C. 645(d)</a>, any person who misrepresents a firm's status as a business concern that is small, HUBZone small, small disadvantaged, service-disabled veteran-owned
small, economically disadvantaged women-owned small, or women-owned small eligible under the WOSB Program in order to obtain a contract to be awarded under the preference programs established pursuant to section 8, 9, 15, 31, and 36 of the
Small Business Act or any other provision of Federal law that specifically references section 8(d) for a definition of program eligibility, shall (i) be punished by imposition of fine, imprisonment, or both; (ii) be subject to administrative
remedies, including suspension and debarment; and (iii) be ineligible for participation in programs conducted under the authority of the Act (FAR 52.219-1(d)(2)). </p>
</div>
</div>
<div class="row">
<div class="col-lg-2">
<label>Business Size</label>
</div>
<div class="col-lg-3">
<select class="form-control" data-val="true" data-val-required="Please select an option" id="BizSizeDD" name="SelectedBusinessSize">
<option value="">- Select an option -</option>
<option value="SB">SMALL BUSINESS (SB)</option>
<option value="NPO">NON-PROFIT ORGANIZATION</option>
<option value="LB">LARGE BUSINESS (LB)</option>
<option value="GOV">GOVERNMENT AGENCY/ENTITY</option>
</select>
</div>
<div class="col-lg-7">
<span class="field-validation-valid validationFailed" data-valmsg-for="SelectedBusinessSize" data-valmsg-replace="true"></span>
<div id="GovtAgencyExplainDiv" style="display: none;">
<input class="form-control" type="text" id="GovtAgencyExplain" name="GovtAgencyExplain" placeholder="Explanation">
<label id="GovtAgencyExplainLabel" class="validationFailed" style="display:none;">You have selected "GOVERNMENT AGENCY/ENTITY" and an explanation is required.</label>
</div>
</div>
</div>
<div class="row" style="display: none;" id="SmallBizDiv">
<p>(FAR 52.219.1)(SEP 2021) "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 qualifies as a
small business under the criteria in 13 CFR Part 121 and the size standard identified by the primary NAICS Code identified above.</p>
<div class="col-lg-12">
<div class="checkbox">
<label>
<input data-val="true" data-val-required="The IsWOSB field is required." id="IsWOSB" name="IsWOSB" type="checkbox" value="true"><input name="IsWOSB" type="hidden" value="false">WOMEN-OWNED SMALL (WOSB) (FAR 52.219-1)(SEP 2021) –
"Women-Owned Small Business Concern" means a small business concern (i) that is at least 51% owned by one or more women; or, in the case of any publicly owned business, at least 51% of the stock of which is owned by one or more women and
(ii) whose management and daily business operations are controlled by one or more women. "Women-owned small business (WOSB) concern eligible under the WOSB Program" (in accordance with 13 CFR part 127), means a small business concern that
is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.<br>The offeror represents that it is a WOSB
concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility. </label>
</div>
<div class="checkbox">
<label>
<input data-val="true" data-val-required="The IsHBCU field is required." id="IsHBCU" name="IsHBCU" type="checkbox" value="true"><input name="IsHBCU" type="hidden" value="false">HISTORICALLY BLACK COLLEGE OR UNIVERSITY AND MINORITY
INSTITUTION REPRESENTATION(HBCU) (FAR 52.226.2)(OCT 2014) – "Historically Black College or University" means an institution determined by the Secretary of Education to meet the requirements of 34 CFR 608.2. For the Department of Defense,
the National Aeronautics and Space Administration, and the Coast Guard, the term also includes any nonprofit research institution that was an integral part of such a college or university before November 14, 1986. </label>
</div>
<div class="checkbox">
<label>
<input data-val="true" data-val-required="The IsMI field is required." id="IsMI" name="IsMI" type="checkbox" value="true"><input name="IsMI" type="hidden" value="false">MINORITY INSTITUTION (MI) (FAR 52.226-2)(OCT 2014) "Minority
Institution" means an institution of higher education meeting the requirements of Section 365(3) of the Higher Education Act of 1965 (20 U.S.C. 1067k), includes a Hispanic-serving institution of higher education as defined in Section 502(a)
of the Act (20 U.S.C.1101a)) </label>
</div>
<div class="checkbox">
<label>
<input data-val="true" data-val-required="The IsSDB field is required." id="IsSDB" name="IsSDB" type="checkbox" value="true"><input name="IsSDB" type="hidden" value="false">SMALL DISADVANTAGED (SDB) (FAR 52.219-1)(SEP 2021) – "Small
Disadvantage Business Concern" [whether or not also women-owned] means a small business concern that is </label>
<ol>
<li> at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by <ol type="i">
<li>One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States, and</li>
<li>Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and</li>
</ol>
</li>
<li>The management and daily business operations of which are controlled (as defined at 13 CFR 124.106) by individuals who meet the criteria in paragraphs (1)(i) and (ii) of this definition.</li>
</ol>
</div>
<div class="checkbox">
<label>
<input data-val="true" data-val-required="The IsHUBZoneSB field is required." id="IsHUBZoneSB" name="IsHUBZoneSB" type="checkbox" value="true"><input name="IsHUBZoneSB" type="hidden" value="false">HUB Zone Small Business Certified (HUB Zone
SB) (FAR 52.219.1)(SEP 2021) "HUB Zone Small Business Concern" must be a small business according to the definition of FAR 52.219-1 and the NAICS Code size standards, be on the List of Qualified HUBZONE Small Business Concerns maintained by
the Small Business Administration, and no material change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR Part
126.<br> ii) It <div class="radio-inline" style="margin-top: -8px;">
<label><input id="HubZoneJointVenture" name="HubZoneJointVenture" type="radio" value="IS">is</label>
</div>
<div class="radio-inline" style="margin-top: -8px;">
<label><input id="HubZoneJointVenture" name="HubZoneJointVenture" type="radio" value="IS_NOT">is not</label>
</div> a HUBZone joint venture that complies with the requirements of 13 CFR Part 126, and the representation in paragraph (c)(8)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint
venture.
</label>
</div>
<div class="row">
<div class="col-lg-9">
<p style="margin-left: 18px;">The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture:</p>
</div>
<div class="col-lg-3">
<input style="margin-top: -6px;" class="form-control" type="text" id="HubZoneJointVentureNames" name="HubZoneJointVentureNames" placeholder="Joint Venture Names">
</div>
</div>
<div class="row">
<div class="col-lg-12" style="margin-left: 18px;"> Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation. </div>
</div>
<div class="text-center">
<div class="col-lg-12">
<label class="text-center">A copy of the offeror's current Small Business Administration (SBA) certification letter and a copy of the CCR profile may be requested.</label>
</div>
</div>
<div class="checkbox">
<label>
<input data-val="true" data-val-required="The IsVOSB field is required." id="IsVOSB" name="IsVOSB" type="checkbox" value="true"><input name="IsVOSB" type="hidden" value="false">VETERAN-OWNED SMALL BUSINESS (VOSB)(FAR 52.219-8)(NOV 2020)
"Veteran-Owned Small Business concern" means a small business concern (i) 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 (ii) the management and daily business operations of which are controlled by one or more veterans. </label>
</div>
<div class="checkbox">
<label>
<input data-val="true" data-val-required="The IsSDVOSB field is required." id="IsSDVOSB" name="IsSDVOSB" type="checkbox" value="true"><input name="IsSDVOSB" type="hidden" value="false">SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS
(SDVOSB)(FAR 52.219-8)(NOV 2020) – "Service-Disabled Veteran-Owned Small Business concern" 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 service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran. "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). </label>
</div>
<div class="checkbox">
<label><input data-val="true" data-val-required="The IsANC field is required." id="IsANC" name="IsANC" type="checkbox" value="true"><input name="IsANC" type="hidden" value="false">ALASKA NATIVE CORPORATION (ANC)(FAR 19.701) – "Alaskan Native
Corporation" means any Regional Corporation, Village Corporation, Urban Corporation, or Group Corporation organized under the laws of the State of Alaska in accordance with the Alaska Native Claims Settlement Act, as amended (43 U.S.C.
1601, et seq), and which is considered a minority and economically disadvantaged concern under the criteria at 43 U.S.C. 1626(e)(1). This definition also includes ANC direct and indirect subsidiary corporations, joint ventures, and
partnerships that meet the requirements of 43 U.S.C. 1626(e)(2 ).</label>
</div>
<div class="checkbox">
<label><input data-val="true" data-val-required="The IsIT field is required." id="IsIT" name="IsIT" type="checkbox" value="true"><input name="IsIT" type="hidden" value="false">INDIAN TRIBE (FAR 52.226-1)(JUN 2000) – "Indian Tribe" means any
Indian tribe, band, group, pueblo, or community, including native villages and native groups (including corporations organized by Kenai, Juneau, Sitka, and Kodiak) as defined in the Alaska Native Claims Settlement Act (43 U.S.C 1601, et
seq.), that is recognized by the Federal Government as eligible for services from the Bureau of Indian Affairs in accordance with 25 U.S.C. 1452 (c ). This definition also includes Indian-Owned economic enterprises that meet the
requirements of 25 U.S.C. 1452(e)</label>
</div>
<div class="checkbox">
<label><input data-val="true" data-val-required="The IsEDWOSB field is required." id="IsEDWOSB" name="IsEDWOSB" type="checkbox" value="true"><input name="IsEDWOSB" type="hidden" value="false">ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL
BUSINESS (FAR 52.219-1)(SEP 2021) "Economically disadvantaged women-owned small business (EDWOSB) concern" means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily
business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business
concern eligible under the WOSB Program.</label>
</div>
</div>
</div>
<div class="row" style="display: none;" id="LargeBizDiv">
<div class="col-lg-12">
<div class="checkbox">
<label><input id="LB_IsANC" name="IsANC" type="checkbox" value="true"><input name="IsANC" type="hidden" value="false">ALASKA NATIVE CORPORATION (ANC)(FAR 19.701) – "Alaskan Native Corporation" means any Regional Corporation, Village
Corporation, Urban Corporation, or Group Corporation organized under the laws of the State of Alaska in accordance with the Alaska Native Claims Settlement Act, as amended (43 U.S.C. 1601, et seq), and which is considered a minority and
economically disadvantaged concern under the criteria at 43 U.S.C. 1626(e)(1). This definition also includes ANC direct and indirect subsidiary corporations, joint ventures, and partnerships that meet the requirements of 43 U.S.C. 1626(e)(2
).</label>
</div>
<div class="checkbox">
<label><input id="LB_IsIT" name="IsIT" type="checkbox" value="true"><input name="IsIT" type="hidden" value="false">INDIAN TRIBE (FAR 52.226-1)(JUN 2000) – "Indian Tribe" means any Indian tribe, band, group, pueblo, or community, including
native villages and native groups (including corporations organized by Kenai, Juneau, Sitka, and Kodiak) as defined in the Alaska Native Claims Settlement Act (43 U.S.C 1601, et seq.), that is recognized by the Federal Government as
eligible for services from the Bureau of Indian Affairs in accordance with 25 U.S.C. 1452 (c ). This definition also includes Indian-Owned economic enterprises that meet the requirements of 25 U.S.C. 1452(e)</label>
</div>
</div>
</div>
<br>
<div class="row">
<div class="col-lg-12">
<label>MINORITY OWNERSHIP: IF OFFEROR HAS REPRESENTED ITSELF AS A DISADVANTAGED BUSINESS, PLEASE CHECK THE APPROPRIATE CATEGORY OF OWNERSHIP: (FAR 52.219-1 Alt.I)(SEP 2015)</label>
</div>
</div>
<div class="row">
<div class="col-lg-2">
<label>Minority Ownership</label>
</div>
<div class="col-lg-3">
<select class="form-control" id="MinorityOwnershipDD" name="SelectedMinorityOwnership">
<option value="">- Select an option -</option>
<option value="Black">Black American</option>
<option value="Hispanic">Hispanic American</option>
<option value="Native">Native American</option>
<option value="Asian">Asian-Pacific American</option>
<option value="Subcontinent">Subcontinent Asian (Asian-Indian) American</option>
<option value="Other">Individual/concern, other than one of the preceding</option>
</select>
</div>
<div class="col-lg-7">
<div id="LeaveUnselectedDiv" style="margin-top: 6px;">
<p>Leave unselected if no minority ownership</p>
</div>
<div id="MinorityOwnershipNADiv" style="display: none; margin-top: 6px;">
<p>(American Indians, Eskimos, Aleuts, or Native Hawaiians)</p>
</div>
<div id="MinorityOwnershipAPDiv" style="display: none; margin-top: -6px;">
<p>(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)</p>
</div>
<div id="MinorityOwnershipSADiv" style="display: none; margin-top: -3px;">
<p>(persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal)</p>
</div>
<div id="MinorityOwnershipOtherDiv" style="display: none;">
<input class="form-control" type="text" id="MinorityOwnershipOtherValue" name="MinorityOwnershipOtherValue" placeholder="Explanation">
<label id="MinorityOwnershipOtherLabel" class="validationFailed" style="display:none;">You have selected "Individual/concern" and an explanation is required.</label>
</div>
</div>
</div>
<br>
<div class="row">
<div class="col-lg-12">
<label>**SECTION 2 ONLY**<br>ELECTRONIC SIGNATURE AGREEMENT</label>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p>This signature is only for section 2. If you choose not to electronically sign this section along with the final signature at the end of the form, you must print and manually sign both areas of the form. The form must then be returned to the
buyer indicated in your email invitation.</p>
<span class="field-validation-valid validationFailed" data-valmsg-for="ElectronicSigSec2" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="col-lg-2"><select class="form-control" data-val="true" data-val-required="Please select an option" id="SigSec2DD" name="ElectronicSigSec2">
<option value="">- Select an option -</option>
<option value="ACCEPT">I Accept Electronic Signature</option>
<option value="DECLINE">I Decline Electronic Signature</option>
</select></div>
<div class="col-lg-10">
<div class="row" id="ESigSec2Div" style="display: none;">
<div class="col-lg-4">
<label class="text-danger">*Signed By (Name):</label>
<input class="form-control" type="text" id="SigNameSec2" name="SigNameSec2" placeholder="Signature (Name)">
<label id="SigNameSec2Label" class="validationFailed" style="display:none;">You have selected "I Accept Electronic Signature" and a name is required.</label>
</div>
<div class="col-lg-4">
<label class="text-danger">*Title:</label>
<input class="form-control" type="text" id="SigTitleSec2" name="SigTitleSec2" placeholder="Title">
<label id="SigTitleSec2Label" class="validationFailed" style="display:none;">You have selected "I Accept Electronic Signature" and a title is required.</label>
</div>
<div class="col-lg-4">
<label class="text-danger">*Date:</label>
<input class="form-control" type="text" id="SigDateSec2" name="SigDateSec2" placeholder="Title" value="7/14/2022">
<label id="SigDateSec2Label" class="validationFailed" style="display:none;">You have selected "I Accept Electronic Signature" and a date is required.</label>
</div>
</div>
<div id="RegSigSec2Div" class="row" style="display: none;">
<div class="col-lg-4">
<label class="text-danger"><br>______________________________________<br>*Signature</label>
</div>
<div class="col-lg-4">
<label class="text-danger"><br>______________________________________<br>*Title</label>
</div>
<div class="col-lg-4">
<label class="text-danger"><br>______________________________________<br>*Date</label>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12">
<h4>3. OFFEROR REPRESENTATIONS AND CERTIFICATIONS – COMMERCIAL ITEMS (FAR 52.212-3)(NOV 2021)</h4>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<ol type="A">
<li> Buy American Act Certificate. (FAR 52.225-2)(NOV 2021) (Applies only if the clause at FAR 52.225-1, Buy American Act – Supplies, is included) <ol type="a">
<li>The offeror certifies that each end product, except those listed in paragraph b of this provision, is a domestic end product. The offeror shall list as foreign end products those end products manufactured in the United States that do
not qualify as domestic end products. The terms "domestic end product," "end product," and "foreign end product" are defined in the clause of this solicitation entitled "Buy American Act – Supplies."</li>
<li> Foreign End Products: Line Item Number: Country of Origin (List as necessary) <div class="row">
<div class="col-lg-3">
<label>Item Number</label>
</div>
<div class="col-lg-3">
<label>Country of Origin</label>
</div>
<div class="col-lg-6"></div>
</div>
<div class="row">
<div class="col-lg-3">
<input class="form-control" type="text" id="ForeignProd1" name="ForeignProd1" placeholder="Item Number">
</div>
<div class="col-lg-3">
<select class="form-control" id="FPCountry1DD" name="SelectedForeignProdCountry1">
<option value="">-Select a Country-</option>
<option value="AFGHANISTAN">AFGHANISTAN</option>
<option value="ALBANIA">ALBANIA</option>
<option value="ALGERIA">ALGERIA</option>
<option value="AMERICAN SAMOA">AMERICAN SAMOA</option>
<option value="ANDORRA">ANDORRA</option>
<option value="ANGOLA">ANGOLA</option>
<option value="ANGUILLA">ANGUILLA</option>
<option value="ANTARCTICA">ANTARCTICA</option>
<option value="ANTIGUA AND BARBUDA">ANTIGUA AND BARBUDA</option>
<option value="ARGENTINA">ARGENTINA</option>
<option value="ARMENIA">ARMENIA</option>
<option value="ARUBA">ARUBA</option>
<option value="AUSTRALIA">AUSTRALIA</option>
<option value="AUSTRIA">AUSTRIA</option>
<option value="AZERBAIJAN">AZERBAIJAN</option>
<option value="BAHAMAS">BAHAMAS</option>
<option value="BAHRAIN">BAHRAIN</option>
<option value="BANGLADESH">BANGLADESH</option>
<option value="BARBADOS">BARBADOS</option>
<option value="BELARUS">BELARUS</option>
<option value="BELGIUM">BELGIUM</option>
<option value="BELIZE">BELIZE</option>
<option value="BENIN">BENIN</option>
<option value="BERMUDA">BERMUDA</option>
<option value="BHUTAN">BHUTAN</option>
<option value="BOLIVIA">BOLIVIA</option>
<option value="BOSNIA AND HERZEGOVINA">BOSNIA AND HERZEGOVINA</option>
<option value="BOTSWANA">BOTSWANA</option>
<option value="BOUVET ISLAND">BOUVET ISLAND</option>
<option value="BRAZIL">BRAZIL</option>
<option value="BRITISH INDIAN OCEAN TERRITORY">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="BRUNEI DARUSSALAM">BRUNEI DARUSSALAM</option>
<option value="BULGARIA">BULGARIA</option>
<option value="BURKINA FASO">BURKINA FASO</option>
<option value="BURUNDI">BURUNDI</option>
<option value="CAMBODIA">CAMBODIA</option>
<option value="CAMEROON">CAMEROON</option>
<option value="CANADA">CANADA</option>
<option value="CAPE VERDE">CAPE VERDE</option>
<option value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
<option value="CENTRAL AFRICAN REPUBLIC">CENTRAL AFRICAN REPUBLIC</option>
<option value="CHAD">CHAD</option>
<option value="CHILE">CHILE</option>
<option value="CHINA">CHINA</option>
<option value="CHRISTMAS ISLAND">CHRISTMAS ISLAND</option>
<option value="COCOS (KEELING) ISLANDS">COCOS (KEELING) ISLANDS</option>
<option value="COLOMBIA">COLOMBIA</option>
<option value="COMOROS">COMOROS</option>
<option value="CONGO">CONGO</option>
<option value="CONGO, THE DEMOCRATIC REPUBLIC OF THE">CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
<option value="COOK ISLANDS">COOK ISLANDS</option>
<option value="COSTA RICA">COSTA RICA</option>
<option value="COTE D'IVOIRE">COTE D'IVOIRE</option>
<option value="CROATIA">CROATIA</option>
<option value="CUBA">CUBA</option>
<option value="CYPRUS">CYPRUS</option>
<option value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option value="DENMARK">DENMARK</option>
<option value="DJIBOUTI">DJIBOUTI</option>
<option value="DOMINICA">DOMINICA</option>
<option value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
<option value="EAST TIMOR">EAST TIMOR</option>
<option value="ECUADOR">ECUADOR</option>
<option value="EGYPT">EGYPT</option>
<option value="EL SALVADOR">EL SALVADOR</option>
<option value="EQUATORIAL GUINEA">EQUATORIAL GUINEA</option>
<option value="ERITREA">ERITREA</option>
<option value="ESTONIA">ESTONIA</option>
<option value="ETHIOPIA">ETHIOPIA</option>
<option value="FALKLAND ISLANDS (MALVINAS)">FALKLAND ISLANDS (MALVINAS)</option>
<option value="FAROE ISLANDS">FAROE ISLANDS</option>
<option value="FIJI">FIJI</option>
<option value="FINLAND">FINLAND</option>
<option value="FRANCE">FRANCE</option>
<option value="FRENCH GUIANA">FRENCH GUIANA</option>
<option value="FRENCH POLYNESIA">FRENCH POLYNESIA</option>
<option value="FRENCH SOUTHERN TERRITORIES">FRENCH SOUTHERN TERRITORIES</option>
<option value="GABON">GABON</option>
<option value="GAMBIA">GAMBIA</option>
<option value="GEORGIA">GEORGIA</option>
<option value="GERMANY">GERMANY</option>
<option value="GHANA">GHANA</option>
<option value="GIBRALTAR">GIBRALTAR</option>
<option value="GREECE">GREECE</option>
<option value="GREENLAND">GREENLAND</option>
<option value="GRENADA">GRENADA</option>
<option value="GUADELOUPE">GUADELOUPE</option>
<option value="GUAM">GUAM</option>
<option value="GUATEMALA">GUATEMALA</option>
<option value="GUINEA">GUINEA</option>
<option value="GUINEA-BISSAU">GUINEA-BISSAU</option>
<option value="GUYANA">GUYANA</option>
<option value="HAITI">HAITI</option>
<option value="HEARD ISLAND AND MCDONALD ISLANDS">HEARD ISLAND AND MCDONALD ISLANDS</option>
<option value="HOLY SEE (VATICAN CITY STATE)">HOLY SEE (VATICAN CITY STATE)</option>
<option value="HONDURAS">HONDURAS</option>
<option value="HONG KONG">HONG KONG</option>
<option value="HUNGARY">HUNGARY</option>
<option value="ICELAND">ICELAND</option>
<option value="INDIA">INDIA</option>
<option value="INDONESIA">INDONESIA</option>
<option value="IRAN, ISLAMIC REPUBLIC OF">IRAN, ISLAMIC REPUBLIC OF</option>
<option value="IRAQ">IRAQ</option>
<option value="IRELAND">IRELAND</option>
<option value="ISRAEL">ISRAEL</option>
<option value="ITALY">ITALY</option>
<option value="JAMAICA">JAMAICA</option>
<option value="JAPAN">JAPAN</option>
<option value="JORDAN">JORDAN</option>
<option value="KAZAKSTAN">KAZAKSTAN</option>
<option value="KENYA">KENYA</option>
<option value="KIRIBATI">KIRIBATI</option>
<option value="KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF">KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF</option>
<option value="KOREA, REPUBLIC OF">KOREA, REPUBLIC OF</option>
<option value="KUWAIT">KUWAIT</option>
<option value="KYRGYZSTAN">KYRGYZSTAN</option>
<option value="LAO PEOPLE'S DEMOCRATIC REPUBLIC">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
<option value="LATVIA">LATVIA</option>
<option value="LEBANON">LEBANON</option>
<option value="LESOTHO">LESOTHO</option>
<option value="LIBERIA">LIBERIA</option>
<option value="LIBYAN ARAB JAMAHIRIYA">LIBYAN ARAB JAMAHIRIYA</option>
<option value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option value="LITHUANIA">LITHUANIA</option>
<option value="LUXEMBOURG">LUXEMBOURG</option>
<option value="MACAU">MACAU</option>
<option value="MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF</option>
<option value="MADAGASCAR">MADAGASCAR</option>
<option value="MALAWI">MALAWI</option>
<option value="MALAYSIA">MALAYSIA</option>
<option value="MALDIVES">MALDIVES</option>
<option value="MALI">MALI</option>
<option value="MALTA">MALTA</option>
<option value="MARSHALL ISLANDS">MARSHALL ISLANDS</option>
<option value="MARTINIQUE">MARTINIQUE</option>
<option value="MAURITANIA">MAURITANIA</option>
<option value="MAURITIUS">MAURITIUS</option>
<option value="MAYOTTE">MAYOTTE</option>
<option value="MEXICO">MEXICO</option>
<option value="MICRONESIA, FEDERATED STATES OF">MICRONESIA, FEDERATED STATES OF</option>
<option value="MOLDOVA, REPUBLIC OF">MOLDOVA, REPUBLIC OF</option>
<option value="MONACO">MONACO</option>
<option value="MONGOLIA">MONGOLIA</option>
<option value="MONTSERRAT">MONTSERRAT</option>
<option value="MOROCCO">MOROCCO</option>
<option value="MOZAMBIQUE">MOZAMBIQUE</option>
<option value="MYANMAR">MYANMAR</option>
<option value="NAMIBIA">NAMIBIA</option>
<option value="NAURU">NAURU</option>
<option value="NEPAL">NEPAL</option>
<option value="NETHERLANDS">NETHERLANDS</option>
<option value="NETHERLANDS ANTILLES">NETHERLANDS ANTILLES</option>
<option value="NEW CALEDONIA">NEW CALEDONIA</option>
<option value="NEW ZEALAND">NEW ZEALAND</option>
<option value="NICARAGUA">NICARAGUA</option>
<option value="NIGER">NIGER</option>
<option value="NIGERIA">NIGERIA</option>
<option value="NIUE">NIUE</option>
<option value="NORFOLK ISLAND">NORFOLK ISLAND</option>
<option value="NORTHERN MARIANA ISLANDS">NORTHERN MARIANA ISLANDS</option>
<option value="NORWAY">NORWAY</option>
<option value="OMAN">OMAN</option>
<option value="PAKISTAN">PAKISTAN</option>
<option value="PALAU">PALAU</option>
<option value="PALESTINIAN TERRITORY, OCCUPIED">PALESTINIAN TERRITORY, OCCUPIED</option>
<option value="PANAMA">PANAMA</option>
<option value="PAPUA NEW GUINEA">PAPUA NEW GUINEA</option>
<option value="PARAGUAY">PARAGUAY</option>
<option value="PERU">PERU</option>
<option value="PHILIPPINES">PHILIPPINES</option>
<option value="PITCAIRN">PITCAIRN</option>
<option value="POLAND">POLAND</option>
<option value="PORTUGAL">PORTUGAL</option>
<option value="PUERTO RICO">PUERTO RICO</option>
<option value="QATAR">QATAR</option>
<option value="REUNION">REUNION</option>
<option value="ROMANIA">ROMANIA</option>
<option value="RUSSIAN FEDERATION">RUSSIAN FEDERATION</option>
<option value="RWANDA">RWANDA</option>
<option value="SAINT HELENA">SAINT HELENA</option>
<option value="SAINT KITTS AND NEVIS">SAINT KITTS AND NEVIS</option>
<option value="SAINT LUCIA">SAINT LUCIA</option>
<option value="SAINT PIERRE AND MIQUELON">SAINT PIERRE AND MIQUELON</option>
<option value="SAINT VINCENT AND THE GRENADINES">SAINT VINCENT AND THE GRENADINES</option>
<option value="SAMOA">SAMOA</option>
<option value="SAN MARINO">SAN MARINO</option>
<option value="SAO TOME AND PRINCIPE">SAO TOME AND PRINCIPE</option>
<option value="SAUDI ARABIA">SAUDI ARABIA</option>
<option value="SENEGAL">SENEGAL</option>
<option value="SEYCHELLES">SEYCHELLES</option>
<option value="SIERRA LEONE">SIERRA LEONE</option>
<option value="SINGAPORE">SINGAPORE</option>
<option value="SLOVAKIA">SLOVAKIA</option>
<option value="SLOVENIA">SLOVENIA</option>
<option value="SOLOMON ISLANDS">SOLOMON ISLANDS</option>
<option value="SOMALIA">SOMALIA</option>
<option value="SOUTH AFRICA">SOUTH AFRICA</option>
<option value="SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS">SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS</option>
<option value="SPAIN">SPAIN</option>
<option value="SRI LANKA">SRI LANKA</option>
<option value="SUDAN">SUDAN</option>
<option value="SURINAME">SURINAME</option>
<option value="SVALBARD AND JAN MAYEN">SVALBARD AND JAN MAYEN</option>
<option value="SWAZILAND">SWAZILAND</option>
<option value="SWEDEN">SWEDEN</option>
<option value="SWITZERLAND">SWITZERLAND</option>
<option value="SYRIAN ARAB REPUBLIC">SYRIAN ARAB REPUBLIC</option>
<option value="TAIWAN, PROVINCE OF CHINA">TAIWAN, PROVINCE OF CHINA</option>
<option value="TAJIKISTAN">TAJIKISTAN</option>
<option value="TANZANIA, UNITED REPUBLIC OF">TANZANIA, UNITED REPUBLIC OF</option>
<option value="THAILAND">THAILAND</option>
<option value="TOGO">TOGO</option>
<option value="TOKELAU">TOKELAU</option>
<option value="TONGA">TONGA</option>
<option value="TRINIDAD AND TOBAGO">TRINIDAD AND TOBAGO</option>
<option value="TUNISIA">TUNISIA</option>
<option value="TURKEY">TURKEY</option>
<option value="TURKMENISTAN">TURKMENISTAN</option>
<option value="TURKS AND CAICOS ISLANDS">TURKS AND CAICOS ISLANDS</option>
<option value="TUVALU">TUVALU</option>
<option value="UGANDA">UGANDA</option>
<option value="UKRAINE">UKRAINE</option>
<option value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
<option value="UNITED KINGDOM">UNITED KINGDOM</option>
<option value="UNITED STATES">UNITED STATES</option>
<option value="UNITED STATES MINOR OUTLYING ISLANDS">UNITED STATES MINOR OUTLYING ISLANDS</option>
<option value="URUGUAY">URUGUAY</option>
<option value="UZBEKISTAN">UZBEKISTAN</option>
<option value="VANUATU">VANUATU</option>
<option value="VENEZUELA">VENEZUELA</option>
<option value="VIET NAM">VIET NAM</option>
<option value="VIRGIN ISLANDS, BRITISH">VIRGIN ISLANDS, BRITISH</option>
<option value="VIRGIN ISLANDS, U.S.">VIRGIN ISLANDS, U.S.</option>
<option value="WALLIS AND FUTUNA">WALLIS AND FUTUNA</option>
<option value="WESTERN SAHARA">WESTERN SAHARA</option>
<option value="YEMEN">YEMEN</option>
<option value="YUGOSLAVIA">YUGOSLAVIA</option>
<option value="ZAMBIA">ZAMBIA</option>
<option value="ZIMBABWE">ZIMBABWE</option>
</select>
</div>
<div class="col-lg-6"></div>
</div>
<div class="row">
<div class="col-lg-3">
<input class="form-control" type="text" id="ForeignProd2" name="ForeignProd2" placeholder="Item Number">
</div>
<div class="col-lg-3">
<select class="form-control" id="FPCountry2DD" name="SelectedForeignProdCountry2">
<option value="">-Select a Country-</option>
<option value="AFGHANISTAN">AFGHANISTAN</option>
<option value="ALBANIA">ALBANIA</option>
<option value="ALGERIA">ALGERIA</option>
<option value="AMERICAN SAMOA">AMERICAN SAMOA</option>
<option value="ANDORRA">ANDORRA</option>
<option value="ANGOLA">ANGOLA</option>
<option value="ANGUILLA">ANGUILLA</option>
<option value="ANTARCTICA">ANTARCTICA</option>
<option value="ANTIGUA AND BARBUDA">ANTIGUA AND BARBUDA</option>
<option value="ARGENTINA">ARGENTINA</option>
<option value="ARMENIA">ARMENIA</option>
<option value="ARUBA">ARUBA</option>
<option value="AUSTRALIA">AUSTRALIA</option>
<option value="AUSTRIA">AUSTRIA</option>
<option value="AZERBAIJAN">AZERBAIJAN</option>
<option value="BAHAMAS">BAHAMAS</option>
<option value="BAHRAIN">BAHRAIN</option>
<option value="BANGLADESH">BANGLADESH</option>
<option value="BARBADOS">BARBADOS</option>
<option value="BELARUS">BELARUS</option>
<option value="BELGIUM">BELGIUM</option>
<option value="BELIZE">BELIZE</option>
<option value="BENIN">BENIN</option>
<option value="BERMUDA">BERMUDA</option>
<option value="BHUTAN">BHUTAN</option>
<option value="BOLIVIA">BOLIVIA</option>
<option value="BOSNIA AND HERZEGOVINA">BOSNIA AND HERZEGOVINA</option>
<option value="BOTSWANA">BOTSWANA</option>
<option value="BOUVET ISLAND">BOUVET ISLAND</option>
<option value="BRAZIL">BRAZIL</option>
<option value="BRITISH INDIAN OCEAN TERRITORY">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="BRUNEI DARUSSALAM">BRUNEI DARUSSALAM</option>
<option value="BULGARIA">BULGARIA</option>
<option value="BURKINA FASO">BURKINA FASO</option>
<option value="BURUNDI">BURUNDI</option>
<option value="CAMBODIA">CAMBODIA</option>
<option value="CAMEROON">CAMEROON</option>
<option value="CANADA">CANADA</option>
<option value="CAPE VERDE">CAPE VERDE</option>
<option value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
<option value="CENTRAL AFRICAN REPUBLIC">CENTRAL AFRICAN REPUBLIC</option>
<option value="CHAD">CHAD</option>
<option value="CHILE">CHILE</option>
<option value="CHINA">CHINA</option>
<option value="CHRISTMAS ISLAND">CHRISTMAS ISLAND</option>
<option value="COCOS (KEELING) ISLANDS">COCOS (KEELING) ISLANDS</option>
<option value="COLOMBIA">COLOMBIA</option>
<option value="COMOROS">COMOROS</option>
<option value="CONGO">CONGO</option>
<option value="CONGO, THE DEMOCRATIC REPUBLIC OF THE">CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
<option value="COOK ISLANDS">COOK ISLANDS</option>
<option value="COSTA RICA">COSTA RICA</option>
<option value="COTE D'IVOIRE">COTE D'IVOIRE</option>
<option value="CROATIA">CROATIA</option>
<option value="CUBA">CUBA</option>
<option value="CYPRUS">CYPRUS</option>
<option value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option value="DENMARK">DENMARK</option>
<option value="DJIBOUTI">DJIBOUTI</option>
<option value="DOMINICA">DOMINICA</option>
<option value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
<option value="EAST TIMOR">EAST TIMOR</option>
<option value="ECUADOR">ECUADOR</option>
<option value="EGYPT">EGYPT</option>
<option value="EL SALVADOR">EL SALVADOR</option>
<option value="EQUATORIAL GUINEA">EQUATORIAL GUINEA</option>
<option value="ERITREA">ERITREA</option>
<option value="ESTONIA">ESTONIA</option>
<option value="ETHIOPIA">ETHIOPIA</option>
<option value="FALKLAND ISLANDS (MALVINAS)">FALKLAND ISLANDS (MALVINAS)</option>
<option value="FAROE ISLANDS">FAROE ISLANDS</option>
<option value="FIJI">FIJI</option>
<option value="FINLAND">FINLAND</option>
<option value="FRANCE">FRANCE</option>
<option value="FRENCH GUIANA">FRENCH GUIANA</option>
<option value="FRENCH POLYNESIA">FRENCH POLYNESIA</option>
<option value="FRENCH SOUTHERN TERRITORIES">FRENCH SOUTHERN TERRITORIES</option>
<option value="GABON">GABON</option>
<option value="GAMBIA">GAMBIA</option>
<option value="GEORGIA">GEORGIA</option>
<option value="GERMANY">GERMANY</option>
<option value="GHANA">GHANA</option>
<option value="GIBRALTAR">GIBRALTAR</option>
<option value="GREECE">GREECE</option>
<option value="GREENLAND">GREENLAND</option>
<option value="GRENADA">GRENADA</option>
<option value="GUADELOUPE">GUADELOUPE</option>
<option value="GUAM">GUAM</option>
<option value="GUATEMALA">GUATEMALA</option>
<option value="GUINEA">GUINEA</option>
<option value="GUINEA-BISSAU">GUINEA-BISSAU</option>
<option value="GUYANA">GUYANA</option>
<option value="HAITI">HAITI</option>
<option value="HEARD ISLAND AND MCDONALD ISLANDS">HEARD ISLAND AND MCDONALD ISLANDS</option>
<option value="HOLY SEE (VATICAN CITY STATE)">HOLY SEE (VATICAN CITY STATE)</option>
<option value="HONDURAS">HONDURAS</option>
<option value="HONG KONG">HONG KONG</option>
<option value="HUNGARY">HUNGARY</option>
<option value="ICELAND">ICELAND</option>
<option value="INDIA">INDIA</option>
<option value="INDONESIA">INDONESIA</option>
<option value="IRAN, ISLAMIC REPUBLIC OF">IRAN, ISLAMIC REPUBLIC OF</option>
<option value="IRAQ">IRAQ</option>
<option value="IRELAND">IRELAND</option>
<option value="ISRAEL">ISRAEL</option>
<option value="ITALY">ITALY</option>
<option value="JAMAICA">JAMAICA</option>
<option value="JAPAN">JAPAN</option>
<option value="JORDAN">JORDAN</option>
<option value="KAZAKSTAN">KAZAKSTAN</option>
<option value="KENYA">KENYA</option>
<option value="KIRIBATI">KIRIBATI</option>
<option value="KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF">KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF</option>
<option value="KOREA, REPUBLIC OF">KOREA, REPUBLIC OF</option>
<option value="KUWAIT">KUWAIT</option>
<option value="KYRGYZSTAN">KYRGYZSTAN</option>
<option value="LAO PEOPLE'S DEMOCRATIC REPUBLIC">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
<option value="LATVIA">LATVIA</option>
<option value="LEBANON">LEBANON</option>
<option value="LESOTHO">LESOTHO</option>
<option value="LIBERIA">LIBERIA</option>
<option value="LIBYAN ARAB JAMAHIRIYA">LIBYAN ARAB JAMAHIRIYA</option>
<option value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option value="LITHUANIA">LITHUANIA</option>
<option value="LUXEMBOURG">LUXEMBOURG</option>
<option value="MACAU">MACAU</option>
<option value="MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF</option>
<option value="MADAGASCAR">MADAGASCAR</option>
<option value="MALAWI">MALAWI</option>
<option value="MALAYSIA">MALAYSIA</option>
<option value="MALDIVES">MALDIVES</option>
<option value="MALI">MALI</option>
<option value="MALTA">MALTA</option>
<option value="MARSHALL ISLANDS">MARSHALL ISLANDS</option>
<option value="MARTINIQUE">MARTINIQUE</option>
<option value="MAURITANIA">MAURITANIA</option>
<option value="MAURITIUS">MAURITIUS</option>
<option value="MAYOTTE">MAYOTTE</option>
<option value="MEXICO">MEXICO</option>
<option value="MICRONESIA, FEDERATED STATES OF">MICRONESIA, FEDERATED STATES OF</option>
<option value="MOLDOVA, REPUBLIC OF">MOLDOVA, REPUBLIC OF</option>
<option value="MONACO">MONACO</option>
<option value="MONGOLIA">MONGOLIA</option>
<option value="MONTSERRAT">MONTSERRAT</option>
<option value="MOROCCO">MOROCCO</option>
<option value="MOZAMBIQUE">MOZAMBIQUE</option>
<option value="MYANMAR">MYANMAR</option>
<option value="NAMIBIA">NAMIBIA</option>
<option value="NAURU">NAURU</option>
<option value="NEPAL">NEPAL</option>
<option value="NETHERLANDS">NETHERLANDS</option>
<option value="NETHERLANDS ANTILLES">NETHERLANDS ANTILLES</option>
<option value="NEW CALEDONIA">NEW CALEDONIA</option>
<option value="NEW ZEALAND">NEW ZEALAND</option>
<option value="NICARAGUA">NICARAGUA</option>
<option value="NIGER">NIGER</option>
<option value="NIGERIA">NIGERIA</option>
<option value="NIUE">NIUE</option>
<option value="NORFOLK ISLAND">NORFOLK ISLAND</option>
<option value="NORTHERN MARIANA ISLANDS">NORTHERN MARIANA ISLANDS</option>
<option value="NORWAY">NORWAY</option>
<option value="OMAN">OMAN</option>
<option value="PAKISTAN">PAKISTAN</option>
<option value="PALAU">PALAU</option>
<option value="PALESTINIAN TERRITORY, OCCUPIED">PALESTINIAN TERRITORY, OCCUPIED</option>
<option value="PANAMA">PANAMA</option>
<option value="PAPUA NEW GUINEA">PAPUA NEW GUINEA</option>
<option value="PARAGUAY">PARAGUAY</option>
<option value="PERU">PERU</option>
<option value="PHILIPPINES">PHILIPPINES</option>
<option value="PITCAIRN">PITCAIRN</option>
<option value="POLAND">POLAND</option>
<option value="PORTUGAL">PORTUGAL</option>
<option value="PUERTO RICO">PUERTO RICO</option>
<option value="QATAR">QATAR</option>
<option value="REUNION">REUNION</option>
<option value="ROMANIA">ROMANIA</option>
<option value="RUSSIAN FEDERATION">RUSSIAN FEDERATION</option>
<option value="RWANDA">RWANDA</option>
<option value="SAINT HELENA">SAINT HELENA</option>
<option value="SAINT KITTS AND NEVIS">SAINT KITTS AND NEVIS</option>
<option value="SAINT LUCIA">SAINT LUCIA</option>
<option value="SAINT PIERRE AND MIQUELON">SAINT PIERRE AND MIQUELON</option>
<option value="SAINT VINCENT AND THE GRENADINES">SAINT VINCENT AND THE GRENADINES</option>
<option value="SAMOA">SAMOA</option>
<option value="SAN MARINO">SAN MARINO</option>
<option value="SAO TOME AND PRINCIPE">SAO TOME AND PRINCIPE</option>
<option value="SAUDI ARABIA">SAUDI ARABIA</option>
<option value="SENEGAL">SENEGAL</option>
<option value="SEYCHELLES">SEYCHELLES</option>
<option value="SIERRA LEONE">SIERRA LEONE</option>
<option value="SINGAPORE">SINGAPORE</option>
<option value="SLOVAKIA">SLOVAKIA</option>
<option value="SLOVENIA">SLOVENIA</option>
<option value="SOLOMON ISLANDS">SOLOMON ISLANDS</option>
<option value="SOMALIA">SOMALIA</option>
<option value="SOUTH AFRICA">SOUTH AFRICA</option>
<option value="SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS">SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS</option>
<option value="SPAIN">SPAIN</option>
<option value="SRI LANKA">SRI LANKA</option>
<option value="SUDAN">SUDAN</option>
<option value="SURINAME">SURINAME</option>
<option value="SVALBARD AND JAN MAYEN">SVALBARD AND JAN MAYEN</option>
<option value="SWAZILAND">SWAZILAND</option>
<option value="SWEDEN">SWEDEN</option>
<option value="SWITZERLAND">SWITZERLAND</option>
<option value="SYRIAN ARAB REPUBLIC">SYRIAN ARAB REPUBLIC</option>
<option value="TAIWAN, PROVINCE OF CHINA">TAIWAN, PROVINCE OF CHINA</option>
<option value="TAJIKISTAN">TAJIKISTAN</option>
<option value="TANZANIA, UNITED REPUBLIC OF">TANZANIA, UNITED REPUBLIC OF</option>
<option value="THAILAND">THAILAND</option>
<option value="TOGO">TOGO</option>
<option value="TOKELAU">TOKELAU</option>
<option value="TONGA">TONGA</option>
<option value="TRINIDAD AND TOBAGO">TRINIDAD AND TOBAGO</option>
<option value="TUNISIA">TUNISIA</option>
<option value="TURKEY">TURKEY</option>
<option value="TURKMENISTAN">TURKMENISTAN</option>
<option value="TURKS AND CAICOS ISLANDS">TURKS AND CAICOS ISLANDS</option>
<option value="TUVALU">TUVALU</option>
<option value="UGANDA">UGANDA</option>
<option value="UKRAINE">UKRAINE</option>
<option value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
<option value="UNITED KINGDOM">UNITED KINGDOM</option>
<option value="UNITED STATES">UNITED STATES</option>
<option value="UNITED STATES MINOR OUTLYING ISLANDS">UNITED STATES MINOR OUTLYING ISLANDS</option>
<option value="URUGUAY">URUGUAY</option>
<option value="UZBEKISTAN">UZBEKISTAN</option>
<option value="VANUATU">VANUATU</option>
<option value="VENEZUELA">VENEZUELA</option>
<option value="VIET NAM">VIET NAM</option>
<option value="VIRGIN ISLANDS, BRITISH">VIRGIN ISLANDS, BRITISH</option>
<option value="VIRGIN ISLANDS, U.S.">VIRGIN ISLANDS, U.S.</option>
<option value="WALLIS AND FUTUNA">WALLIS AND FUTUNA</option>
<option value="WESTERN SAHARA">WESTERN SAHARA</option>
<option value="YEMEN">YEMEN</option>
<option value="YUGOSLAVIA">YUGOSLAVIA</option>
<option value="ZAMBIA">ZAMBIA</option>
<option value="ZIMBABWE">ZIMBABWE</option>
</select>
</div>
<div class="col-lg-6"></div>
</div>
<div class="row">
<div class="col-lg-3">
<input class="form-control" type="text" id="ForeignProd3" name="ForeignProd3" placeholder="Item Number">
</div>
<div class="col-lg-3">
<select class="form-control" id="FPCountry3DD" name="SelectedForeignProdCountry3">
<option value="">-Select a Country-</option>
<option value="AFGHANISTAN">AFGHANISTAN</option>
<option value="ALBANIA">ALBANIA</option>
<option value="ALGERIA">ALGERIA</option>
<option value="AMERICAN SAMOA">AMERICAN SAMOA</option>
<option value="ANDORRA">ANDORRA</option>
<option value="ANGOLA">ANGOLA</option>
<option value="ANGUILLA">ANGUILLA</option>
<option value="ANTARCTICA">ANTARCTICA</option>
<option value="ANTIGUA AND BARBUDA">ANTIGUA AND BARBUDA</option>
<option value="ARGENTINA">ARGENTINA</option>
<option value="ARMENIA">ARMENIA</option>
<option value="ARUBA">ARUBA</option>
<option value="AUSTRALIA">AUSTRALIA</option>
<option value="AUSTRIA">AUSTRIA</option>
<option value="AZERBAIJAN">AZERBAIJAN</option>
<option value="BAHAMAS">BAHAMAS</option>
<option value="BAHRAIN">BAHRAIN</option>
<option value="BANGLADESH">BANGLADESH</option>
<option value="BARBADOS">BARBADOS</option>
<option value="BELARUS">BELARUS</option>
<option value="BELGIUM">BELGIUM</option>
<option value="BELIZE">BELIZE</option>
<option value="BENIN">BENIN</option>
<option value="BERMUDA">BERMUDA</option>
<option value="BHUTAN">BHUTAN</option>
<option value="BOLIVIA">BOLIVIA</option>
<option value="BOSNIA AND HERZEGOVINA">BOSNIA AND HERZEGOVINA</option>
<option value="BOTSWANA">BOTSWANA</option>
<option value="BOUVET ISLAND">BOUVET ISLAND</option>
<option value="BRAZIL">BRAZIL</option>
<option value="BRITISH INDIAN OCEAN TERRITORY">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="BRUNEI DARUSSALAM">BRUNEI DARUSSALAM</option>
<option value="BULGARIA">BULGARIA</option>
<option value="BURKINA FASO">BURKINA FASO</option>
<option value="BURUNDI">BURUNDI</option>
<option value="CAMBODIA">CAMBODIA</option>
<option value="CAMEROON">CAMEROON</option>
<option value="CANADA">CANADA</option>
<option value="CAPE VERDE">CAPE VERDE</option>
<option value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
<option value="CENTRAL AFRICAN REPUBLIC">CENTRAL AFRICAN REPUBLIC</option>
<option value="CHAD">CHAD</option>
<option value="CHILE">CHILE</option>
<option value="CHINA">CHINA</option>
<option value="CHRISTMAS ISLAND">CHRISTMAS ISLAND</option>
<option value="COCOS (KEELING) ISLANDS">COCOS (KEELING) ISLANDS</option>
<option value="COLOMBIA">COLOMBIA</option>
<option value="COMOROS">COMOROS</option>
<option value="CONGO">CONGO</option>
<option value="CONGO, THE DEMOCRATIC REPUBLIC OF THE">CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
<option value="COOK ISLANDS">COOK ISLANDS</option>
<option value="COSTA RICA">COSTA RICA</option>
<option value="COTE D'IVOIRE">COTE D'IVOIRE</option>
<option value="CROATIA">CROATIA</option>
<option value="CUBA">CUBA</option>
<option value="CYPRUS">CYPRUS</option>
<option value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option value="DENMARK">DENMARK</option>
<option value="DJIBOUTI">DJIBOUTI</option>
<option value="DOMINICA">DOMINICA</option>
<option value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
<option value="EAST TIMOR">EAST TIMOR</option>
<option value="ECUADOR">ECUADOR</option>
<option value="EGYPT">EGYPT</option>
<option value="EL SALVADOR">EL SALVADOR</option>
<option value="EQUATORIAL GUINEA">EQUATORIAL GUINEA</option>
<option value="ERITREA">ERITREA</option>
<option value="ESTONIA">ESTONIA</option>
<option value="ETHIOPIA">ETHIOPIA</option>
<option value="FALKLAND ISLANDS (MALVINAS)">FALKLAND ISLANDS (MALVINAS)</option>
<option value="FAROE ISLANDS">FAROE ISLANDS</option>
<option value="FIJI">FIJI</option>
<option value="FINLAND">FINLAND</option>
<option value="FRANCE">FRANCE</option>
<option value="FRENCH GUIANA">FRENCH GUIANA</option>
<option value="FRENCH POLYNESIA">FRENCH POLYNESIA</option>
<option value="FRENCH SOUTHERN TERRITORIES">FRENCH SOUTHERN TERRITORIES</option>
<option value="GABON">GABON</option>
<option value="GAMBIA">GAMBIA</option>
<option value="GEORGIA">GEORGIA</option>
<option value="GERMANY">GERMANY</option>
<option value="GHANA">GHANA</option>
<option value="GIBRALTAR">GIBRALTAR</option>
<option value="GREECE">GREECE</option>
<option value="GREENLAND">GREENLAND</option>
<option value="GRENADA">GRENADA</option>
<option value="GUADELOUPE">GUADELOUPE</option>
<option value="GUAM">GUAM</option>
<option value="GUATEMALA">GUATEMALA</option>
<option value="GUINEA">GUINEA</option>
<option value="GUINEA-BISSAU">GUINEA-BISSAU</option>
<option value="GUYANA">GUYANA</option>
<option value="HAITI">HAITI</option>
<option value="HEARD ISLAND AND MCDONALD ISLANDS">HEARD ISLAND AND MCDONALD ISLANDS</option>
<option value="HOLY SEE (VATICAN CITY STATE)">HOLY SEE (VATICAN CITY STATE)</option>
<option value="HONDURAS">HONDURAS</option>
<option value="HONG KONG">HONG KONG</option>
<option value="HUNGARY">HUNGARY</option>
<option value="ICELAND">ICELAND</option>
<option value="INDIA">INDIA</option>
<option value="INDONESIA">INDONESIA</option>
<option value="IRAN, ISLAMIC REPUBLIC OF">IRAN, ISLAMIC REPUBLIC OF</option>
<option value="IRAQ">IRAQ</option>
<option value="IRELAND">IRELAND</option>
<option value="ISRAEL">ISRAEL</option>
<option value="ITALY">ITALY</option>
<option value="JAMAICA">JAMAICA</option>
<option value="JAPAN">JAPAN</option>
<option value="JORDAN">JORDAN</option>
<option value="KAZAKSTAN">KAZAKSTAN</option>
<option value="KENYA">KENYA</option>
<option value="KIRIBATI">KIRIBATI</option>
<option value="KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF">KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF</option>
<option value="KOREA, REPUBLIC OF">KOREA, REPUBLIC OF</option>
<option value="KUWAIT">KUWAIT</option>
<option value="KYRGYZSTAN">KYRGYZSTAN</option>
<option value="LAO PEOPLE'S DEMOCRATIC REPUBLIC">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
<option value="LATVIA">LATVIA</option>
<option value="LEBANON">LEBANON</option>
<option value="LESOTHO">LESOTHO</option>
<option value="LIBERIA">LIBERIA</option>
<option value="LIBYAN ARAB JAMAHIRIYA">LIBYAN ARAB JAMAHIRIYA</option>
<option value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option value="LITHUANIA">LITHUANIA</option>
<option value="LUXEMBOURG">LUXEMBOURG</option>
<option value="MACAU">MACAU</option>
<option value="MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF</option>
<option value="MADAGASCAR">MADAGASCAR</option>
<option value="MALAWI">MALAWI</option>
<option value="MALAYSIA">MALAYSIA</option>
<option value="MALDIVES">MALDIVES</option>
<option value="MALI">MALI</option>
<option value="MALTA">MALTA</option>
<option value="MARSHALL ISLANDS">MARSHALL ISLANDS</option>
<option value="MARTINIQUE">MARTINIQUE</option>
<option value="MAURITANIA">MAURITANIA</option>
<option value="MAURITIUS">MAURITIUS</option>
<option value="MAYOTTE">MAYOTTE</option>
<option value="MEXICO">MEXICO</option>
<option value="MICRONESIA, FEDERATED STATES OF">MICRONESIA, FEDERATED STATES OF</option>
<option value="MOLDOVA, REPUBLIC OF">MOLDOVA, REPUBLIC OF</option>
<option value="MONACO">MONACO</option>
<option value="MONGOLIA">MONGOLIA</option>
<option value="MONTSERRAT">MONTSERRAT</option>
<option value="MOROCCO">MOROCCO</option>
<option value="MOZAMBIQUE">MOZAMBIQUE</option>
<option value="MYANMAR">MYANMAR</option>
<option value="NAMIBIA">NAMIBIA</option>
<option value="NAURU">NAURU</option>
<option value="NEPAL">NEPAL</option>
<option value="NETHERLANDS">NETHERLANDS</option>
<option value="NETHERLANDS ANTILLES">NETHERLANDS ANTILLES</option>
<option value="NEW CALEDONIA">NEW CALEDONIA</option>
<option value="NEW ZEALAND">NEW ZEALAND</option>
<option value="NICARAGUA">NICARAGUA</option>
<option value="NIGER">NIGER</option>
<option value="NIGERIA">NIGERIA</option>
<option value="NIUE">NIUE</option>
<option value="NORFOLK ISLAND">NORFOLK ISLAND</option>
<option value="NORTHERN MARIANA ISLANDS">NORTHERN MARIANA ISLANDS</option>
<option value="NORWAY">NORWAY</option>
<option value="OMAN">OMAN</option>
<option value="PAKISTAN">PAKISTAN</option>
<option value="PALAU">PALAU</option>
<option value="PALESTINIAN TERRITORY, OCCUPIED">PALESTINIAN TERRITORY, OCCUPIED</option>
<option value="PANAMA">PANAMA</option>
<option value="PAPUA NEW GUINEA">PAPUA NEW GUINEA</option>
<option value="PARAGUAY">PARAGUAY</option>
<option value="PERU">PERU</option>
<option value="PHILIPPINES">PHILIPPINES</option>
<option value="PITCAIRN">PITCAIRN</option>
<option value="POLAND">POLAND</option>
<option value="PORTUGAL">PORTUGAL</option>
<option value="PUERTO RICO">PUERTO RICO</option>
<option value="QATAR">QATAR</option>
<option value="REUNION">REUNION</option>
<option value="ROMANIA">ROMANIA</option>
<option value="RUSSIAN FEDERATION">RUSSIAN FEDERATION</option>
<option value="RWANDA">RWANDA</option>
<option value="SAINT HELENA">SAINT HELENA</option>
<option value="SAINT KITTS AND NEVIS">SAINT KITTS AND NEVIS</option>
<option value="SAINT LUCIA">SAINT LUCIA</option>
<option value="SAINT PIERRE AND MIQUELON">SAINT PIERRE AND MIQUELON</option>
<option value="SAINT VINCENT AND THE GRENADINES">SAINT VINCENT AND THE GRENADINES</option>
<option value="SAMOA">SAMOA</option>
<option value="SAN MARINO">SAN MARINO</option>
<option value="SAO TOME AND PRINCIPE">SAO TOME AND PRINCIPE</option>
<option value="SAUDI ARABIA">SAUDI ARABIA</option>
<option value="SENEGAL">SENEGAL</option>
<option value="SEYCHELLES">SEYCHELLES</option>
<option value="SIERRA LEONE">SIERRA LEONE</option>
<option value="SINGAPORE">SINGAPORE</option>
<option value="SLOVAKIA">SLOVAKIA</option>
<option value="SLOVENIA">SLOVENIA</option>
<option value="SOLOMON ISLANDS">SOLOMON ISLANDS</option>
<option value="SOMALIA">SOMALIA</option>
<option value="SOUTH AFRICA">SOUTH AFRICA</option>
<option value="SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS">SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS</option>
<option value="SPAIN">SPAIN</option>
<option value="SRI LANKA">SRI LANKA</option>
<option value="SUDAN">SUDAN</option>
<option value="SURINAME">SURINAME</option>
<option value="SVALBARD AND JAN MAYEN">SVALBARD AND JAN MAYEN</option>
<option value="SWAZILAND">SWAZILAND</option>
<option value="SWEDEN">SWEDEN</option>
<option value="SWITZERLAND">SWITZERLAND</option>
<option value="SYRIAN ARAB REPUBLIC">SYRIAN ARAB REPUBLIC</option>
<option value="TAIWAN, PROVINCE OF CHINA">TAIWAN, PROVINCE OF CHINA</option>
<option value="TAJIKISTAN">TAJIKISTAN</option>
<option value="TANZANIA, UNITED REPUBLIC OF">TANZANIA, UNITED REPUBLIC OF</option>
<option value="THAILAND">THAILAND</option>
<option value="TOGO">TOGO</option>
<option value="TOKELAU">TOKELAU</option>
<option value="TONGA">TONGA</option>
<option value="TRINIDAD AND TOBAGO">TRINIDAD AND TOBAGO</option>
<option value="TUNISIA">TUNISIA</option>
<option value="TURKEY">TURKEY</option>
<option value="TURKMENISTAN">TURKMENISTAN</option>
<option value="TURKS AND CAICOS ISLANDS">TURKS AND CAICOS ISLANDS</option>
<option value="TUVALU">TUVALU</option>
<option value="UGANDA">UGANDA</option>
<option value="UKRAINE">UKRAINE</option>
<option value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
<option value="UNITED KINGDOM">UNITED KINGDOM</option>
<option value="UNITED STATES">UNITED STATES</option>
<option value="UNITED STATES MINOR OUTLYING ISLANDS">UNITED STATES MINOR OUTLYING ISLANDS</option>
<option value="URUGUAY">URUGUAY</option>
<option value="UZBEKISTAN">UZBEKISTAN</option>
<option value="VANUATU">VANUATU</option>
<option value="VENEZUELA">VENEZUELA</option>
<option value="VIET NAM">VIET NAM</option>
<option value="VIRGIN ISLANDS, BRITISH">VIRGIN ISLANDS, BRITISH</option>
<option value="VIRGIN ISLANDS, U.S.">VIRGIN ISLANDS, U.S.</option>
<option value="WALLIS AND FUTUNA">WALLIS AND FUTUNA</option>
<option value="WESTERN SAHARA">WESTERN SAHARA</option>
<option value="YEMEN">YEMEN</option>
<option value="YUGOSLAVIA">YUGOSLAVIA</option>
<option value="ZAMBIA">ZAMBIA</option>
<option value="ZIMBABWE">ZIMBABWE</option>
</select>
</div>
<div class="col-lg-6"></div>
</div>
<div class="row">
<div class="col-lg-3">
<input class="form-control" type="text" id="ForeignProd4" name="ForeignProd4" placeholder="Item Number">
</div>
<div class="col-lg-3">
<select class="form-control" id="FPCountry4DD" name="SelectedForeignProdCountry4">
<option value="">-Select a Country-</option>
<option value="AFGHANISTAN">AFGHANISTAN</option>
<option value="ALBANIA">ALBANIA</option>
<option value="ALGERIA">ALGERIA</option>
<option value="AMERICAN SAMOA">AMERICAN SAMOA</option>
<option value="ANDORRA">ANDORRA</option>
<option value="ANGOLA">ANGOLA</option>
<option value="ANGUILLA">ANGUILLA</option>
<option value="ANTARCTICA">ANTARCTICA</option>
<option value="ANTIGUA AND BARBUDA">ANTIGUA AND BARBUDA</option>
<option value="ARGENTINA">ARGENTINA</option>
<option value="ARMENIA">ARMENIA</option>
<option value="ARUBA">ARUBA</option>
<option value="AUSTRALIA">AUSTRALIA</option>
<option value="AUSTRIA">AUSTRIA</option>
<option value="AZERBAIJAN">AZERBAIJAN</option>
<option value="BAHAMAS">BAHAMAS</option>
<option value="BAHRAIN">BAHRAIN</option>
<option value="BANGLADESH">BANGLADESH</option>
<option value="BARBADOS">BARBADOS</option>
<option value="BELARUS">BELARUS</option>
<option value="BELGIUM">BELGIUM</option>
<option value="BELIZE">BELIZE</option>
<option value="BENIN">BENIN</option>
<option value="BERMUDA">BERMUDA</option>
<option value="BHUTAN">BHUTAN</option>
<option value="BOLIVIA">BOLIVIA</option>
<option value="BOSNIA AND HERZEGOVINA">BOSNIA AND HERZEGOVINA</option>
<option value="BOTSWANA">BOTSWANA</option>
<option value="BOUVET ISLAND">BOUVET ISLAND</option>
<option value="BRAZIL">BRAZIL</option>
<option value="BRITISH INDIAN OCEAN TERRITORY">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="BRUNEI DARUSSALAM">BRUNEI DARUSSALAM</option>
<option value="BULGARIA">BULGARIA</option>
<option value="BURKINA FASO">BURKINA FASO</option>
<option value="BURUNDI">BURUNDI</option>
<option value="CAMBODIA">CAMBODIA</option>
<option value="CAMEROON">CAMEROON</option>
<option value="CANADA">CANADA</option>
<option value="CAPE VERDE">CAPE VERDE</option>
<option value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
<option value="CENTRAL AFRICAN REPUBLIC">CENTRAL AFRICAN REPUBLIC</option>
<option value="CHAD">CHAD</option>
<option value="CHILE">CHILE</option>
<option value="CHINA">CHINA</option>
<option value="CHRISTMAS ISLAND">CHRISTMAS ISLAND</option>
<option value="COCOS (KEELING) ISLANDS">COCOS (KEELING) ISLANDS</option>
<option value="COLOMBIA">COLOMBIA</option>
<option value="COMOROS">COMOROS</option>
<option value="CONGO">CONGO</option>
<option value="CONGO, THE DEMOCRATIC REPUBLIC OF THE">CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
<option value="COOK ISLANDS">COOK ISLANDS</option>
<option value="COSTA RICA">COSTA RICA</option>
<option value="COTE D'IVOIRE">COTE D'IVOIRE</option>
<option value="CROATIA">CROATIA</option>
<option value="CUBA">CUBA</option>
<option value="CYPRUS">CYPRUS</option>
<option value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option value="DENMARK">DENMARK</option>
<option value="DJIBOUTI">DJIBOUTI</option>
<option value="DOMINICA">DOMINICA</option>
<option value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
<option value="EAST TIMOR">EAST TIMOR</option>
<option value="ECUADOR">ECUADOR</option>
<option value="EGYPT">EGYPT</option>
<option value="EL SALVADOR">EL SALVADOR</option>
<option value="EQUATORIAL GUINEA">EQUATORIAL GUINEA</option>
<option value="ERITREA">ERITREA</option>
<option value="ESTONIA">ESTONIA</option>
<option value="ETHIOPIA">ETHIOPIA</option>
<option value="FALKLAND ISLANDS (MALVINAS)">FALKLAND ISLANDS (MALVINAS)</option>
<option value="FAROE ISLANDS">FAROE ISLANDS</option>
<option value="FIJI">FIJI</option>
<option value="FINLAND">FINLAND</option>
<option value="FRANCE">FRANCE</option>
<option value="FRENCH GUIANA">FRENCH GUIANA</option>
<option value="FRENCH POLYNESIA">FRENCH POLYNESIA</option>
<option value="FRENCH SOUTHERN TERRITORIES">FRENCH SOUTHERN TERRITORIES</option>
<option value="GABON">GABON</option>
<option value="GAMBIA">GAMBIA</option>
<option value="GEORGIA">GEORGIA</option>
<option value="GERMANY">GERMANY</option>
<option value="GHANA">GHANA</option>
<option value="GIBRALTAR">GIBRALTAR</option>
<option value="GREECE">GREECE</option>
<option value="GREENLAND">GREENLAND</option>
<option value="GRENADA">GRENADA</option>
<option value="GUADELOUPE">GUADELOUPE</option>
<option value="GUAM">GUAM</option>
<option value="GUATEMALA">GUATEMALA</option>
<option value="GUINEA">GUINEA</option>
<option value="GUINEA-BISSAU">GUINEA-BISSAU</option>
<option value="GUYANA">GUYANA</option>
<option value="HAITI">HAITI</option>
<option value="HEARD ISLAND AND MCDONALD ISLANDS">HEARD ISLAND AND MCDONALD ISLANDS</option>
<option value="HOLY SEE (VATICAN CITY STATE)">HOLY SEE (VATICAN CITY STATE)</option>
<option value="HONDURAS">HONDURAS</option>
<option value="HONG KONG">HONG KONG</option>
<option value="HUNGARY">HUNGARY</option>
<option value="ICELAND">ICELAND</option>
<option value="INDIA">INDIA</option>
<option value="INDONESIA">INDONESIA</option>
<option value="IRAN, ISLAMIC REPUBLIC OF">IRAN, ISLAMIC REPUBLIC OF</option>
<option value="IRAQ">IRAQ</option>
<option value="IRELAND">IRELAND</option>
<option value="ISRAEL">ISRAEL</option>
<option value="ITALY">ITALY</option>
<option value="JAMAICA">JAMAICA</option>
<option value="JAPAN">JAPAN</option>
<option value="JORDAN">JORDAN</option>
<option value="KAZAKSTAN">KAZAKSTAN</option>
<option value="KENYA">KENYA</option>
<option value="KIRIBATI">KIRIBATI</option>
<option value="KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF">KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF</option>
<option value="KOREA, REPUBLIC OF">KOREA, REPUBLIC OF</option>
<option value="KUWAIT">KUWAIT</option>
<option value="KYRGYZSTAN">KYRGYZSTAN</option>
<option value="LAO PEOPLE'S DEMOCRATIC REPUBLIC">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
<option value="LATVIA">LATVIA</option>
<option value="LEBANON">LEBANON</option>
<option value="LESOTHO">LESOTHO</option>
<option value="LIBERIA">LIBERIA</option>
<option value="LIBYAN ARAB JAMAHIRIYA">LIBYAN ARAB JAMAHIRIYA</option>
<option value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option value="LITHUANIA">LITHUANIA</option>
<option value="LUXEMBOURG">LUXEMBOURG</option>
<option value="MACAU">MACAU</option>
<option value="MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF</option>
<option value="MADAGASCAR">MADAGASCAR</option>
<option value="MALAWI">MALAWI</option>
<option value="MALAYSIA">MALAYSIA</option>
<option value="MALDIVES">MALDIVES</option>
<option value="MALI">MALI</option>
<option value="MALTA">MALTA</option>
<option value="MARSHALL ISLANDS">MARSHALL ISLANDS</option>
<option value="MARTINIQUE">MARTINIQUE</option>
<option value="MAURITANIA">MAURITANIA</option>
<option value="MAURITIUS">MAURITIUS</option>
<option value="MAYOTTE">MAYOTTE</option>
<option value="MEXICO">MEXICO</option>
<option value="MICRONESIA, FEDERATED STATES OF">MICRONESIA, FEDERATED STATES OF</option>
<option value="MOLDOVA, REPUBLIC OF">MOLDOVA, REPUBLIC OF</option>
<option value="MONACO">MONACO</option>
<option value="MONGOLIA">MONGOLIA</option>
<option value="MONTSERRAT">MONTSERRAT</option>
<option value="MOROCCO">MOROCCO</option>
<option value="MOZAMBIQUE">MOZAMBIQUE</option>
<option value="MYANMAR">MYANMAR</option>
<option value="NAMIBIA">NAMIBIA</option>
<option value="NAURU">NAURU</option>
<option value="NEPAL">NEPAL</option>
<option value="NETHERLANDS">NETHERLANDS</option>
<option value="NETHERLANDS ANTILLES">NETHERLANDS ANTILLES</option>
<option value="NEW CALEDONIA">NEW CALEDONIA</option>
<option value="NEW ZEALAND">NEW ZEALAND</option>
<option value="NICARAGUA">NICARAGUA</option>
<option value="NIGER">NIGER</option>
<option value="NIGERIA">NIGERIA</option>
<option value="NIUE">NIUE</option>
<option value="NORFOLK ISLAND">NORFOLK ISLAND</option>
<option value="NORTHERN MARIANA ISLANDS">NORTHERN MARIANA ISLANDS</option>
<option value="NORWAY">NORWAY</option>
<option value="OMAN">OMAN</option>
<option value="PAKISTAN">PAKISTAN</option>
<option value="PALAU">PALAU</option>
<option value="PALESTINIAN TERRITORY, OCCUPIED">PALESTINIAN TERRITORY, OCCUPIED</option>
<option value="PANAMA">PANAMA</option>
<option value="PAPUA NEW GUINEA">PAPUA NEW GUINEA</option>
<option value="PARAGUAY">PARAGUAY</option>
<option value="PERU">PERU</option>
<option value="PHILIPPINES">PHILIPPINES</option>
<option value="PITCAIRN">PITCAIRN</option>
<option value="POLAND">POLAND</option>
<option value="PORTUGAL">PORTUGAL</option>
<option value="PUERTO RICO">PUERTO RICO</option>
<option value="QATAR">QATAR</option>
<option value="REUNION">REUNION</option>
<option value="ROMANIA">ROMANIA</option>
<option value="RUSSIAN FEDERATION">RUSSIAN FEDERATION</option>
<option value="RWANDA">RWANDA</option>
<option value="SAINT HELENA">SAINT HELENA</option>
<option value="SAINT KITTS AND NEVIS">SAINT KITTS AND NEVIS</option>
<option value="SAINT LUCIA">SAINT LUCIA</option>
<option value="SAINT PIERRE AND MIQUELON">SAINT PIERRE AND MIQUELON</option>
<option value="SAINT VINCENT AND THE GRENADINES">SAINT VINCENT AND THE GRENADINES</option>
<option value="SAMOA">SAMOA</option>
<option value="SAN MARINO">SAN MARINO</option>
<option value="SAO TOME AND PRINCIPE">SAO TOME AND PRINCIPE</option>
<option value="SAUDI ARABIA">SAUDI ARABIA</option>
<option value="SENEGAL">SENEGAL</option>
<option value="SEYCHELLES">SEYCHELLES</option>
<option value="SIERRA LEONE">SIERRA LEONE</option>
<option value="SINGAPORE">SINGAPORE</option>
<option value="SLOVAKIA">SLOVAKIA</option>
<option value="SLOVENIA">SLOVENIA</option>
<option value="SOLOMON ISLANDS">SOLOMON ISLANDS</option>
<option value="SOMALIA">SOMALIA</option>
<option value="SOUTH AFRICA">SOUTH AFRICA</option>
<option value="SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS">SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS</option>
<option value="SPAIN">SPAIN</option>
<option value="SRI LANKA">SRI LANKA</option>
<option value="SUDAN">SUDAN</option>
<option value="SURINAME">SURINAME</option>
<option value="SVALBARD AND JAN MAYEN">SVALBARD AND JAN MAYEN</option>
<option value="SWAZILAND">SWAZILAND</option>
<option value="SWEDEN">SWEDEN</option>
<option value="SWITZERLAND">SWITZERLAND</option>
<option value="SYRIAN ARAB REPUBLIC">SYRIAN ARAB REPUBLIC</option>
<option value="TAIWAN, PROVINCE OF CHINA">TAIWAN, PROVINCE OF CHINA</option>
<option value="TAJIKISTAN">TAJIKISTAN</option>
<option value="TANZANIA, UNITED REPUBLIC OF">TANZANIA, UNITED REPUBLIC OF</option>
<option value="THAILAND">THAILAND</option>
<option value="TOGO">TOGO</option>
<option value="TOKELAU">TOKELAU</option>
<option value="TONGA">TONGA</option>
<option value="TRINIDAD AND TOBAGO">TRINIDAD AND TOBAGO</option>
<option value="TUNISIA">TUNISIA</option>
<option value="TURKEY">TURKEY</option>
<option value="TURKMENISTAN">TURKMENISTAN</option>
<option value="TURKS AND CAICOS ISLANDS">TURKS AND CAICOS ISLANDS</option>
<option value="TUVALU">TUVALU</option>
<option value="UGANDA">UGANDA</option>
<option value="UKRAINE">UKRAINE</option>
<option value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
<option value="UNITED KINGDOM">UNITED KINGDOM</option>
<option value="UNITED STATES">UNITED STATES</option>
<option value="UNITED STATES MINOR OUTLYING ISLANDS">UNITED STATES MINOR OUTLYING ISLANDS</option>
<option value="URUGUAY">URUGUAY</option>
<option value="UZBEKISTAN">UZBEKISTAN</option>
<option value="VANUATU">VANUATU</option>
<option value="VENEZUELA">VENEZUELA</option>
<option value="VIET NAM">VIET NAM</option>
<option value="VIRGIN ISLANDS, BRITISH">VIRGIN ISLANDS, BRITISH</option>
<option value="VIRGIN ISLANDS, U.S.">VIRGIN ISLANDS, U.S.</option>
<option value="WALLIS AND FUTUNA">WALLIS AND FUTUNA</option>
<option value="WESTERN SAHARA">WESTERN SAHARA</option>
<option value="YEMEN">YEMEN</option>
<option value="YUGOSLAVIA">YUGOSLAVIA</option>
<option value="ZAMBIA">ZAMBIA</option>
<option value="ZIMBABWE">ZIMBABWE</option>
</select>
</div>
<div class="col-lg-6"></div>
</div>
<div class="row">
<div class="col-lg-3">
<input class="form-control" type="text" id="ForeignProd5" name="ForeignProd5" placeholder="Item Number">
</div>
<div class="col-lg-3">
<select class="form-control" id="FPCountry5DD" name="SelectedForeignProdCountry5">
<option value="">-Select a Country-</option>
<option value="AFGHANISTAN">AFGHANISTAN</option>
<option value="ALBANIA">ALBANIA</option>
<option value="ALGERIA">ALGERIA</option>
<option value="AMERICAN SAMOA">AMERICAN SAMOA</option>
<option value="ANDORRA">ANDORRA</option>
<option value="ANGOLA">ANGOLA</option>
<option value="ANGUILLA">ANGUILLA</option>
<option value="ANTARCTICA">ANTARCTICA</option>
<option value="ANTIGUA AND BARBUDA">ANTIGUA AND BARBUDA</option>
<option value="ARGENTINA">ARGENTINA</option>
<option value="ARMENIA">ARMENIA</option>
<option value="ARUBA">ARUBA</option>
<option value="AUSTRALIA">AUSTRALIA</option>
<option value="AUSTRIA">AUSTRIA</option>
<option value="AZERBAIJAN">AZERBAIJAN</option>
<option value="BAHAMAS">BAHAMAS</option>
<option value="BAHRAIN">BAHRAIN</option>
<option value="BANGLADESH">BANGLADESH</option>
<option value="BARBADOS">BARBADOS</option>
<option value="BELARUS">BELARUS</option>
<option value="BELGIUM">BELGIUM</option>
<option value="BELIZE">BELIZE</option>
<option value="BENIN">BENIN</option>
<option value="BERMUDA">BERMUDA</option>
<option value="BHUTAN">BHUTAN</option>
<option value="BOLIVIA">BOLIVIA</option>
<option value="BOSNIA AND HERZEGOVINA">BOSNIA AND HERZEGOVINA</option>
<option value="BOTSWANA">BOTSWANA</option>
<option value="BOUVET ISLAND">BOUVET ISLAND</option>
<option value="BRAZIL">BRAZIL</option>
<option value="BRITISH INDIAN OCEAN TERRITORY">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="BRUNEI DARUSSALAM">BRUNEI DARUSSALAM</option>
<option value="BULGARIA">BULGARIA</option>
<option value="BURKINA FASO">BURKINA FASO</option>
<option value="BURUNDI">BURUNDI</option>
<option value="CAMBODIA">CAMBODIA</option>
<option value="CAMEROON">CAMEROON</option>
<option value="CANADA">CANADA</option>
<option value="CAPE VERDE">CAPE VERDE</option>
<option value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
<option value="CENTRAL AFRICAN REPUBLIC">CENTRAL AFRICAN REPUBLIC</option>
<option value="CHAD">CHAD</option>
<option value="CHILE">CHILE</option>
<option value="CHINA">CHINA</option>
<option value="CHRISTMAS ISLAND">CHRISTMAS ISLAND</option>
<option value="COCOS (KEELING) ISLANDS">COCOS (KEELING) ISLANDS</option>
<option value="COLOMBIA">COLOMBIA</option>
<option value="COMOROS">COMOROS</option>
<option value="CONGO">CONGO</option>
<option value="CONGO, THE DEMOCRATIC REPUBLIC OF THE">CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
<option value="COOK ISLANDS">COOK ISLANDS</option>
<option value="COSTA RICA">COSTA RICA</option>
<option value="COTE D'IVOIRE">COTE D'IVOIRE</option>
<option value="CROATIA">CROATIA</option>
<option value="CUBA">CUBA</option>
<option value="CYPRUS">CYPRUS</option>
<option value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option value="DENMARK">DENMARK</option>
<option value="DJIBOUTI">DJIBOUTI</option>
<option value="DOMINICA">DOMINICA</option>
<option value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
<option value="EAST TIMOR">EAST TIMOR</option>
<option value="ECUADOR">ECUADOR</option>
<option value="EGYPT">EGYPT</option>
<option value="EL SALVADOR">EL SALVADOR</option>
<option value="EQUATORIAL GUINEA">EQUATORIAL GUINEA</option>
<option value="ERITREA">ERITREA</option>
<option value="ESTONIA">ESTONIA</option>
<option value="ETHIOPIA">ETHIOPIA</option>
<option value="FALKLAND ISLANDS (MALVINAS)">FALKLAND ISLANDS (MALVINAS)</option>
<option value="FAROE ISLANDS">FAROE ISLANDS</option>
<option value="FIJI">FIJI</option>
<option value="FINLAND">FINLAND</option>
<option value="FRANCE">FRANCE</option>
<option value="FRENCH GUIANA">FRENCH GUIANA</option>
<option value="FRENCH POLYNESIA">FRENCH POLYNESIA</option>
<option value="FRENCH SOUTHERN TERRITORIES">FRENCH SOUTHERN TERRITORIES</option>
<option value="GABON">GABON</option>
<option value="GAMBIA">GAMBIA</option>
<option value="GEORGIA">GEORGIA</option>
<option value="GERMANY">GERMANY</option>
<option value="GHANA">GHANA</option>
<option value="GIBRALTAR">GIBRALTAR</option>
<option value="GREECE">GREECE</option>
<option value="GREENLAND">GREENLAND</option>
<option value="GRENADA">GRENADA</option>
<option value="GUADELOUPE">GUADELOUPE</option>
<option value="GUAM">GUAM</option>
<option value="GUATEMALA">GUATEMALA</option>
<option value="GUINEA">GUINEA</option>
<option value="GUINEA-BISSAU">GUINEA-BISSAU</option>
<option value="GUYANA">GUYANA</option>
<option value="HAITI">HAITI</option>
<option value="HEARD ISLAND AND MCDONALD ISLANDS">HEARD ISLAND AND MCDONALD ISLANDS</option>
<option value="HOLY SEE (VATICAN CITY STATE)">HOLY SEE (VATICAN CITY STATE)</option>
<option value="HONDURAS">HONDURAS</option>
<option value="HONG KONG">HONG KONG</option>
<option value="HUNGARY">HUNGARY</option>
<option value="ICELAND">ICELAND</option>
<option value="INDIA">INDIA</option>
<option value="INDONESIA">INDONESIA</option>
<option value="IRAN, ISLAMIC REPUBLIC OF">IRAN, ISLAMIC REPUBLIC OF</option>
<option value="IRAQ">IRAQ</option>
<option value="IRELAND">IRELAND</option>
<option value="ISRAEL">ISRAEL</option>
<option value="ITALY">ITALY</option>
<option value="JAMAICA">JAMAICA</option>
<option value="JAPAN">JAPAN</option>
<option value="JORDAN">JORDAN</option>
<option value="KAZAKSTAN">KAZAKSTAN</option>
<option value="KENYA">KENYA</option>
<option value="KIRIBATI">KIRIBATI</option>
<option value="KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF">KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF</option>
<option value="KOREA, REPUBLIC OF">KOREA, REPUBLIC OF</option>
<option value="KUWAIT">KUWAIT</option>
<option value="KYRGYZSTAN">KYRGYZSTAN</option>
<option value="LAO PEOPLE'S DEMOCRATIC REPUBLIC">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
<option value="LATVIA">LATVIA</option>
<option value="LEBANON">LEBANON</option>
<option value="LESOTHO">LESOTHO</option>
<option value="LIBERIA">LIBERIA</option>
<option value="LIBYAN ARAB JAMAHIRIYA">LIBYAN ARAB JAMAHIRIYA</option>
<option value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option value="LITHUANIA">LITHUANIA</option>
<option value="LUXEMBOURG">LUXEMBOURG</option>
<option value="MACAU">MACAU</option>
<option value="MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF</option>
<option value="MADAGASCAR">MADAGASCAR</option>
<option value="MALAWI">MALAWI</option>
<option value="MALAYSIA">MALAYSIA</option>
<option value="MALDIVES">MALDIVES</option>
<option value="MALI">MALI</option>
<option value="MALTA">MALTA</option>
<option value="MARSHALL ISLANDS">MARSHALL ISLANDS</option>
<option value="MARTINIQUE">MARTINIQUE</option>
<option value="MAURITANIA">MAURITANIA</option>
<option value="MAURITIUS">MAURITIUS</option>
<option value="MAYOTTE">MAYOTTE</option>
<option value="MEXICO">MEXICO</option>
<option value="MICRONESIA, FEDERATED STATES OF">MICRONESIA, FEDERATED STATES OF</option>
<option value="MOLDOVA, REPUBLIC OF">MOLDOVA, REPUBLIC OF</option>
<option value="MONACO">MONACO</option>
<option value="MONGOLIA">MONGOLIA</option>
<option value="MONTSERRAT">MONTSERRAT</option>
<option value="MOROCCO">MOROCCO</option>
<option value="MOZAMBIQUE">MOZAMBIQUE</option>
<option value="MYANMAR">MYANMAR</option>
<option value="NAMIBIA">NAMIBIA</option>
<option value="NAURU">NAURU</option>
<option value="NEPAL">NEPAL</option>
<option value="NETHERLANDS">NETHERLANDS</option>
<option value="NETHERLANDS ANTILLES">NETHERLANDS ANTILLES</option>
<option value="NEW CALEDONIA">NEW CALEDONIA</option>
<option value="NEW ZEALAND">NEW ZEALAND</option>
<option value="NICARAGUA">NICARAGUA</option>
<option value="NIGER">NIGER</option>
<option value="NIGERIA">NIGERIA</option>
<option value="NIUE">NIUE</option>
<option value="NORFOLK ISLAND">NORFOLK ISLAND</option>
<option value="NORTHERN MARIANA ISLANDS">NORTHERN MARIANA ISLANDS</option>
<option value="NORWAY">NORWAY</option>
<option value="OMAN">OMAN</option>
<option value="PAKISTAN">PAKISTAN</option>
<option value="PALAU">PALAU</option>
<option value="PALESTINIAN TERRITORY, OCCUPIED">PALESTINIAN TERRITORY, OCCUPIED</option>
<option value="PANAMA">PANAMA</option>
<option value="PAPUA NEW GUINEA">PAPUA NEW GUINEA</option>
<option value="PARAGUAY">PARAGUAY</option>
<option value="PERU">PERU</option>
<option value="PHILIPPINES">PHILIPPINES</option>
<option value="PITCAIRN">PITCAIRN</option>
<option value="POLAND">POLAND</option>
<option value="PORTUGAL">PORTUGAL</option>
<option value="PUERTO RICO">PUERTO RICO</option>
<option value="QATAR">QATAR</option>
<option value="REUNION">REUNION</option>
<option value="ROMANIA">ROMANIA</option>
<option value="RUSSIAN FEDERATION">RUSSIAN FEDERATION</option>
<option value="RWANDA">RWANDA</option>
<option value="SAINT HELENA">SAINT HELENA</option>
<option value="SAINT KITTS AND NEVIS">SAINT KITTS AND NEVIS</option>
<option value="SAINT LUCIA">SAINT LUCIA</option>
<option value="SAINT PIERRE AND MIQUELON">SAINT PIERRE AND MIQUELON</option>
<option value="SAINT VINCENT AND THE GRENADINES">SAINT VINCENT AND THE GRENADINES</option>
<option value="SAMOA">SAMOA</option>
<option value="SAN MARINO">SAN MARINO</option>
<option value="SAO TOME AND PRINCIPE">SAO TOME AND PRINCIPE</option>
<option value="SAUDI ARABIA">SAUDI ARABIA</option>
<option value="SENEGAL">SENEGAL</option>
<option value="SEYCHELLES">SEYCHELLES</option>
<option value="SIERRA LEONE">SIERRA LEONE</option>
<option value="SINGAPORE">SINGAPORE</option>
<option value="SLOVAKIA">SLOVAKIA</option>
<option value="SLOVENIA">SLOVENIA</option>
<option value="SOLOMON ISLANDS">SOLOMON ISLANDS</option>
<option value="SOMALIA">SOMALIA</option>
<option value="SOUTH AFRICA">SOUTH AFRICA</option>
<option value="SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS">SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS</option>
<option value="SPAIN">SPAIN</option>
<option value="SRI LANKA">SRI LANKA</option>
<option value="SUDAN">SUDAN</option>
<option value="SURINAME">SURINAME</option>
<option value="SVALBARD AND JAN MAYEN">SVALBARD AND JAN MAYEN</option>
<option value="SWAZILAND">SWAZILAND</option>
<option value="SWEDEN">SWEDEN</option>
<option value="SWITZERLAND">SWITZERLAND</option>
<option value="SYRIAN ARAB REPUBLIC">SYRIAN ARAB REPUBLIC</option>
<option value="TAIWAN, PROVINCE OF CHINA">TAIWAN, PROVINCE OF CHINA</option>
<option value="TAJIKISTAN">TAJIKISTAN</option>
<option value="TANZANIA, UNITED REPUBLIC OF">TANZANIA, UNITED REPUBLIC OF</option>
<option value="THAILAND">THAILAND</option>
<option value="TOGO">TOGO</option>
<option value="TOKELAU">TOKELAU</option>
<option value="TONGA">TONGA</option>
<option value="TRINIDAD AND TOBAGO">TRINIDAD AND TOBAGO</option>
<option value="TUNISIA">TUNISIA</option>
<option value="TURKEY">TURKEY</option>
<option value="TURKMENISTAN">TURKMENISTAN</option>
<option value="TURKS AND CAICOS ISLANDS">TURKS AND CAICOS ISLANDS</option>
<option value="TUVALU">TUVALU</option>
<option value="UGANDA">UGANDA</option>
<option value="UKRAINE">UKRAINE</option>
<option value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
<option value="UNITED KINGDOM">UNITED KINGDOM</option>
<option value="UNITED STATES">UNITED STATES</option>
<option value="UNITED STATES MINOR OUTLYING ISLANDS">UNITED STATES MINOR OUTLYING ISLANDS</option>
<option value="URUGUAY">URUGUAY</option>
<option value="UZBEKISTAN">UZBEKISTAN</option>
<option value="VANUATU">VANUATU</option>
<option value="VENEZUELA">VENEZUELA</option>
<option value="VIET NAM">VIET NAM</option>
<option value="VIRGIN ISLANDS, BRITISH">VIRGIN ISLANDS, BRITISH</option>
<option value="VIRGIN ISLANDS, U.S.">VIRGIN ISLANDS, U.S.</option>
<option value="WALLIS AND FUTUNA">WALLIS AND FUTUNA</option>
<option value="WESTERN SAHARA">WESTERN SAHARA</option>
<option value="YEMEN">YEMEN</option>
<option value="YUGOSLAVIA">YUGOSLAVIA</option>
<option value="ZAMBIA">ZAMBIA</option>
<option value="ZIMBABWE">ZIMBABWE</option>
</select>
</div>
<div class="col-lg-6"></div>
</div>
</li>
<li>The Government will evaluate offers in accordance with the policies and procedures of PART 25 of the Federal Acquisition Regulation.</li>
</ol>
</li>
</ol>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12">
<h4 class="text-danger">*4. EXPORT/IMPORT CERTIFICATIONS FOR PROCUREMENT</h4>
</div>
<div><span class="field-validation-valid validationFailed" data-valmsg-for="USPersonRadio" data-valmsg-replace="true"></span></div>
<div><span class="field-validation-valid validationFailed" data-valmsg-for="ITARRadio" data-valmsg-replace="true"></span></div>
<label id="WillObtainExportAuthLabel" class="validationFailed" style="display:none;">An answer to Provision 4 section C is required.</label>
</div>
<div class="row">
<div class="col-lg-12">
<label>CAE USA requires that its suppliers certify the following information to ensure compliance with the U.S. Government export/import laws and regulations including the U.S. Department of State, Directorate of Defense Trade Controls (DDTC),
International Traffic in Arms Regulations (ITAR) and the U.S. Department of Commerce, Bureau of Industry and Security (BIS), Export Administration Regulations (EAR)</label>
<p>
<i>ITAR 22 CFR 120.15 and EAR 15 CFR Part 772 define a U.S. person as a person who is a lawful permanent resident as defined by 8 U.S.C.1101(a)(20) or who is a protected individual as defined by 8 U.S.C. 1324b(a)(3). It also means any corporation, business association, partnership, society, trust, or any other entity, organization or group that is incorporated to do business in the United States. It also includes any governmental (federal, state or local) entity.</i>
</p>
<ol type="A">
<li> OFFEROR <div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer to Provision 4 section A is required." id="USPersonRadio" name="USPersonRadio" type="radio" value="IS"><strong>is</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="USPersonRadio" name="USPersonRadio" type="radio" value="IS_NOT"><strong>is not</strong>
</div> a "U.S. Person" as defined in the ITAR 22 CFR Part 120.15 and EAR 15 CFR 772.<br>
<p>
<i>
<strong>Any person</strong> who engages in the United States in the business of either manufacturing or exporting ITAR controlled defense articles or furnishes defense services is required to register with the Directorate of Defense Trade Controls (DDTC) unless exempted by one of the four conditions listed in ITAR 22 CFR Part 122.1. CAE USA cannot enter into any procurement contract with a supplier within the United States that involves the acquisition of ITAR controlled defense articles or provision of defense services until the supplier has certified that it is registered with DDTC.<br>
<strong>This registration requirement does not apply to manufacturers of EAR controlled articles and/or services.</strong>
</i>
</p>
</li>
<li>
<strong>OFFEROR</strong> meets one of the following conditions <div style="margin-left: 23px;">
<div class="radio">
<input data-val="true" data-val-required="An answer to Provision 4 section B is required." id="ITARRadio" name="ITARRadio" type="radio" value="DoesNotExport"><u>Does Not</u> manufacture or export ITAR controlled defense articles or
furnish defense services
</div>
<div class="radio">
<input id="ITARRadio" name="ITARRadio" type="radio" value="IsRegistered">Manufactures or exports ITAR controlled defense articles or furnishes defense services and <u>is registered</u> to do so. Expiration Date of Registration <input
class="form-control" style="display: none;" type="text" id="ITARExpiry" name="ITARExpiry" placeholder="Expiration (MM/DD/YYYY)" value="1/1/0001 12:00:00 AM">
<label id="ITARExpiryLabel" class="validationFailed" style="display:none;">An Expiry date is required.</label>
</div>
<div class="radio">
<input id="ITARRadio" name="ITARRadio" type="radio" value="IsExempt">Is exempt from registration, based upon one of the following exemptions: <select class="form-control" id="ITARExemptDD" name="SelectedITARExemptReason"
style="display: none;">
<option value="">- Select an option -</option>
<option value="GOVT">Officers and employees of the United States Government acting in an official capacity.</option>
<option value="UNCLASSIFIED">Persons whose pertinent business activity is confined to the production of unclassified technical data only.</option>
<option value="LICENSED">Persons all of whose manufacturing and export activities are licensed under the Atomic Energy Act of 1954, as amended.</option>
<option value="EXPERIMENTAL">Persons all of whose manufacturing and export activities are licensed under the Atomic Energy Act of 1954, as amended.</option>
</select><br>
<label id="ITARExemptDDLabel" class="validationFailed" style="display:none;">Please choose a value.</label>
</div>
<div class="radio">
<input id="ITARRadio" name="ITARRadio" type="radio" value="NotRegistered"><u>Not registered</u> with the U.S. Department of State, Directorate of Defense Trade Controls per ITAR 22 CFR Part 122.1 (a) and (b).
</div>
</div>
</li>
<li> The supplier is responsible for the protection of any controlled technical data or defense articles provided to them by CAE USA to assist in the manufacture of a defense article or provision of a defense service. The release of this data
by the supplier to a Foreign Person employee or its transfer to another Foreign Person for the purpose of Off-Shore Procurement is defined as an export (ITAR 22 CFR Parts 120.17 and 124.13 and EAR 15 CFR Part 734.2(b)(2)(ii)) and
Supplements 1 and 2 or Part 774 and subject to the licensing requirements of the ITAR and EAR as applicable. <ol type="a">
<li> OFFEROR <div class="checkbox-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="The WillObtainExportAuth field is required." id="WillObtainExportAuth" name="WillObtainExportAuth" type="checkbox" value="true"><input name="WillObtainExportAuth" type="hidden" value="false">
will obtain
</div> the necessary export authorization prior to the release of controlled technical data or other defense articles provided by CAE USA for the purpose of procurement to any Foreign Person in or outside of the United States. </li>
</ol>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p style="margin-left: 20px;">*Above section is certifying that in the event the OFFEROR is required to export or release controlled technical data or defense articles, they will do so in accordance with applicable import/export regulations.
</p>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12">
<h4>5. BIOBASED PRODUCT CERTIFICATION (FAR 52.223-1) (MAY 2012)</h4>
<p> As required by the Farm Security and Rural Investment Act of 2002 and the Energy Policy Act of 2005 (7 U.S.C. 8102(c) (3)), the offeror certifies, by signing this offer, that biobased products (within categories of products listed by the
United States Department of Agriculture in 7 CFR part 3201, subpart B) to be used or delivered in the performance of the contract, other than biobased products that are not purchased by the offeror as a direct result of this contract, will
comply with the applicable specifications or other contractual requirements. </p>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12">
<h4 class="text-danger">*6. CERTIFICATION REGARDING KNOWLEDGE OF CHILD LABOR FOR LISTED END PRODUCTS (FAR 52.222-18)(FEB 2021) - $25,000</h4>
<p>An award will not be made to an OFFEROR unless the Offeror, by checking the appropriate block, certifies to either paragraph A or B of this provision.</p>
<div><span class="field-validation-valid validationFailed" data-valmsg-for="ChildLabor" data-valmsg-replace="true"></span></div>
<div><span class="field-validation-valid validationFailed" data-valmsg-for="ListedEndProduct" data-valmsg-replace="true"></span></div>
<ol type="A">
<li> <div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer to section 6A or 6B is required." id="WillNotSupply" name="ChildLabor" type="radio" value="WILL_NOT_SUPPLY">OFFEROR will not supply any end product listed in paragraph C that was mined,
produced, or manufactured in a corresponding country as listed for that end product.
</div>
</li>
<li>
<div class="radio-inline" style="margin-top: 35px;">
<input id="NotAwareOfChildLabor" name="ChildLabor" type="radio" value="NO_CHILD_LABOR">OFFEROR may supply an end product listed in paragraph C that was mined, produced, or manufactured in the corresponding country as listed for that
product. The offeror certifies that is has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture such end product. On the basis of those efforts, the offeror certifies
that it is not aware of any such use of child labor.
</div>
</li>
<li>
<label>Listed End Product</label>
<input class="form-control" data-val="true" data-val-required="An answer to section 6C is required. Enter 'None' if necessary." id="ListedEndProduct" name="ListedEndProduct" onblur="validate()" placeholder="Listed End Product" type="text"
value="">
<label>Listed Countries of Origin</label>
<input class="form-control" type="text" id="ListedCountriesOfOrigin" name="ListedEndProduct" placeholder="Listed Countries of Origin">
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>7. RECOVERED MATERIAL CERTIFICATION (FAR 52.223-4)(MAY 2008)</h4>
<p>As required by the Resource Conservation and Recovery Act of 1976 (42 U.S.C. 6962(c )(3)(A)(i)), the offeror certifies, by signing this offer, that the percentage of recovered materials content for EPA-designated items to be delivered or
used in the performance of the contract will be at least the amount required by the applicable contract specifications or other contractual requirements.</p>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4 class="text-danger">*8. PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FAR 52.222-22)(FEB 1999) - $10,000</h4>
<div>
<span class="field-validation-valid validationFailed" data-valmsg-for="EightARadio" data-valmsg-replace="true"></span>
</div>
<div>
<span class="field-validation-valid validationFailed" data-valmsg-for="EightBRadio" data-valmsg-replace="true"></span>
</div>
<ol type="A">
<li> OFFERER <div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer to section 8A is required." id="EightARadio" name="EightARadio" type="radio" value="HAS"><strong>has</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="EightARadio" name="EightARadio" type="radio" value="HAS_NOT"><strong>has not</strong>
</div> participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and
</li>
<li> OFFERER <div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer to section 8B is required." id="EightBRadio" name="EightBRadio" type="radio" value="HAS"><strong>has</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="EightBRadio" name="EightBRadio" type="radio" value="HAS_NOT"><strong>has not</strong>
</div> filed all required compliance reports and move to Section C.
</li>
<li> Representations indicating submission of required compliance reports, signed by proposed subcontractors, will be obtained before subcontract awards. </li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4 class="text-danger">*9. CERTIFICATION OF AFFIRMATIVE ACTION COMPLIANCE (FAR 52.222-25)(APR 1984) - $10,000</h4>
<span class="field-validation-valid validationFailed" data-valmsg-for="NineRadio" data-valmsg-replace="true"></span>
<ol type="A">
<li> OFFERER <div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer to section 9 is required." id="NineRadio" name="NineRadio" type="radio" value="HAS"><strong>has</strong>
</div> developed and has on file. <div class="radio-inline" style="margin-top: -3px;">
<input id="NineRadio" name="NineRadio" type="radio" value="HAS_NOT_A"><strong>has not</strong>
</div> developed and does not have on file, at each establishment, affirmative action programs required by the rules and regulations of the Secretary of Labor in 41 CFR 60-1 and 60-2; or </li>
<li> OFFERER <div class="radio-inline" style="margin-top: -3px;">
<input id="NineRadio" name="NineRadio" type="radio" value="HAS_NOT_B"><strong>has not</strong>
</div> previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor. </li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>10. EQUAL OPPORTUNITY (FAR 52.222-26)(SEP 2016) - $10,000</h4>
<p>The OFFEROR represents that it is in agreement with the subject clause and the Executive Order 11246, as amended, and the rules, regulations, and Orders of the Secretary of Labor pertaining to Equal Opportunity.</p>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>11. PROTECTING THE GOVERNMENTS INTEREST WHEN SUBCONTRACTING WITH CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT (FAR 52.209-6) (NOV 2021) - $35,000</h4>
<ol type="A">
<li>Definitions omitted</li>
<li>The Government suspends or debars Contractors to protect the Government’s interests. Other than a subcontract for a commercially available off-the-shelf item, the Contractor shall not enter into any subcontract, in excess of the threshold
specified in FAR 9.405-2(b) on the date of subcontract award, with a Contractor that is debarred, suspended, or proposed for debarment by any executive agency unless there is a compelling reason to do so.</li>
<li>The Contractor shall require each proposed first-tier subcontractor, whose subcontract will exceed the threshold specified in FAR 9.405-2(b) on the date of subcontract award, other than a subcontractor providing a commercially available
off-the-shelf item, to disclose to the Contractor, in writing, whether as of the time of award of the subcontract, the subcontractor, or its principals, is or is not debarred, suspended, or proposed for debarment by the Federal Government.
</li>
<li> A corporate officer or a designee of the Contractor shall notify the Contracting Officer, in writing, before entering into a subcontract with a party (other than a subcontractor providing a commercially available off-the-shelf item) that
is debarred, suspended, or proposed for debarment (See FAR 9.404 for information on the Systems for Award Management (SAM) Exclusions). The notice must include the following: <ol type="1">
<li>The name of the subcontractor</li>
<li>The Contractor's knowledge of the reasons for the subcontractor being listed with an exclusion in SAM.</li>
<li>The compelling reason(s) for doing business with the subcontractor notwithstanding its being listed with an exclusion in SAM.</li>
<li>The systems and procedures the Contractor has established to ensure that it is fully protecting the Government's interests when dealing with such subcontractor in view of the specific basis for the party's debarment, suspension, or
proposed debarment.</li>
</ol>
</li>
<li> Subcontracts. Unless this is a contract for the acquisition of commercial items, the Contractor shall include the requirements of this clause, including this paragraph (e) (appropriately modified for the identification of the parties),
in each subcontract that— <ol type="1">
<li>Exceeds the threshold specified in FAR 9.405-2(b) on the date of subcontract award; and</li>
<li>Is not a subcontract for commercially available off the-shelf items.</li>
</ol>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4 class="text-danger">*12. CERTIFICATION REGARDING RESPONSIBILITY MATTERS (FAR 52.209-5)(AUG 2020) - $150,000</h4>
<div><span class="field-validation-valid validationFailed" data-valmsg-for="Twelve_i_A_Radio" data-valmsg-replace="true"></span></div>
<div><span class="field-validation-valid validationFailed" data-valmsg-for="Twelve_i_B_Radio" data-valmsg-replace="true"></span></div>
<div><span class="field-validation-valid validationFailed" data-valmsg-for="Twelve_i_C_Radio" data-valmsg-replace="true"></span></div>
<div><span class="field-validation-valid validationFailed" data-valmsg-for="Twelve_i_D_Radio" data-valmsg-replace="true"></span></div>
<div><span class="field-validation-valid validationFailed" data-valmsg-for="Twelve_ii_Radio" data-valmsg-replace="true"></span></div>
<p>(a)(1) The Offeror certifies, to the best of its knowledge and belief, that --</p>
<ol class="custom-marker parens-around lower-roman">
<li> The Offeror and/or any of its Principals – <ol class="custom-marker parens-around upper-alpha">
<li>
<div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer is required for section 12 (a) (1) (i) A" id="Twelve_i_A_Radio" name="Twelve_i_A_Radio" type="radio" value="ARE"><strong>Are</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="Twelve_i_A_Radio" name="Twelve_i_A_Radio" type="radio" value="ARE_NOT"><strong>are not</strong>
</div> presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;
</li>
<li>
<div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer is required for section 12 (a) (1) (i) B" id="Twelve_i_B_Radio" name="Twelve_i_B_Radio" type="radio" value="HAVE"><strong>Have</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="Twelve_i_B_Radio" name="Twelve_i_B_Radio" type="radio" value="HAVE_NOT"><strong>have not,</strong>
</div> within a 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
public (Federal, state, or local) contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of
records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks "have", the offer or shall also see 52.209-7, if included in this solicitation);
</li>
<li>
<div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer is required for section 12 (a) (1) (i) C" id="Twelve_i_C_Radio" name="Twelve_i_C_Radio" type="radio" value="ARE"><strong>Are</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="Twelve_i_C_Radio" name="Twelve_i_C_Radio" type="radio" value="ARE_NOT"><strong>are not</strong>
</div> presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision
</li>
<li>
<div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer is required for section 12 (a) (1) (i) D" id="Twelve_i_D_Radio" name="Twelve_i_D_Radio" type="radio" value="HAVE"><strong>Have</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="Twelve_i_D_Radio" name="Twelve_i_D_Radio" type="radio" value="HAVE_NOT"><strong>have not,</strong>
</div> within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds the threshold at 9.104-5(a)(2) for which the liability remains unsatisfied. <ol
class="custom-marker parens-around decimal">
<li> Federal taxes are considered delinquent if both of the following criteria apply: <ol class="custom-marker parens-around lower-roman">
<li>The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial
challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.</li>
<li>The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection
action is precluded.</li>
</ol>
</li>
<li> Examples <ol class="custom-marker parens-around lower-roman">
<li>The taxpayer has received a statutory notice of deficiency, under I.R.C. § 6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax
liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.</li>
<li>The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. § 6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals
contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the
taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the
taxpayer has exercised all judicial appeal rights.</li>
<li>The taxpayer has entered into an installment agreement pursuant to I.R.C. § 6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer
is not currently required to make full payment.</li>
<li>The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. 362 (the Bankruptcy Code).</li>
</ol>
</li>
</ol>
</li>
</ol>
</li>
<li> The Offeror <div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer is required for section 12 (a) (1) (ii)" id="Twelve_ii_Radio" name="Twelve_ii_Radio" type="radio" value="HAS"><strong>has</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="Twelve_ii_Radio" name="Twelve_ii_Radio" type="radio" value="HAS_NOT"><strong>has not,</strong>
</div> , within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.
</li>
</ol>
<ol class="custom-marker parens-around decimal StartAtTwo">
<li> "Principal," for the purposes of this certification, means an officer; director; owner; partner; or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head
of a subsidiary, division, or business segment, and similar positions). </li>
</ol>
<p>This Certification Concerns a Matter Within the Jurisdiction of an Agency of the United States and the Making of a False, Fictitious, or Fraudulent Certification May Render the Maker Subject to Prosecution Under Section 1001, Title 18,
United States Code.</p>
<ol class="custom-marker parens-around lower-alpha StartAtTwo">
<li>The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed
circumstances.</li>
<li>A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a
determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.</li>
<li>Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision. The knowledge and information of an
Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.</li>
<li>The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Offeror knowingly rendered an erroneous certification, in
addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default.</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>13. WOMEN-OWNED BUSINESS (OTHER THAN SMALL BUSINESS) (FAR 52.204-5)(OCT 2014) - $100,000</h4>
<p>[Complete only if the offeror is a women-owned business concern and has not represented itself as a small business concern in paragraph (b) (1) of FAR 52.219-1, Small Business Program Representations]</p>
<ol type="A">
<li> The OFFEROR represents that it <div class="radio-inline" style="margin-top: -3px;">
<input id="Thirteen_A_Radio" name="Thirteen_A_Radio" type="radio" value="IS"><strong>is</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="Thirteen_A_Radio" name="Thirteen_A_Radio" type="radio" value="IS_NOT"><strong>is not</strong>
</div> a women-owned business concern.
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>14. CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS (FAR 52.203-11)(SEP 2007) - $150,000</h4>
<ol type="A">
<li>Definitions. As used in this provision—"Lobbying contact" has the meaning provided at 2 U.S.C. 1602(8). The terms "agency," "influencing or attempting to influence," "officer or employee of an agency," "person," "reasonable compensation,"
and "regularly employed" are defined in the FAR clause of this solicitation entitled "Limitation on Payments to Influence Certain Federal Transactions" (52.203-12).</li>
<li>Prohibition. The prohibition and exceptions contained in the FAR clause of this solicitation entitled "Limitation on Payments to Influence Certain Federal Transactions" (52.203-12) are hereby incorporated by reference in this provision.
</li>
<li>Certification. The offeror, by signing its offer, hereby 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 its behalf in connection with the awarding of this contract.</li>
<li>Disclosure. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL,
Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.</li>
<li>Penalty. Submission of this certification and disclosure is a prerequisite for making or entering into this contract imposed by 31 U.S.C. 1352. Any person who makes an expenditure prohibited under this provision or who fails to file or
amend the disclosure required to be filed or amended by this provision, shall be subject to a civil penalty of not less than $10,000, and not more than $100,000, for each such failure</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4 class="text-danger">*15. INFORMATION REGARDING RESPONSIBILITY MATTERS (FAR 52.209-7) (OCT 2018) - $600,000</h4>
<span class="field-validation-valid validationFailed" data-valmsg-for="Fifteen_B_Radio" data-valmsg-replace="true"></span>
<ol class="custom-marker parens-around lower-alpha">
<li>Definitions omitted</li>
<li> The offeror <div class="radio-inline" style="margin-top: -3px;">
<input data-val="true" data-val-required="An answer is required for section 15 (b)." id="Fifteen_B_Radio" name="Fifteen_B_Radio" type="radio" value="HAS"><strong>has</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="Fifteen_B_Radio" name="Fifteen_B_Radio" type="radio" value="DOES_NOT_HAVE"><strong>does not have</strong>
</div> current active Federal contracts and grants with total value greater than $10,000,000.
</li>
<li> If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is
current, accurate, and complete as of the date of submission of this offer with regard to the following information: <ol class="custom-marker parens-around decimal">
<li> Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the
Federal or State level that resulted in any of the following dispositions: <ol type="i">
<li>In a criminal proceeding, a conviction.</li>
<li>In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.</li>
<li> In an administrative proceeding, a finding of fault and liability that results in– <ol class="custom-marker parens-around upper-alpha">
<li>The payment of a monetary fine or penalty of $5,000 or more; or</li>
<li>The payment of a reimbursement, restitution, or damages in excess of $100,000.</li>
</ol>
</li>
<li>In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in
paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.</li>
</ol>
</li>
<li>If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.</li>
</ol>
</li>
<li>The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management, which can be accessed via
(<a href="https://www.sam.gov/" target="_blank">see 52.204-7</a>).</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>16. PROHIBITION ON CONTRACTING WITH ENTITIES ENGAGING IN CERTAIN ACTIVITIES OR TRANSACTIONS RELATING TO IRAN-REPRESENTATION AND CERTIFICATION (FAR 52.225-25) (JUN 2020) - ALL ORDERS</h4>
<ol class="custom-marker parens-around lower-alpha">
<li>Definitions omitted.</li>
<li>The offeror shall e-mail questions concerning sensitive technology to the Department of State at CISADA106@state.gov</li>
<li> Except as provided in paragraph (d) of this provision or if a waiver has been granted in accordance with 25.703-4, by submission of its offer, the offeror <ol class="custom-marker parens-around decimal">
<li>Represents, to the best of its knowledge and belief, that the offeror does not export any sensitive technology to the government of Iran or any entities or individuals owned or controlled by, or acting on behalf or at the direction
of, the government of Iran;</li>
<li>Certifies that the offeror, or any person owned or controlled by the offeror, does not engage in any activities for which sanctions may be imposed under section 5 of the Iran Sanctions Act. These sanctioned activities are in the areas
of development of the petroleum resources of Iran, production of refined petroleum products in Iran, sale and provision of refined petroleum products to Iran, and contributing to Iran's ability to acquire or develop certain weapons or
technologies; and</li>
<li>Certifies that the offeror, and any person owned or controlled by the offeror, does not knowingly engage in any transaction that exceeds $3,500 with Iran's Revolutionary Guard Corps or any of its officials, agents, or affiliates, the
property and interests in property of which are blocked pursuant to the International Emergency Economic Powers Act (50 U.S.C.1701 et seq.) (see OFAC's Specially Designated Nationals and Blocked Persons List at ).</li>
</ol>
</li>
<li> Exception for trade agreements. The representation requirement of paragraph (c)(1) and the certification requirements of paragraphs (c)(2) and (c)(3) of this provision do not apply if <ol class="custom-marker parens-around decimal">
<li>This solicitation includes a trade agreements notice or certification (e.g., 52.225-4, 52.225-6, 52.225-12, 52.225-24, or comparable agency provision); and</li>
<li>The offeror has certified that all the offered products to be supplied are designated country end products or designate country construction material.</li>
</ol>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>17. Certificate of Compliance with Laws on Human Trafficking and Slavery</h4>
<p> This certificate states that the undersigned is familiar with the laws on human trafficking and slavery in the country or countries in which it does business and complies with all such laws. The undersigned further certifies that the
materials incorporated into products delivered to CAE USA comply with the laws regarding slavery and human trafficking of the country or countries in which it does business.
<a href="http://www.dol.gov/ilab/reports/child-labor/list-of-products/?force_isolation=true" target="_blank">List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor</a> <strong>(Executive Order
13126)</strong>
</p>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>18. EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (FAR 52.222-36) (JUN 2020)</h4>
<ol class="custom-marker parens-around lower-alpha">
<li>Equal opportunity clause. The Contractor shall abide by the requirements of the equal opportunity clause at 41 CFR 60-741.5(a), as of March 24, 2014. This clause prohibits discrimination against qualified individuals on the basis of
disability, and requires affirmative action by the Contractor to employ and advance in employment qualified individuals with disabilities.</li>
<li>Subcontracts. The Contractor shall include the terms of this clause in every subcontract or purchase order in excess of the threshold specified in Federal Acquisition Regulation (FAR) 22.1408(a) on the date of subcontract award, unless
exempted by rules, regulations, or orders of the Secretary, so that such provisions will be binding upon each subcontractor or vendor. The Contractor shall act as specified by the Director, Office of Federal Contract Compliance Programs of
the U.S. Department of Labor, to enforce the terms, including action for noncompliance. Such necessary changes in language may be made as shall be appropriate to identify properly the parties and their undertakings.</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>19. PROHIBITION ON CONDUCTING RESTRICTED BUSINESS OPERATIONS IN SUDAN – CERTIFICATION (52.225-20) (AUG 2009)</h4>
<ol class="custom-marker parens-around lower-alpha">
<li> Definitions. As used in this provision— "Business operations" means engaging in commerce in any form, including by acquiring, developing, maintaining, owning, selling, possessing, leasing, or operating equipment, facilities, personnel,
products, services, personal property, real property, or any other apparatus of business or commerce. "Marginalized populations of Sudan" means— <ol class="custom-marker parens-around decimal">
<li>Adversely affected groups in regions authorized to receive assistance under section 8(c) of the Darfur Peace and Accountability Act (Pub. L. 109-344) (50 U.S.C. 1701 note); and</li>
<li>Marginalized areas in Northern Sudan described in section 4(9) of such Act.</li>
</ol> "Restricted business operations" means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined
in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act
of 2007) conducting the business can demonstrate— <ol class="custom-marker parens-around decimal">
<li>Are conducted under contract directly and exclusively with the regional government of southern Sudan;</li>
<li>Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;
</li>
<li>Consist of providing goods or services to marginalized populations of Sudan;</li>
<li>Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;</li>
<li>Consist of providing goods or services that are used only to promote health or education; or</li>
<li>Have been voluntarily suspended.</li>
</ol>
</li>
<li>Certification. By submission of its offer, the offeror certifies that the offeror does not conduct any restricted business operations in Sudan.</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>20. REPRESENTATIONS OF USE OF CLOUD COMPUTING (252.239-7009) (SEP 2015)</h4>
<span class="field-validation-valid validationFailed" data-valmsg-for="Twenty_A" data-valmsg-replace="true"></span>
<ol class="custom-marker parens-around lower-alpha">
<li> Definition. "Cloud computing," as used in this provision, means a model for enabling ubiquitous, convenient, on-demand network access to a shared pool of configurable computing resources (e.g., networks, servers, storage, applications,
and services) that can be rapidly provisioned and released with minimal management effort or service provider interaction. This includes other commercial terms, such as on-demand self-service, broad network access, resource pooling, rapid
elasticity, and measured service. It also includes commercial offerings for software-as-a-service, infrastructure-as-a-service, and platform-as-a-service. <p> Is the offeror providing Information Technology Services in the performance of a
Government contract? <select class="form-control" data-val="true" data-val-required="An answer is required for section 20 (a)" id="TwentyADD" name="Twenty_A">
<option value="">- Select an option -</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</p>
</li>
<li id="div20B" style="display: none;">The Offeror shall indicate by checking the appropriate blank in paragraph (b) of this provision whether the use of cloud computing is anticipated under the resultant contract.</li>
<li id="div20C" style="display: none;">
<span class="field-validation-valid validationFailed" data-valmsg-for="Twenty_C_Radio" data-valmsg-replace="true"></span>
<p>Representation. The Offeror represents that it--</p>
<div class="radio" style="margin-left: 20px;">
<input data-val="true" data-val-required="An answer is required for section 20 (c)" id="Twenty_C_Radio" name="Twenty_C_Radio" type="radio" value="Yes"><strong>Does</strong> anticipate that cloud computing services will be used in the
performance of any contract or subcontract resulting from this solicitation.
</div>
<div class="radio" style="margin-left: 20px;">
<input id="Twenty_C_Radio" name="Twenty_C_Radio" type="radio" value="No"> <strong> Does not</strong> anticipate that cloud computing services will be used in the performance of any contract or subcontract resulting from this solicitation.
</div>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>21. COMBATING TRAFFICKING IN PERSONS (52.222-50) (NOV 2021) - $550,000</h4>
<p>Certification. If any subcontractor is required by this clause to submit a certification, the Contractor shall require submission prior to the award of the subcontract and annually thereafter. Annually after receiving an award, the
Contractor shall submit a certification to the Contracting Officer that—</p>
<ol class="custom-marker parens-around lower-roman">
<li>It has implemented a compliance plan to prevent any prohibited activities identified at paragraph (b) of this clause and to monitor, detect, and terminate any agent, subcontract or subcontractor employee engaging in prohibited activities;
and</li>
<li> After having conducted due diligence, either— <ol class="custom-marker parens-around upper-alpha">
<li>To the best of the Contractor's knowledge and belief, neither it nor any of its agents, subcontractors, or their agents is engaged in any such activities; or</li>
<li>If abuses relating to any of the prohibited activities identified in paragraph (b) of this clause have been found, the Contractor or subcontractor has taken the appropriate remedial and referral actions.</li>
</ol>
</li>
<li> Subcontracts <ol class="custom-marker parens-around decimal">
<li> The Contractor shall include the substance of this clause, including this paragraph (i), in all subcontracts and in all contracts with agents. The requirements in paragraph (h) of this clause apply only to any portion of the
subcontract that- <ol class="custom-marker parens-around upper-alpha">
<li>Is for supplies, other than commercially available off-the-shelf items, acquired outside the United States, or services to be performed outside the United States; and</li>
<li>Has an estimated value that exceeds $500,000.</li>
</ol>
</li>
<li>If any subcontractor is required by this clause to submit a certification, the Contractor shall require submission prior to the award of the subcontract and annually thereafter. The certification shall cover the items in paragraph
(h)(5) of this clause</li>
</ol>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>22. Public Disclosure of Greenhouse Gas Emissions and Reduction Goals – Representation (FAR 52.223-22) (DEC 2016)</h4>
<ol class="custom-marker parens-around lower-alpha">
<li>This representation shall be completed if the Offeror received $7.5 million or more in Federal contract awards in the prior Federal fiscal year. The representation is optional if the Offeror received less than $7.5 million in Federal
contract awards in the prior Federal fiscal year.</li>
<li> Representation. [Offeror is to check applicable blocks in paragraphs (b)(1) and (2).] <ol class="custom-marker parens-around decimal">
<li> The Offeror (itself or through its immediate owner or highest-level owner) <div class="radio-inline" style="margin-top: -3px;">
<input id="TwentyTwo_B_1_Radio" name="TwentyTwo_B_1_Radio" type="radio" value="DOES"><strong>does</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="TwentyTwo_B_1_Radio" name="TwentyTwo_B_1_Radio" type="radio" value="DOES_NOT"><strong>does not</strong>
</div> publicly disclose greenhouse gas emissions, i.e., make available on a publicly accessible Web site the results of a greenhouse gas inventory, performed in accordance with an accounting standard with publicly available and
consistently applied criteria, such as the Greenhouse Gas Protocol Corporate Standard.
</li>
<li> The Offeror (itself or through its immediate owner or highest-level owner) <div class="radio-inline" style="margin-top: -3px;">
<input id="TwentyTwo_B_2_Radio" name="TwentyTwo_B_2_Radio" type="radio" value="DOES"><strong>does</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="TwentyTwo_B_2_Radio" name="TwentyTwo_B_2_Radio" type="radio" value="DOES_NOT"><strong>does not</strong>
</div> publicly disclose a quantitative greenhouse gas emissions reduction goal, i.e., make available on a publicly available Web site a target to reduce absolute emissions or emissions intensity by a specific quantity or percentage.
</li>
<li>A publicly accessible Web site includes the Offeror's own Web site or a recognized, third-party ggeenhouse gas emissions reporting program.</li>
</ol>
</li>
<li> If the Offeror checked "does" in paragraphs (b)(1) or (b)(2) of this provision, respectively, the Offeror shall provide the publicly accessible Web site(s) where greenhouse gas emissions and/or reduction goals are reported: <input
style="max-width:none !important" class="form-control" type="url" id="GreenhouseGaseWebsite" name="GreenhouseGaseWebsite" placeholder="Website Address">
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>23. Prohibition on Contracting With Entities That Require Certain Internal Confidentiality Agreements or Statements – Representation (FAR 52.203-19) (JAN 2017)</h4>
<ol class="custom-marker parens-around lower-alpha">
<li>Definition. As used in this provision— Internal confidentiality agreement or statement, subcontract, and subcontractor, are defined in the clause at 52.203–19, Prohibition on Requiring Certain Internal Confidentiality Agreements or
Statements.</li>
<li>In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113–235) and its successor provisions in subsequent appropriations acts (and as extended in continuing
resolutions), Government agencies are not permitted to use funds appropriated (or otherwise made available) for contracts with an entity that requires employees or subcontractors of such entity seeking to report waste, fraud, or abuse to
sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative
of a Federal department or agency authorized to receive such information.</li>
<li>The prohibition in paragraph (b) of this provision does not contravene requirements applicable to Standard Form 312, (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information Nondisclosure
Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information.</li>
<li>Representation. By submission of its offer, the Offeror represents that it will not require its employees or subcontractors to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such
employees or subcontractors from lawfully reporting waste, fraud, or abuse related to the performance of a Government contract to a designated investigative or law enforcement representative of a Federal department or agency authorized to
receive such information (e.g., agency Office of the Inspector General).</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12">
<h4>24. CERTIFICATION OF SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT REPORTING (252.204-7012) (DEC 2019)</h4>
<p>You (Seller-offeror) are receiving this certification form because you are expected to receive Covered Defense Information (CDI) subject to the requirements of DFARS 252.204-7012, Safeguarding Covered Defense Information and Cyber Incident
Reporting (the "DFARS clause"), in support of bid and proposal activities of CAE USA.</p>
<p>In order to receive CDI, you must agree to handle the CDI in accordance with the requirements of the DFARS clause. If you are selected as a subcontractor to CAE USA under a related U.S. Government prime contract, the subcontract is expected
to contain the DFARS clause as a mandatory flow down.</p>
<p>The DFARS clause requires that all contractors at every tier under a government prime contract implement "adequate security measures" (as defined in the DFARS clause) to safeguard CDI, which is defined to include unclassified controlled
technical information or other information, as described in the Controlled Unclassified Information (CUI) Registry at
<a href="http://www.archives.gov/cui/registry/category-list.html" target="_blank">http://www.archives.gov/cui/registry/category-list.html</a>, that requires safeguarding or dissemination controls pursuant to and consistent with law,
regulations, and Government-wide policies.</p>
<p>The DFARS clause also requires that contractors and subcontractors report to <a href="http://dibnet.dod.mil" target="_blank">http://dibnet.dod.mil</a> within 72 hours of discovery certain "cyber incidents" that result in an actual or
potentially adverse effect on CDI. To submit such reports, you must acquire and maintain a DoD-approved medium assurance certificate. Information on obtaining a DoD-approved medium assurance certificate is available at:
<a href="http://iase.disa.mil/pki/eca/Pages/index.aspx" target="_blank">http://iase.disa.mil/pki/eca/Pages/index.aspx</a>.</p>
<ul> You agree to the following notification requirements as an express condition of receiving CDI from CAE USA: <li>Within 30 days of award of an Order from CAE USA, you agree to notify the DoD Chief Information Officer (CIO), via email at
osd.dibcsia@mail.mil, with a copy to CAE USA's authorized representative, of any security requirements specified by NIST SP 800-171 not implemented at the time of Order award.</li>
<li>You agree to notify CAE USA in writing when submitting any request to vary from a NIST SP 800-171 security requirement to the Contracting Officer, for consideration by the DoD CIO.</li>
<li> You agree to immediately inform CAE USA in writing if, after the date this certification was executed, there is any change in your company's circumstances that causes this certification to be untrue, inaccurate, or misleading.<br>
<strong>Exceptions</strong>
<div class="radio" style="margin-left: 20px;">
<input id="TwentyFour_Radio" name="TwentyFour_Radio" type="radio" value="COTS">Supplier is a provider to Buyer of only COTS products (Note – COTS should not be construed to mean commercial items as defined in FAR 2.101)
</div>
<div class="radio" style="margin-left: 20px;">
<input id="TwentyFour_Radio" name="TwentyFour_Radio" type="radio" value="NO_CDI">No CDI has been provided by Buyer as of the date of the signature on these Reps & Certs. Should Buyer need to provide Supplier CDI, Supplier shall not
accept such CDI until it becomes compliant IAW DFARS 252.204-7012
</div>
</li>
</ul>
<p class="text-center"><strong><u>CERTIFICATION</u></strong></p> By the signature of its authorized representative below, Seller-offeror certifies that either <ol class="custom-marker parens-around lower-roman">
<li>it has implemented adequate security as required by the DFARS Clause on its information systems that, at a minimum, complies with the security requirements of the current revision to the National Institute of Standards and Technology
(NIST) Special Publication (SP) 800-171, <strong>OR</strong></li>
<li>it is in the process of and will complete implementation of adequate security as soon as practical, but not later than December 31, 2017.</li>
</ol> If Seller-offeror is not selected as a subcontractor to perform the work for which it received the CDI, Seller-offeror agrees to dispose/destroy any CDI it received from CAE USA in a manner consistent with the requirements of the DFARS
clause.
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12">
<h4>25. COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICE REPRESENTATION (FAR 52.204-26)(OCT 2020)</h4>
<ol class="custom-marker parens-around lower-alpha">
<li> Definitions. As used in this provision, "covered telecommunications equipment or services" has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or
Equipment </li>
<li> Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (<a href="https://www.sam.gov" target="_blank">https://www.sam.gov</a>) for entities excluded from receiving federal awards for
"covered telecommunications equipment or services". </li>
<li> Representation. The Offeror represents that it <div class="radio-inline" style="margin-top: -3px;">
<input id="TwentyFive_Radio" name="TwentyFive_Radio" type="radio" value="DOES"><strong>does</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="TwentyFive_Radio" name="TwentyFive_Radio" type="radio" value="DOES_NOT"><strong>does not</strong>
</div> provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12">
<h4>26. REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT FAR 52.204-24 (NOV 2021)</h4>
<div class="checkbox">
<label>
<input data-val="true" data-val-required="The S26_NA field is required." id="S26_NA" name="S26_NA" type="checkbox" value="true"><input name="S26_NA" type="hidden" value="false">NA: The representation in FAR 52.204-26 says "Does Not".
</label>
</div>
<p> The Offeror shall not complete the representation in this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in
the performance of any contract, subcontract, or other contractual instrument" in the provision at 52.204-26, Covered Telecommunications Equipment or Services-Representation, or in paragraph (v) of the provision at 52.212-3, Offeror
Representations and Certifications-Commercial Items. </p>
<ol class="custom-marker parens-around lower-alpha">
<li> Definitions. As used in this provision — Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings
provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. </li>
<li> Prohibition. Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or
extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of
any system. Contractors are not prohibited from providing— <ol class="custom-marker parens-around lower-roman">
<li> Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or </li>
<li> Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles. </li>
</ol>
</li>
<li> Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (<a href="https://www.sam.gov" target="_blank">https://www.sam.gov</a>) for entities excluded from receiving federal awards for
"covered telecommunications equipment or services". </li>
<li> Representation. The Offeror represents that it <div class="radio-inline" style="margin-top: -3px;">
<input id="TwentySix_Radio" name="TwentySix_Radio" type="radio" value="WILL"><strong>will</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="TwentySix_Radio" name="TwentySix_Radio" type="radio" value="WILL_NOT"><strong>will not</strong>
</div> provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation.
</li>
<li> Disclosures. <ol class="custom-marker parens-around decimal">
<li> Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of
the offer: <ol class="custom-marker parens-around lower-roman">
<li> For covered equipment— <ol class="custom-marker parens-around upper-alpha">
<li> The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);
</li>
<li> A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and </li>
<li> Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision. </li>
</ol>
</li>
<li> For covered services— <ol class="custom-marker parens-around upper-alpha">
<li> If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or
wholesaler number; and item description, as applicable); or </li>
<li> If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use
would be permissible under the prohibition in paragraph (b)(1) of this provision. </li>
</ol>
</li>
</ol>
</li>
</ol>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>27. COVERED DEFENSE TELECOMMUNICATIONS EQUIPMENT OR SERVICES REPRESENTATION (DFARS 252.204-7016)(DEC 2019)</h4>
<ol class="custom-marker parens-around lower-alpha">
<li>Definitions. As used in this provision, "covered defense telecommunications equipment or services" has the meaning provided in the clause 252.204-7018, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or
Services.</li>
<li>Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (<a href="https://www.sam.gov/" target="_blank">https://www.sam.gov/</a>) for entities excluded from receiving federal awards for
"covered defense telecommunications equipment or services".</li>
<li> Representation. The Offeror represents that it <div class="radio-inline" style="margin-top: -3px;">
<input id="TwentySeven_Radio" name="TwentySeven_Radio" type="radio" value="DOES"><strong>does</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="TwentySeven_Radio" name="TwentySeven_Radio" type="radio" value="DOES_NOT"><strong>does not</strong>
</div> provide covered defense telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>28. PROHIBITION ON ACQUISITION OF COVERED DEFENSE TELECOMMUNICATION EQUIPMENT OR SERVICES REPRESENTATON (DFARS 252.204-7017)(MAY 2021)</h4>
<div class="checkbox">
<label>
<input type="checkbox" id="DFARS_SAYS_NOT" name="DFARS_SAYS_NOT"> NA: The representation in DFARS 252.204-7016 says "Does Not". </label>
</div>
<p>The Offeror is not required to complete the representation in this provision if the Offeror has represented in the provision at 252.204-7016, Covered Defense Telecommunications Equipment or Services—Representation, that it "does not provide
covered defense telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument."</p>
<ol class="custom-marker parens-around lower-alpha">
<li>Definitions. "Covered defense telecommunications equipment or services," "covered mission," "critical technology," and "substantial or essential component," as used in this provision, have the meanings given in the 252.204-7018 clause,
Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services, of this solicitation.</li>
<li>Prohibition. Section 1656 of the National Defense Authorization Act for Fiscal Year 2018 (Pub. L. 115-91) prohibits agencies from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or
service to carry out covered missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system.</li>
<li>Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) at https://www.sam.gov for entities that are excluded when providing any equipment, system, or service to carry out covered
missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system, unless a waiver is granted.</li>
<li> Representation. If in its annual representations and certifications in SAM the Offeror has represented in paragraph (c) of the provision at 252.204-7016, Covered Defense Telecommunications Equipment or Services—<br> Representation, that
it "does" provide covered defense telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument, then the Offeror
shall complete the following additional representation:<br> The Offeror represents that it <div class="radio-inline" style="margin-top: -3px;">
<input id="TwentyEight_Radio" name="TwentyEight_Radio" type="radio" value="WILL"><strong>will</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="TwentyEight_Radio" name="TwentyEight_Radio" type="radio" value="WILL_NOT"><strong>will not</strong>
</div> provide covered defense telecommunications equipment or services as a part of its offered products or services to DoD in the performance of any award resulting from this solicitation.
</li>
<li> Disclosures. If the Offeror has represented in paragraph (d) of this provision that it "will provide covered defense telecommunications equipment or services," the Offeror shall provide the following information as part of the offer: <ol
class="custom-marker parens-around decimal">
<li>A description of all covered defense telecommunications equipment and services offered (include brand or manufacturer; product, such as model number, original equipment manufacturer (OEM) number, manufacturer part number, or
wholesaler number; and item description, as applicable).</li>
<li>An explanation of the proposed use of covered defense telecommunications equipment and services and any factors relevant to determining if such use would be permissible under the prohibition referenced in paragraph (b) of this
provision.</li>
<li>For services, the entity providing the covered defense telecommunications services (include entity name, unique entity identifier, and Commercial and Government Entity (CAGE) code, if known).</li>
<li>For equipment, the entity that produced or provided the covered defense telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known).</li>
</ol>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>29. AMS 3.6.4-24, COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES REPRESENTATION</h4>
<ol class="custom-marker parens-around lower-alpha">
<li>Definitions. As used in this provision, "covered telecommunications equipment or services" has the meaning per the clause 3.6.4-23 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment".
</li>
<li>Procedures. The offeror must review the list of excluded parties in the System for Award Management (SAM) (<a href="https://www.sam.gov" target="_blank">https://www.sam.gov</a>) for entities excluded from receiving federal awards for
covered telecommunications equipment or services.</li>
<li> Representation. The offeror represents that it <div class="radio-inline" style="margin-top: -3px;">
<input id="TwentyNine_Radio" name="TwentyNine_Radio" type="radio" value="DOES"><strong>does</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="TwentyNine_Radio" name="TwentyNine_Radio" type="radio" value="DOES_NOT"><strong>does not</strong>
</div> provide covered telecommunications equipment or services as part of its offered products or services to the Government in the performance of any contract, subcontract, to other contractual instrument.
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div col-lg-12="">
<h4>30. AMS 3.6.4-22, REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT</h4>
<div class="checkbox">
<label>
<input type="checkbox" id="AMS_SAYS_NOT" name="AMS_SAYS_NOT"> NA: The representation in AMS 3.6.4-24 says "Will Not". </label>
</div>
<p>The offeror must not complete the representation in this provision if the offeror has represented that it does not provide covered telecommunications equipment or services as part of its offered products or services to the Government in the
performance of any contract, subcontract, or other contractual instrument in provision AMS 3.6.4-24 "Covered Telecommunications Equipment or Services – Representation".</p>
<br>
<ol class="custom-marker parens-around lower-alpha">
<li> Definitions. As used in this provision--<br> Covered telecommunications equipment or services, Critical technology, and Substantial or essential component have the meanings provided in AMS clause 3.6.4-23 Prohibition on Contracting for
Certain Telecommunications and Video Surveillance Services or Equipment. </li>
<li> Prohibition. Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or
extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of
any system. Contractors are not prohibited from providing— <ol class="custom-marker parens-around decimal">
<li>A service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or</li>
<li>Telecommunications equipment that cannot route or redirect user data traffic or permit visibility into any user data or packets that such equipment transmits or otherwise handles.</li>
</ol>
</li>
<li>Procedures: The offeror must review the list of excluded parties in the System for Award Management (SAM) (<a href="https://www.sam.gov" target="_blank">https://www.sam.gov</a>) for entities excluded from Federal awards for covered
telecommunications equipment or services.</li>
<li> Representation. The Offeror represents that it <div class="radio-inline" style="margin-top: -3px;">
<input id="Thirty_Radio" name="Thirty_Radio" type="radio" value="WILL"><strong>will</strong>
</div>
<div class="radio-inline" style="margin-top: -3px;">
<input id="Thirty_Radio" name="Thirty_Radio" type="radio" value="WILL_NOT"><strong>will not</strong>
</div> provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation.
</li>
<li> Disclosures. If the Offeror has responded affirmatively to the representation in paragraph (c) of this provision, the Offeror must provide the following information as part of the offer-- <ol class="custom-marker parens-around decimal">
<li>All covered telecommunications equipment and services offered (include brand; model number, such as original equipment manufacturer (OEM) number, manufacturer part number, or wholesaler number; and item description, as applicable);
</li>
<li>Explanation of the proposed use of covered telecommunications equipment and services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b) of this provision;</li>
<li>For services, the entity providing the covered telecommunications services (include entity name, unique entity identifier, and Commercial and Government Entity (CAGE) code, if known); and</li>
<li> For equipment, the entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known). <br>
<br>
<p>
<strong><u>NOTE: Additional Certifications Offerors are hereby advised the additional certifications may be required at the time of acquisition. These certifications are required at certain dollar thresholds if specific Public Laws are incorporated into the terms of the contract (at $750,000 and above unless the contract dictates a lower threshold). Specifically these include Subcontractor Cost or Pricing Data (FAR 52.215-12) and Cost Accounting Standards(FAR 52.230.-1). In the event these clauses are required contractually, offerors shall submit the required information and associated certifications unless otherwise exempt as specified in the FAR clauses referenced.</u></strong>
</p>
</li>
</ol>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p class="text-center">(End of provision)</p>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12">
<p class="text-center"><strong><u>CERTIFICATION</u></strong></p>
<p> I hereby acknowledge an understanding of the United States Government contracting and subcontracting programs and confirm the accuracy of the statements made above. This certification shall apply to all solicitations, agreements, purchase
orders or subcontracts received from CAE USA, and shall be valid for one year from date of execution. </p>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div class="checkbox text-danger" style="margin-left:20px;">
<input data-val="true" data-val-required="The CurrentAndAccurate field is required." id="CurrentAndAccurate" name="CurrentAndAccurate" onchange="validate()" type="checkbox" value="true"><input name="CurrentAndAccurate" type="hidden"
value="false"> *The offeror verifies by submission of this document that the representations and certifications shown above are current, accurate, and complete as of the date executed.
</div>
<p id="validCurrentAndAccurate" class="validationFailed" style="display: none;"> You cannot submit this form unless you are authorized to certify on behalf of Supplier and check the box stating that this form is current, accurate, and complete.
</p>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<label>ELECTRONIC SIGNATURE AGREEMENT</label>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<span class="field-validation-valid validationFailed" data-valmsg-for="ElectronicSig" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="col-lg-2"><select class="form-control" data-val="true" data-val-required="Please select an option" id="ESigDD" name="ElectronicSig">
<option value="">- Select an option -</option>
<option value="ACCEPT">I Accept Electronic Signature</option>
<option value="DECLINE">I Decline Electronic Signature</option>
</select></div>
<div class="col-lg-10">
<div class="row" id="ESigDiv" style="display: none;">
<div class="col-lg-4">
<label class="text-danger">*Signed By (Name):</label>
<input class="form-control" type="text" id="SigName" name="SigName" placeholder="Signature (Name)">
</div>
<div class="col-lg-4">
<label class="text-danger">*Title:</label>
<input class="form-control" type="text" id="SigTitle" name="SigTitle" placeholder="Title">
</div>
<div class="col-lg-4">
<label class="text-danger">*Date:</label>
<input class="form-control" type="text" id="SigDate" name="SigDate" placeholder="Title" value="7/14/2022">
</div>
</div>
<div id="RegSigDiv" class="row" style="display: none;">
<div class="col-lg-4">
<label class="text-danger"><br>______________________________________<br>*Signature</label>
</div>
<div class="col-lg-4">
<label class="text-danger"><br>______________________________________<br>*Title</label>
</div>
<div class="col-lg-4">
<label class="text-danger"><br>______________________________________<br>*Date</label>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p> Here at CAE USA, we take your privacy seriously and will only use your personal data to administer your account and/or to provide you the information, products, and services you have requested from us. By filling out and submitting this
form, you hereby consent to L3Harris collecting your information. For further details on how we will use your personal data, please review our <a href="https://www.cae.com/privacy-policy" target="_blank">Privacy Policy</a>. </p>
<p> After clicking the Submit button you will then have the opportunity to print or save the generated pdf form. </p>
</div>
<input class="btn btn-primary" type="submit" value="Submit" name="submit">
<input class="btn btn-default" type="submit" value="Print" name="Print">
<input class="btn btn-default" type="submit" value="Cancel" name="Cancel">
</div>
</form>
Text Content
CAE USA ANNUAL SUPPLIER REPRESENTATIONS AND CERTIFICATIONS ALERT! JAVASCRIPT IS DISABLED. THIS PAGE REQUIRES JAVASCRIPT TO BE ENABLED. ALERT! Procurement of material, services and supplies for a United States Government contract requires that prime contractors, subcontractors and suppliers comply with socioeconomic programs enacted into public law, implemented by Executive Order, and promulgated by Federal Regulations. Representations and Certifications must be completed prior to award of any order(s) to your company and be updated annually. * Indicates a required field *COMPANY NAME *STREET ADDRESS 1 STREET ADDRESS 2 *CITY STATE -Select a State- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY *ZIP/Postal Code ZIP + 4 *COUNTRY -Select a Country- AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE *PHONE NUMBER FAX NUMBER *EMAIL ADDRESS CAGE CODE *DUNS NUMBER (FAR 52-204-6) (numbers only - no dashes please) *NUMBER OF EMPLOYEES FOR LAST 12 MONTHS(FAR 52.212- 3 (c)(8)(ii)(A)) (numbers only - no dashes or commas please) *****NAICS**** (numbers only - no dashes or spaces. Separate additionals NAICS with a single comma and no spaces e.g. 12345678,87654321) **NOTE** if you are certifying more than one NAICS code, you must ensure they are the same business size as certified in Section 2 of this form. If they are not, you must request and complete a separate form for each business size. -------------------------------------------------------------------------------- Please review each statement below and select the option that represents your current state of compliance with each requirement. NOTE: DO NOT LEAVE ANY OF THE SECTIONS BLANK. *1. TYPE OF BUSINESS ORGANIZATION (MUST BE ON FILE FOR EACH SUPPLIER) – (FAR 52.204-3)(OCT 1998) ALL ORDERS *Tax Identification Number (TIN) - Select an option - TIN Provided: TIN has been applied for TIN not Required Tax Identification Number is required 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. A reason why a Tax Identification Number is not required must be provided *The offeror operates as - Select an option - a Corporate Entity (not tax-exempt) a Corporate Entity (tax-exempt) a sole proprietorship a government entity (Federal, State, or local) a foreign entity, registered for business in a partnership an International organization per 26 CFR 1.6049-4 a joint venture between an individual -Select a Country- AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE Please select a coutry from the dropdown If a foreign entity, is work being completed in the U.S.? -Select a State- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Please select a state from the dropdown Please provide the Joint Venture Members *Common parent (as defined in paragraph (a) of this provision) - Select an option - Offeror is not owned or controlled by a common parent. Name and TIN of common parent: Please provide the common parent name Please provide the common parent Tax Id REPORTING EXECUTIVE COMPENSATION AND FIRST TIER SUBCONTRACT AWARDS(FAR 52.204 - 10) (JUN 2020) - $30,000 1) In the previous tax year, was your company's gross income from all sources under $300,000? - Select an option - Yes No 2) In your preceding completed fiscal year, did you receive: 1) 80% or more of annual gross revenues from U.S. Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance; and 2) $25,000,000 or more in annual gross revenues from U.S. Federal contracts (and subcontracts), subcontracts, loans, grants (and subgrants), subgrants, and/or cooperative agreements and other forms of Federal financial assistance; and 3) The public does not have access to information about the compensation of the 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 of 1986. (To determine if the public has access to the compensation information, see the U.S. Security and Exchange Commission total compensation filings at Investor.gov - Select an option - Yes No 3) Does the public have access to information about the compensation of the senior 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 of 1986? - Select an option - Yes No Please complete compensation information as indicated below Name: Position: Salary: (US dollar) Name: Position: Salary: (US dollar) Name: Position: Salary: (US dollar) Name: Position: Salary: (US dollar) Name: Position: Salary: (US dollar) (End of provision) -------------------------------------------------------------------------------- *2. SMALL BUSINESS PROGRAM REPRESENTATIONS (FAR 52.219-1)(SEP 2021) - ALL ORDERS. NOTICE OF PENALTY Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a business concern that is small, HUBZone small, small disadvantaged, service-disabled veteran-owned small, economically disadvantaged women-owned small, or women-owned small eligible under the WOSB Program in order to obtain a contract to be awarded under the preference programs established pursuant to section 8, 9, 15, 31, and 36 of the Small Business Act or any other provision of Federal law that specifically references section 8(d) for a definition of program eligibility, shall (i) be punished by imposition of fine, imprisonment, or both; (ii) be subject to administrative remedies, including suspension and debarment; and (iii) be ineligible for participation in programs conducted under the authority of the Act (FAR 52.219-1(d)(2)). Business Size - Select an option - SMALL BUSINESS (SB) NON-PROFIT ORGANIZATION LARGE BUSINESS (LB) GOVERNMENT AGENCY/ENTITY You have selected "GOVERNMENT AGENCY/ENTITY" and an explanation is required. (FAR 52.219.1)(SEP 2021) "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 qualifies as a small business under the criteria in 13 CFR Part 121 and the size standard identified by the primary NAICS Code identified above. WOMEN-OWNED SMALL (WOSB) (FAR 52.219-1)(SEP 2021) – "Women-Owned Small Business Concern" means a small business concern (i) that is at least 51% owned by one or more women; or, in the case of any publicly owned business, at least 51% of the stock of which is owned by one or more women and (ii) whose management and daily business operations are controlled by one or more women. "Women-owned small business (WOSB) concern eligible under the WOSB Program" (in accordance with 13 CFR part 127), means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States. The offeror represents that it is a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility. HISTORICALLY BLACK COLLEGE OR UNIVERSITY AND MINORITY INSTITUTION REPRESENTATION(HBCU) (FAR 52.226.2)(OCT 2014) – "Historically Black College or University" means an institution determined by the Secretary of Education to meet the requirements of 34 CFR 608.2. For the Department of Defense, the National Aeronautics and Space Administration, and the Coast Guard, the term also includes any nonprofit research institution that was an integral part of such a college or university before November 14, 1986. MINORITY INSTITUTION (MI) (FAR 52.226-2)(OCT 2014) "Minority Institution" means an institution of higher education meeting the requirements of Section 365(3) of the Higher Education Act of 1965 (20 U.S.C. 1067k), includes a Hispanic-serving institution of higher education as defined in Section 502(a) of the Act (20 U.S.C.1101a)) SMALL DISADVANTAGED (SDB) (FAR 52.219-1)(SEP 2021) – "Small Disadvantage Business Concern" [whether or not also women-owned] means a small business concern that is 1. at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by i. One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States, and ii. Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and 2. The management and daily business operations of which are controlled (as defined at 13 CFR 124.106) by individuals who meet the criteria in paragraphs (1)(i) and (ii) of this definition. HUB Zone Small Business Certified (HUB Zone SB) (FAR 52.219.1)(SEP 2021) "HUB Zone Small Business Concern" must be a small business according to the definition of FAR 52.219-1 and the NAICS Code size standards, be on the List of Qualified HUBZONE Small Business Concerns maintained by the Small Business Administration, and no material change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR Part 126. ii) It is is not a HUBZone joint venture that complies with the requirements of 13 CFR Part 126, and the representation in paragraph (c)(8)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation. A copy of the offeror's current Small Business Administration (SBA) certification letter and a copy of the CCR profile may be requested. VETERAN-OWNED SMALL BUSINESS (VOSB)(FAR 52.219-8)(NOV 2020) "Veteran-Owned Small Business concern" means a small business concern (i) 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 (ii) the management and daily business operations of which are controlled by one or more veterans. SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS (SDVOSB)(FAR 52.219-8)(NOV 2020) – "Service-Disabled Veteran-Owned Small Business concern" 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 service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran. "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). ALASKA NATIVE CORPORATION (ANC)(FAR 19.701) – "Alaskan Native Corporation" means any Regional Corporation, Village Corporation, Urban Corporation, or Group Corporation organized under the laws of the State of Alaska in accordance with the Alaska Native Claims Settlement Act, as amended (43 U.S.C. 1601, et seq), and which is considered a minority and economically disadvantaged concern under the criteria at 43 U.S.C. 1626(e)(1). This definition also includes ANC direct and indirect subsidiary corporations, joint ventures, and partnerships that meet the requirements of 43 U.S.C. 1626(e)(2 ). INDIAN TRIBE (FAR 52.226-1)(JUN 2000) – "Indian Tribe" means any Indian tribe, band, group, pueblo, or community, including native villages and native groups (including corporations organized by Kenai, Juneau, Sitka, and Kodiak) as defined in the Alaska Native Claims Settlement Act (43 U.S.C 1601, et seq.), that is recognized by the Federal Government as eligible for services from the Bureau of Indian Affairs in accordance with 25 U.S.C. 1452 (c ). This definition also includes Indian-Owned economic enterprises that meet the requirements of 25 U.S.C. 1452(e) ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL BUSINESS (FAR 52.219-1)(SEP 2021) "Economically disadvantaged women-owned small business (EDWOSB) concern" means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business concern eligible under the WOSB Program. ALASKA NATIVE CORPORATION (ANC)(FAR 19.701) – "Alaskan Native Corporation" means any Regional Corporation, Village Corporation, Urban Corporation, or Group Corporation organized under the laws of the State of Alaska in accordance with the Alaska Native Claims Settlement Act, as amended (43 U.S.C. 1601, et seq), and which is considered a minority and economically disadvantaged concern under the criteria at 43 U.S.C. 1626(e)(1). This definition also includes ANC direct and indirect subsidiary corporations, joint ventures, and partnerships that meet the requirements of 43 U.S.C. 1626(e)(2 ). INDIAN TRIBE (FAR 52.226-1)(JUN 2000) – "Indian Tribe" means any Indian tribe, band, group, pueblo, or community, including native villages and native groups (including corporations organized by Kenai, Juneau, Sitka, and Kodiak) as defined in the Alaska Native Claims Settlement Act (43 U.S.C 1601, et seq.), that is recognized by the Federal Government as eligible for services from the Bureau of Indian Affairs in accordance with 25 U.S.C. 1452 (c ). This definition also includes Indian-Owned economic enterprises that meet the requirements of 25 U.S.C. 1452(e) MINORITY OWNERSHIP: IF OFFEROR HAS REPRESENTED ITSELF AS A DISADVANTAGED BUSINESS, PLEASE CHECK THE APPROPRIATE CATEGORY OF OWNERSHIP: (FAR 52.219-1 Alt.I)(SEP 2015) Minority Ownership - Select an option - Black American Hispanic American Native American Asian-Pacific American Subcontinent Asian (Asian-Indian) American Individual/concern, other than one of the preceding Leave unselected if no minority ownership (American Indians, Eskimos, Aleuts, or Native Hawaiians) (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) (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal) You have selected "Individual/concern" and an explanation is required. **SECTION 2 ONLY** ELECTRONIC SIGNATURE AGREEMENT This signature is only for section 2. If you choose not to electronically sign this section along with the final signature at the end of the form, you must print and manually sign both areas of the form. The form must then be returned to the buyer indicated in your email invitation. - Select an option - I Accept Electronic Signature I Decline Electronic Signature *Signed By (Name): You have selected "I Accept Electronic Signature" and a name is required. *Title: You have selected "I Accept Electronic Signature" and a title is required. *Date: You have selected "I Accept Electronic Signature" and a date is required. ______________________________________ *Signature ______________________________________ *Title ______________________________________ *Date (End of provision) -------------------------------------------------------------------------------- 3. OFFEROR REPRESENTATIONS AND CERTIFICATIONS – COMMERCIAL ITEMS (FAR 52.212-3)(NOV 2021) A. Buy American Act Certificate. (FAR 52.225-2)(NOV 2021) (Applies only if the clause at FAR 52.225-1, Buy American Act – Supplies, is included) a. The offeror certifies that each end product, except those listed in paragraph b of this provision, is a domestic end product. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products. The terms "domestic end product," "end product," and "foreign end product" are defined in the clause of this solicitation entitled "Buy American Act – Supplies." b. Foreign End Products: Line Item Number: Country of Origin (List as necessary) Item Number Country of Origin -Select a Country- AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE -Select a Country- AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE -Select a Country- AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE -Select a Country- AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE -Select a Country- AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE c. The Government will evaluate offers in accordance with the policies and procedures of PART 25 of the Federal Acquisition Regulation. -------------------------------------------------------------------------------- *4. EXPORT/IMPORT CERTIFICATIONS FOR PROCUREMENT An answer to Provision 4 section C is required. CAE USA requires that its suppliers certify the following information to ensure compliance with the U.S. Government export/import laws and regulations including the U.S. Department of State, Directorate of Defense Trade Controls (DDTC), International Traffic in Arms Regulations (ITAR) and the U.S. Department of Commerce, Bureau of Industry and Security (BIS), Export Administration Regulations (EAR) ITAR 22 CFR 120.15 and EAR 15 CFR Part 772 define a U.S. person as a person who is a lawful permanent resident as defined by 8 U.S.C.1101(a)(20) or who is a protected individual as defined by 8 U.S.C. 1324b(a)(3). It also means any corporation, business association, partnership, society, trust, or any other entity, organization or group that is incorporated to do business in the United States. It also includes any governmental (federal, state or local) entity. A. OFFEROR is is not a "U.S. Person" as defined in the ITAR 22 CFR Part 120.15 and EAR 15 CFR 772. Any person who engages in the United States in the business of either manufacturing or exporting ITAR controlled defense articles or furnishes defense services is required to register with the Directorate of Defense Trade Controls (DDTC) unless exempted by one of the four conditions listed in ITAR 22 CFR Part 122.1. CAE USA cannot enter into any procurement contract with a supplier within the United States that involves the acquisition of ITAR controlled defense articles or provision of defense services until the supplier has certified that it is registered with DDTC. This registration requirement does not apply to manufacturers of EAR controlled articles and/or services. B. OFFEROR meets one of the following conditions Does Not manufacture or export ITAR controlled defense articles or furnish defense services Manufactures or exports ITAR controlled defense articles or furnishes defense services and is registered to do so. Expiration Date of Registration An Expiry date is required. Is exempt from registration, based upon one of the following exemptions: - Select an option - Officers and employees of the United States Government acting in an official capacity. Persons whose pertinent business activity is confined to the production of unclassified technical data only. Persons all of whose manufacturing and export activities are licensed under the Atomic Energy Act of 1954, as amended. Persons all of whose manufacturing and export activities are licensed under the Atomic Energy Act of 1954, as amended. Please choose a value. Not registered with the U.S. Department of State, Directorate of Defense Trade Controls per ITAR 22 CFR Part 122.1 (a) and (b). C. The supplier is responsible for the protection of any controlled technical data or defense articles provided to them by CAE USA to assist in the manufacture of a defense article or provision of a defense service. The release of this data by the supplier to a Foreign Person employee or its transfer to another Foreign Person for the purpose of Off-Shore Procurement is defined as an export (ITAR 22 CFR Parts 120.17 and 124.13 and EAR 15 CFR Part 734.2(b)(2)(ii)) and Supplements 1 and 2 or Part 774 and subject to the licensing requirements of the ITAR and EAR as applicable. a. OFFEROR will obtain the necessary export authorization prior to the release of controlled technical data or other defense articles provided by CAE USA for the purpose of procurement to any Foreign Person in or outside of the United States. *Above section is certifying that in the event the OFFEROR is required to export or release controlled technical data or defense articles, they will do so in accordance with applicable import/export regulations. (End of provision) -------------------------------------------------------------------------------- 5. BIOBASED PRODUCT CERTIFICATION (FAR 52.223-1) (MAY 2012) As required by the Farm Security and Rural Investment Act of 2002 and the Energy Policy Act of 2005 (7 U.S.C. 8102(c) (3)), the offeror certifies, by signing this offer, that biobased products (within categories of products listed by the United States Department of Agriculture in 7 CFR part 3201, subpart B) to be used or delivered in the performance of the contract, other than biobased products that are not purchased by the offeror as a direct result of this contract, will comply with the applicable specifications or other contractual requirements. (End of provision) -------------------------------------------------------------------------------- *6. CERTIFICATION REGARDING KNOWLEDGE OF CHILD LABOR FOR LISTED END PRODUCTS (FAR 52.222-18)(FEB 2021) - $25,000 An award will not be made to an OFFEROR unless the Offeror, by checking the appropriate block, certifies to either paragraph A or B of this provision. A. OFFEROR will not supply any end product listed in paragraph C that was mined, produced, or manufactured in a corresponding country as listed for that end product. B. OFFEROR may supply an end product listed in paragraph C that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that is has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture such end product. On the basis of those efforts, the offeror certifies that it is not aware of any such use of child labor. C. Listed End Product Listed Countries of Origin (End of provision) -------------------------------------------------------------------------------- 7. RECOVERED MATERIAL CERTIFICATION (FAR 52.223-4)(MAY 2008) As required by the Resource Conservation and Recovery Act of 1976 (42 U.S.C. 6962(c )(3)(A)(i)), the offeror certifies, by signing this offer, that the percentage of recovered materials content for EPA-designated items to be delivered or used in the performance of the contract will be at least the amount required by the applicable contract specifications or other contractual requirements. (End of provision) -------------------------------------------------------------------------------- *8. PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FAR 52.222-22)(FEB 1999) - $10,000 A. OFFERER has has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and B. OFFERER has has not filed all required compliance reports and move to Section C. C. Representations indicating submission of required compliance reports, signed by proposed subcontractors, will be obtained before subcontract awards. (End of provision) -------------------------------------------------------------------------------- *9. CERTIFICATION OF AFFIRMATIVE ACTION COMPLIANCE (FAR 52.222-25)(APR 1984) - $10,000 A. OFFERER has developed and has on file. has not developed and does not have on file, at each establishment, affirmative action programs required by the rules and regulations of the Secretary of Labor in 41 CFR 60-1 and 60-2; or B. OFFERER has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor. (End of provision) -------------------------------------------------------------------------------- 10. EQUAL OPPORTUNITY (FAR 52.222-26)(SEP 2016) - $10,000 The OFFEROR represents that it is in agreement with the subject clause and the Executive Order 11246, as amended, and the rules, regulations, and Orders of the Secretary of Labor pertaining to Equal Opportunity. (End of provision) -------------------------------------------------------------------------------- 11. PROTECTING THE GOVERNMENTS INTEREST WHEN SUBCONTRACTING WITH CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT (FAR 52.209-6) (NOV 2021) - $35,000 A. Definitions omitted B. The Government suspends or debars Contractors to protect the Government’s interests. Other than a subcontract for a commercially available off-the-shelf item, the Contractor shall not enter into any subcontract, in excess of the threshold specified in FAR 9.405-2(b) on the date of subcontract award, with a Contractor that is debarred, suspended, or proposed for debarment by any executive agency unless there is a compelling reason to do so. C. The Contractor shall require each proposed first-tier subcontractor, whose subcontract will exceed the threshold specified in FAR 9.405-2(b) on the date of subcontract award, other than a subcontractor providing a commercially available off-the-shelf item, to disclose to the Contractor, in writing, whether as of the time of award of the subcontract, the subcontractor, or its principals, is or is not debarred, suspended, or proposed for debarment by the Federal Government. D. A corporate officer or a designee of the Contractor shall notify the Contracting Officer, in writing, before entering into a subcontract with a party (other than a subcontractor providing a commercially available off-the-shelf item) that is debarred, suspended, or proposed for debarment (See FAR 9.404 for information on the Systems for Award Management (SAM) Exclusions). The notice must include the following: 1. The name of the subcontractor 2. The Contractor's knowledge of the reasons for the subcontractor being listed with an exclusion in SAM. 3. The compelling reason(s) for doing business with the subcontractor notwithstanding its being listed with an exclusion in SAM. 4. The systems and procedures the Contractor has established to ensure that it is fully protecting the Government's interests when dealing with such subcontractor in view of the specific basis for the party's debarment, suspension, or proposed debarment. E. Subcontracts. Unless this is a contract for the acquisition of commercial items, the Contractor shall include the requirements of this clause, including this paragraph (e) (appropriately modified for the identification of the parties), in each subcontract that— 1. Exceeds the threshold specified in FAR 9.405-2(b) on the date of subcontract award; and 2. Is not a subcontract for commercially available off the-shelf items. (End of provision) -------------------------------------------------------------------------------- *12. CERTIFICATION REGARDING RESPONSIBILITY MATTERS (FAR 52.209-5)(AUG 2020) - $150,000 (a)(1) The Offeror certifies, to the best of its knowledge and belief, that -- 1. The Offeror and/or any of its Principals – 1. Are are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency; 2. Have have not, within a 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 public (Federal, state, or local) contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks "have", the offer or shall also see 52.209-7, if included in this solicitation); 3. Are are not presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision 4. Have have not, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds the threshold at 9.104-5(a)(2) for which the liability remains unsatisfied. 1. Federal taxes are considered delinquent if both of the following criteria apply: 1. The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted. 2. The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded. 2. Examples 1. The taxpayer has received a statutory notice of deficiency, under I.R.C. § 6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights. 2. The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. § 6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights. 3. The taxpayer has entered into an installment agreement pursuant to I.R.C. § 6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment. 4. The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. 362 (the Bankruptcy Code). 2. The Offeror has has not, , within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal agency. 1. "Principal," for the purposes of this certification, means an officer; director; owner; partner; or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a subsidiary, division, or business segment, and similar positions). This Certification Concerns a Matter Within the Jurisdiction of an Agency of the United States and the Making of a False, Fictitious, or Fraudulent Certification May Render the Maker Subject to Prosecution Under Section 1001, Title 18, United States Code. 1. The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 2. A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible. 3. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision. The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 4. The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default. (End of provision) -------------------------------------------------------------------------------- 13. WOMEN-OWNED BUSINESS (OTHER THAN SMALL BUSINESS) (FAR 52.204-5)(OCT 2014) - $100,000 [Complete only if the offeror is a women-owned business concern and has not represented itself as a small business concern in paragraph (b) (1) of FAR 52.219-1, Small Business Program Representations] A. The OFFEROR represents that it is is not a women-owned business concern. (End of provision) -------------------------------------------------------------------------------- 14. CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS (FAR 52.203-11)(SEP 2007) - $150,000 A. Definitions. As used in this provision—"Lobbying contact" has the meaning provided at 2 U.S.C. 1602(8). The terms "agency," "influencing or attempting to influence," "officer or employee of an agency," "person," "reasonable compensation," and "regularly employed" are defined in the FAR clause of this solicitation entitled "Limitation on Payments to Influence Certain Federal Transactions" (52.203-12). B. Prohibition. The prohibition and exceptions contained in the FAR clause of this solicitation entitled "Limitation on Payments to Influence Certain Federal Transactions" (52.203-12) are hereby incorporated by reference in this provision. C. Certification. The offeror, by signing its offer, hereby 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 its behalf in connection with the awarding of this contract. D. Disclosure. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made. E. Penalty. Submission of this certification and disclosure is a prerequisite for making or entering into this contract imposed by 31 U.S.C. 1352. Any person who makes an expenditure prohibited under this provision or who fails to file or amend the disclosure required to be filed or amended by this provision, shall be subject to a civil penalty of not less than $10,000, and not more than $100,000, for each such failure (End of provision) -------------------------------------------------------------------------------- *15. INFORMATION REGARDING RESPONSIBILITY MATTERS (FAR 52.209-7) (OCT 2018) - $600,000 1. Definitions omitted 2. The offeror has does not have current active Federal contracts and grants with total value greater than $10,000,000. 3. If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information: 1. Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions: i. In a criminal proceeding, a conviction. ii. In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more. iii. In an administrative proceeding, a finding of fault and liability that results in– 1. The payment of a monetary fine or penalty of $5,000 or more; or 2. The payment of a reimbursement, restitution, or damages in excess of $100,000. iv. In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision. 2. If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence. 4. The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management, which can be accessed via (see 52.204-7). (End of provision) -------------------------------------------------------------------------------- 16. PROHIBITION ON CONTRACTING WITH ENTITIES ENGAGING IN CERTAIN ACTIVITIES OR TRANSACTIONS RELATING TO IRAN-REPRESENTATION AND CERTIFICATION (FAR 52.225-25) (JUN 2020) - ALL ORDERS 1. Definitions omitted. 2. The offeror shall e-mail questions concerning sensitive technology to the Department of State at CISADA106@state.gov 3. Except as provided in paragraph (d) of this provision or if a waiver has been granted in accordance with 25.703-4, by submission of its offer, the offeror 1. Represents, to the best of its knowledge and belief, that the offeror does not export any sensitive technology to the government of Iran or any entities or individuals owned or controlled by, or acting on behalf or at the direction of, the government of Iran; 2. Certifies that the offeror, or any person owned or controlled by the offeror, does not engage in any activities for which sanctions may be imposed under section 5 of the Iran Sanctions Act. These sanctioned activities are in the areas of development of the petroleum resources of Iran, production of refined petroleum products in Iran, sale and provision of refined petroleum products to Iran, and contributing to Iran's ability to acquire or develop certain weapons or technologies; and 3. Certifies that the offeror, and any person owned or controlled by the offeror, does not knowingly engage in any transaction that exceeds $3,500 with Iran's Revolutionary Guard Corps or any of its officials, agents, or affiliates, the property and interests in property of which are blocked pursuant to the International Emergency Economic Powers Act (50 U.S.C.1701 et seq.) (see OFAC's Specially Designated Nationals and Blocked Persons List at ). 4. Exception for trade agreements. The representation requirement of paragraph (c)(1) and the certification requirements of paragraphs (c)(2) and (c)(3) of this provision do not apply if 1. This solicitation includes a trade agreements notice or certification (e.g., 52.225-4, 52.225-6, 52.225-12, 52.225-24, or comparable agency provision); and 2. The offeror has certified that all the offered products to be supplied are designated country end products or designate country construction material. (End of provision) -------------------------------------------------------------------------------- 17. CERTIFICATE OF COMPLIANCE WITH LAWS ON HUMAN TRAFFICKING AND SLAVERY This certificate states that the undersigned is familiar with the laws on human trafficking and slavery in the country or countries in which it does business and complies with all such laws. The undersigned further certifies that the materials incorporated into products delivered to CAE USA comply with the laws regarding slavery and human trafficking of the country or countries in which it does business. List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor (Executive Order 13126) (End of provision) -------------------------------------------------------------------------------- 18. EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (FAR 52.222-36) (JUN 2020) 1. Equal opportunity clause. The Contractor shall abide by the requirements of the equal opportunity clause at 41 CFR 60-741.5(a), as of March 24, 2014. This clause prohibits discrimination against qualified individuals on the basis of disability, and requires affirmative action by the Contractor to employ and advance in employment qualified individuals with disabilities. 2. Subcontracts. The Contractor shall include the terms of this clause in every subcontract or purchase order in excess of the threshold specified in Federal Acquisition Regulation (FAR) 22.1408(a) on the date of subcontract award, unless exempted by rules, regulations, or orders of the Secretary, so that such provisions will be binding upon each subcontractor or vendor. The Contractor shall act as specified by the Director, Office of Federal Contract Compliance Programs of the U.S. Department of Labor, to enforce the terms, including action for noncompliance. Such necessary changes in language may be made as shall be appropriate to identify properly the parties and their undertakings. (End of provision) -------------------------------------------------------------------------------- 19. PROHIBITION ON CONDUCTING RESTRICTED BUSINESS OPERATIONS IN SUDAN – CERTIFICATION (52.225-20) (AUG 2009) 1. Definitions. As used in this provision— "Business operations" means engaging in commerce in any form, including by acquiring, developing, maintaining, owning, selling, possessing, leasing, or operating equipment, facilities, personnel, products, services, personal property, real property, or any other apparatus of business or commerce. "Marginalized populations of Sudan" means— 1. Adversely affected groups in regions authorized to receive assistance under section 8(c) of the Darfur Peace and Accountability Act (Pub. L. 109-344) (50 U.S.C. 1701 note); and 2. Marginalized areas in Northern Sudan described in section 4(9) of such Act. "Restricted business operations" means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate— 1. Are conducted under contract directly and exclusively with the regional government of southern Sudan; 2. Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization; 3. Consist of providing goods or services to marginalized populations of Sudan; 4. Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization; 5. Consist of providing goods or services that are used only to promote health or education; or 6. Have been voluntarily suspended. 2. Certification. By submission of its offer, the offeror certifies that the offeror does not conduct any restricted business operations in Sudan. (End of provision) -------------------------------------------------------------------------------- 20. REPRESENTATIONS OF USE OF CLOUD COMPUTING (252.239-7009) (SEP 2015) 1. Definition. "Cloud computing," as used in this provision, means a model for enabling ubiquitous, convenient, on-demand network access to a shared pool of configurable computing resources (e.g., networks, servers, storage, applications, and services) that can be rapidly provisioned and released with minimal management effort or service provider interaction. This includes other commercial terms, such as on-demand self-service, broad network access, resource pooling, rapid elasticity, and measured service. It also includes commercial offerings for software-as-a-service, infrastructure-as-a-service, and platform-as-a-service. Is the offeror providing Information Technology Services in the performance of a Government contract? - Select an option - Yes No 2. The Offeror shall indicate by checking the appropriate blank in paragraph (b) of this provision whether the use of cloud computing is anticipated under the resultant contract. 3. Representation. The Offeror represents that it-- Does anticipate that cloud computing services will be used in the performance of any contract or subcontract resulting from this solicitation. Does not anticipate that cloud computing services will be used in the performance of any contract or subcontract resulting from this solicitation. (End of provision) -------------------------------------------------------------------------------- 21. COMBATING TRAFFICKING IN PERSONS (52.222-50) (NOV 2021) - $550,000 Certification. If any subcontractor is required by this clause to submit a certification, the Contractor shall require submission prior to the award of the subcontract and annually thereafter. Annually after receiving an award, the Contractor shall submit a certification to the Contracting Officer that— 1. It has implemented a compliance plan to prevent any prohibited activities identified at paragraph (b) of this clause and to monitor, detect, and terminate any agent, subcontract or subcontractor employee engaging in prohibited activities; and 2. After having conducted due diligence, either— 1. To the best of the Contractor's knowledge and belief, neither it nor any of its agents, subcontractors, or their agents is engaged in any such activities; or 2. If abuses relating to any of the prohibited activities identified in paragraph (b) of this clause have been found, the Contractor or subcontractor has taken the appropriate remedial and referral actions. 3. Subcontracts 1. The Contractor shall include the substance of this clause, including this paragraph (i), in all subcontracts and in all contracts with agents. The requirements in paragraph (h) of this clause apply only to any portion of the subcontract that- 1. Is for supplies, other than commercially available off-the-shelf items, acquired outside the United States, or services to be performed outside the United States; and 2. Has an estimated value that exceeds $500,000. 2. If any subcontractor is required by this clause to submit a certification, the Contractor shall require submission prior to the award of the subcontract and annually thereafter. The certification shall cover the items in paragraph (h)(5) of this clause (End of provision) -------------------------------------------------------------------------------- 22. PUBLIC DISCLOSURE OF GREENHOUSE GAS EMISSIONS AND REDUCTION GOALS – REPRESENTATION (FAR 52.223-22) (DEC 2016) 1. This representation shall be completed if the Offeror received $7.5 million or more in Federal contract awards in the prior Federal fiscal year. The representation is optional if the Offeror received less than $7.5 million in Federal contract awards in the prior Federal fiscal year. 2. Representation. [Offeror is to check applicable blocks in paragraphs (b)(1) and (2).] 1. The Offeror (itself or through its immediate owner or highest-level owner) does does not publicly disclose greenhouse gas emissions, i.e., make available on a publicly accessible Web site the results of a greenhouse gas inventory, performed in accordance with an accounting standard with publicly available and consistently applied criteria, such as the Greenhouse Gas Protocol Corporate Standard. 2. The Offeror (itself or through its immediate owner or highest-level owner) does does not publicly disclose a quantitative greenhouse gas emissions reduction goal, i.e., make available on a publicly available Web site a target to reduce absolute emissions or emissions intensity by a specific quantity or percentage. 3. A publicly accessible Web site includes the Offeror's own Web site or a recognized, third-party ggeenhouse gas emissions reporting program. 3. If the Offeror checked "does" in paragraphs (b)(1) or (b)(2) of this provision, respectively, the Offeror shall provide the publicly accessible Web site(s) where greenhouse gas emissions and/or reduction goals are reported: (End of provision) -------------------------------------------------------------------------------- 23. PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR STATEMENTS – REPRESENTATION (FAR 52.203-19) (JAN 2017) 1. Definition. As used in this provision— Internal confidentiality agreement or statement, subcontract, and subcontractor, are defined in the clause at 52.203–19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. 2. In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113–235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions), Government agencies are not permitted to use funds appropriated (or otherwise made available) for contracts with an entity that requires employees or subcontractors of such entity seeking to report waste, fraud, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information. 3. The prohibition in paragraph (b) of this provision does not contravene requirements applicable to Standard Form 312, (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information Nondisclosure Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information. 4. Representation. By submission of its offer, the Offeror represents that it will not require its employees or subcontractors to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting waste, fraud, or abuse related to the performance of a Government contract to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information (e.g., agency Office of the Inspector General). (End of provision) -------------------------------------------------------------------------------- 24. CERTIFICATION OF SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT REPORTING (252.204-7012) (DEC 2019) You (Seller-offeror) are receiving this certification form because you are expected to receive Covered Defense Information (CDI) subject to the requirements of DFARS 252.204-7012, Safeguarding Covered Defense Information and Cyber Incident Reporting (the "DFARS clause"), in support of bid and proposal activities of CAE USA. In order to receive CDI, you must agree to handle the CDI in accordance with the requirements of the DFARS clause. If you are selected as a subcontractor to CAE USA under a related U.S. Government prime contract, the subcontract is expected to contain the DFARS clause as a mandatory flow down. The DFARS clause requires that all contractors at every tier under a government prime contract implement "adequate security measures" (as defined in the DFARS clause) to safeguard CDI, which is defined to include unclassified controlled technical information or other information, as described in the Controlled Unclassified Information (CUI) Registry at http://www.archives.gov/cui/registry/category-list.html, that requires safeguarding or dissemination controls pursuant to and consistent with law, regulations, and Government-wide policies. The DFARS clause also requires that contractors and subcontractors report to http://dibnet.dod.mil within 72 hours of discovery certain "cyber incidents" that result in an actual or potentially adverse effect on CDI. To submit such reports, you must acquire and maintain a DoD-approved medium assurance certificate. Information on obtaining a DoD-approved medium assurance certificate is available at: http://iase.disa.mil/pki/eca/Pages/index.aspx. You agree to the following notification requirements as an express condition of receiving CDI from CAE USA: * Within 30 days of award of an Order from CAE USA, you agree to notify the DoD Chief Information Officer (CIO), via email at osd.dibcsia@mail.mil, with a copy to CAE USA's authorized representative, of any security requirements specified by NIST SP 800-171 not implemented at the time of Order award. * You agree to notify CAE USA in writing when submitting any request to vary from a NIST SP 800-171 security requirement to the Contracting Officer, for consideration by the DoD CIO. * You agree to immediately inform CAE USA in writing if, after the date this certification was executed, there is any change in your company's circumstances that causes this certification to be untrue, inaccurate, or misleading. Exceptions Supplier is a provider to Buyer of only COTS products (Note – COTS should not be construed to mean commercial items as defined in FAR 2.101) No CDI has been provided by Buyer as of the date of the signature on these Reps & Certs. Should Buyer need to provide Supplier CDI, Supplier shall not accept such CDI until it becomes compliant IAW DFARS 252.204-7012 CERTIFICATION By the signature of its authorized representative below, Seller-offeror certifies that either 1. it has implemented adequate security as required by the DFARS Clause on its information systems that, at a minimum, complies with the security requirements of the current revision to the National Institute of Standards and Technology (NIST) Special Publication (SP) 800-171, OR 2. it is in the process of and will complete implementation of adequate security as soon as practical, but not later than December 31, 2017. If Seller-offeror is not selected as a subcontractor to perform the work for which it received the CDI, Seller-offeror agrees to dispose/destroy any CDI it received from CAE USA in a manner consistent with the requirements of the DFARS clause. (End of provision) -------------------------------------------------------------------------------- 25. COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICE REPRESENTATION (FAR 52.204-26)(OCT 2020) 1. Definitions. As used in this provision, "covered telecommunications equipment or services" has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment 2. Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services". 3. Representation. The Offeror represents that it does does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument. (End of provision) -------------------------------------------------------------------------------- 26. REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT FAR 52.204-24 (NOV 2021) NA: The representation in FAR 52.204-26 says "Does Not". The Offeror shall not complete the representation in this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in the provision at 52.204-26, Covered Telecommunications Equipment or Services-Representation, or in paragraph (v) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items. 1. Definitions. As used in this provision — Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. 2. Prohibition. Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Contractors are not prohibited from providing— 1. Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or 2. Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles. 3. Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services". 4. Representation. The Offeror represents that it will will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. 5. Disclosures. 1. Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer: 1. For covered equipment— 1. The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known); 2. A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and 3. Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision. 2. For covered services— 1. If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or 2. If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision. (End of provision) -------------------------------------------------------------------------------- 27. COVERED DEFENSE TELECOMMUNICATIONS EQUIPMENT OR SERVICES REPRESENTATION (DFARS 252.204-7016)(DEC 2019) 1. Definitions. As used in this provision, "covered defense telecommunications equipment or services" has the meaning provided in the clause 252.204-7018, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services. 2. Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov/) for entities excluded from receiving federal awards for "covered defense telecommunications equipment or services". 3. Representation. The Offeror represents that it does does not provide covered defense telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument. (End of provision) -------------------------------------------------------------------------------- 28. PROHIBITION ON ACQUISITION OF COVERED DEFENSE TELECOMMUNICATION EQUIPMENT OR SERVICES REPRESENTATON (DFARS 252.204-7017)(MAY 2021) NA: The representation in DFARS 252.204-7016 says "Does Not". The Offeror is not required to complete the representation in this provision if the Offeror has represented in the provision at 252.204-7016, Covered Defense Telecommunications Equipment or Services—Representation, that it "does not provide covered defense telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument." 1. Definitions. "Covered defense telecommunications equipment or services," "covered mission," "critical technology," and "substantial or essential component," as used in this provision, have the meanings given in the 252.204-7018 clause, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services, of this solicitation. 2. Prohibition. Section 1656 of the National Defense Authorization Act for Fiscal Year 2018 (Pub. L. 115-91) prohibits agencies from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service to carry out covered missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. 3. Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) at https://www.sam.gov for entities that are excluded when providing any equipment, system, or service to carry out covered missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system, unless a waiver is granted. 4. Representation. If in its annual representations and certifications in SAM the Offeror has represented in paragraph (c) of the provision at 252.204-7016, Covered Defense Telecommunications Equipment or Services— Representation, that it "does" provide covered defense telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument, then the Offeror shall complete the following additional representation: The Offeror represents that it will will not provide covered defense telecommunications equipment or services as a part of its offered products or services to DoD in the performance of any award resulting from this solicitation. 5. Disclosures. If the Offeror has represented in paragraph (d) of this provision that it "will provide covered defense telecommunications equipment or services," the Offeror shall provide the following information as part of the offer: 1. A description of all covered defense telecommunications equipment and services offered (include brand or manufacturer; product, such as model number, original equipment manufacturer (OEM) number, manufacturer part number, or wholesaler number; and item description, as applicable). 2. An explanation of the proposed use of covered defense telecommunications equipment and services and any factors relevant to determining if such use would be permissible under the prohibition referenced in paragraph (b) of this provision. 3. For services, the entity providing the covered defense telecommunications services (include entity name, unique entity identifier, and Commercial and Government Entity (CAGE) code, if known). 4. For equipment, the entity that produced or provided the covered defense telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known). (End of provision) -------------------------------------------------------------------------------- 29. AMS 3.6.4-24, COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES REPRESENTATION 1. Definitions. As used in this provision, "covered telecommunications equipment or services" has the meaning per the clause 3.6.4-23 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment". 2. Procedures. The offeror must review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for covered telecommunications equipment or services. 3. Representation. The offeror represents that it does does not provide covered telecommunications equipment or services as part of its offered products or services to the Government in the performance of any contract, subcontract, to other contractual instrument. (End of provision) -------------------------------------------------------------------------------- 30. AMS 3.6.4-22, REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT NA: The representation in AMS 3.6.4-24 says "Will Not". The offeror must not complete the representation in this provision if the offeror has represented that it does not provide covered telecommunications equipment or services as part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument in provision AMS 3.6.4-24 "Covered Telecommunications Equipment or Services – Representation". 1. Definitions. As used in this provision-- Covered telecommunications equipment or services, Critical technology, and Substantial or essential component have the meanings provided in AMS clause 3.6.4-23 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. 2. Prohibition. Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Contractors are not prohibited from providing— 1. A service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or 2. Telecommunications equipment that cannot route or redirect user data traffic or permit visibility into any user data or packets that such equipment transmits or otherwise handles. 3. Procedures: The offeror must review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from Federal awards for covered telecommunications equipment or services. 4. Representation. The Offeror represents that it will will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. 5. Disclosures. If the Offeror has responded affirmatively to the representation in paragraph (c) of this provision, the Offeror must provide the following information as part of the offer-- 1. All covered telecommunications equipment and services offered (include brand; model number, such as original equipment manufacturer (OEM) number, manufacturer part number, or wholesaler number; and item description, as applicable); 2. Explanation of the proposed use of covered telecommunications equipment and services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b) of this provision; 3. For services, the entity providing the covered telecommunications services (include entity name, unique entity identifier, and Commercial and Government Entity (CAGE) code, if known); and 4. For equipment, the entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known). NOTE: Additional Certifications Offerors are hereby advised the additional certifications may be required at the time of acquisition. These certifications are required at certain dollar thresholds if specific Public Laws are incorporated into the terms of the contract (at $750,000 and above unless the contract dictates a lower threshold). Specifically these include Subcontractor Cost or Pricing Data (FAR 52.215-12) and Cost Accounting Standards(FAR 52.230.-1). In the event these clauses are required contractually, offerors shall submit the required information and associated certifications unless otherwise exempt as specified in the FAR clauses referenced. (End of provision) -------------------------------------------------------------------------------- CERTIFICATION I hereby acknowledge an understanding of the United States Government contracting and subcontracting programs and confirm the accuracy of the statements made above. This certification shall apply to all solicitations, agreements, purchase orders or subcontracts received from CAE USA, and shall be valid for one year from date of execution. *The offeror verifies by submission of this document that the representations and certifications shown above are current, accurate, and complete as of the date executed. You cannot submit this form unless you are authorized to certify on behalf of Supplier and check the box stating that this form is current, accurate, and complete. ELECTRONIC SIGNATURE AGREEMENT - Select an option - I Accept Electronic Signature I Decline Electronic Signature *Signed By (Name): *Title: *Date: ______________________________________ *Signature ______________________________________ *Title ______________________________________ *Date Here at CAE USA, we take your privacy seriously and will only use your personal data to administer your account and/or to provide you the information, products, and services you have requested from us. By filling out and submitting this form, you hereby consent to L3Harris collecting your information. For further details on how we will use your personal data, please review our Privacy Policy. After clicking the Submit button you will then have the opportunity to print or save the generated pdf form. -------------------------------------------------------------------------------- © 2022 - CAE USA Rev 01 dated 09 AUG 2021