ࡱ> '` 4bjbj{P{P ::^  rNrNrN8N>R tS\L\\\_v (mr$Vhɢe ~__"~~ɢ \\.~ \ \~#| \S `l" rN8D0tT?T$TT unxyd:{uuuɢɢGHuuut~~~~ BrN rN  Representations and Certifications Instructions: Complete Section I (General Information) and Section V (Other Technical Rights). Review Section II (Definitions). Complete Section III (Online Representations and Certifications) and Section IV (Representations and Certifications) as instructed in each section. Read and sign the certification in Section VI and return all pages with offer. SECTION IGENERAL INFORMATION The North American Industry Classification System (NAICS) code for this solicitation is:  FORMTEXT      Offeror s DUNS Number:  FORMTEXT      (3) SupplierCentral Registration. All offerors are encouraged to register with Alion s SupplierCentral database using the DUNS Number listed above. The website is located at  HYPERLINK "http://suppliers.alionscience.com" http://suppliers.alionscience.com. Click on Supplier Registration in the menu. Check here as confirmation offeror is registered with SupplierCentral:  FORMCHECKBOX  SECTION IIDEFINITIONS Common parent means a corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and of which the offeror is a member. Emerging small business means a small business concern whose size is no greater than 50percent of the numerical size standard for the NAICS code designated. Forced or indentured child labor means all work or service (1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or (2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties. Inverted domestic corporation means a foreign incorporated entity which is treated as an inverted domestic corporation under 6 U.S.C. 395(b), i.e., a corporation that used to be incorporated in the United States, or used to be a partnership in the United States, but now is incorporated in a foreign country, or is a subsidiary whose parent corporation is incorporated in a foreign country, that meets the criteria specified in 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c). Manufactured end product means any end product in Federal Supply Classes (FSC) 1000-9999, except (1) FSC 5510, Lumber and Related Basic Wood Materials; (2) Federal Supply Group (FSG) 87, Agricultural Supplies; (3) FSG 88, Live Animals; (4) FSG 89, Food and Related Consumables; (5) FSC 9410, Crude Grades of Plant Materials; (6) FSC 9430, Miscellaneous Crude Animal Products, Inedible; (7) FSC 9440, Miscellaneous Crude Agricultural and Forestry Products; (8) FSC 9610, Ores; (9) FSC 9620, Minerals, Natural and Synthetic; and (10) FSC 9630, Additive Metal Materials. Place of manufacture means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture. 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. Service-disabled veteran-owned small business concern (1) Means a small business concern (i) Not less than 51percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51percent 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. (2) Service-disabled veteran means a veteran, as defined in 38U.S.C.101(2), with a disability that is service-connected, as defined in 38U.S.C.101(16). Small business concern means a concern, including its affiliates, which is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13CFR Part121 and size standards in this solicitation. Veteran-owned small business concern means a small business concern (1) Not less than 51percent of which is owned by one or more veterans (as defined at 38U.S.C.101(2)) or, in the case of any publicly owned business, not less than 51percent of the stock of which is owned by one or more veterans; and (2) The management and daily business operations of which are controlled by one or more veterans. Women-owned business concern means a concern which is at least 51percent owned by one or more women; or in the case of any publicly owned business, at least 51percent of its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women. Women-owned small business concern means a small business concern (1) That is at least 51percent owned by one or more women; or, in the case of any publicly owned business, at least 51percent of the stock of which is owned by one or more women; and (2) Whose management and daily business operations are controlled by one or more women. SECTION IIIONLINE REPRESENTATIONS AND CERTIFICATIONS (ORCA) Complete this section if the offeror has completed the annual representations and certifications electronically at  HYPERLINK "http://orca.bpn.gov" http://orca.bpn.gov. If an offeror has not completed the annual representations and certifications electronically at the ORCA website, proceed to Section IV. (1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (2) of this section do not automatically change the representations and certifications posted on the Online Representations and Certifications Application (ORCA) website. (2) The offeror  FORMCHECKBOX  has completed the annual representations and certifications electronically via the ORCA website at  HYPERLINK "http://orca.bpn.gov" http://orca.bpn.gov using the DUNS Number listed in Section I. After reviewing the ORCA database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically on ORCA have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for the following paragraphs (if none, state None):  FORMTEXT       [Offeror to identify the applicable paragraphs in Section IV that the offeror has completed for the purposes of this solicitation only, including those clauses/provisions where offeror elected not to complete on ORCA, if any. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on ORCA.] Alion Buyer/Subcontract Administrator: If offeror has checked the box in paragraph (2), print offerors current ORCA submission and include it with this form. It is not necessary to print Section IV of this form unless Offeror elected to fill out all or a portion of that section. SECTION IVREPRESENTATIONS AND CERTIFICATIONS Complete this section only if the offeror has not completed the annual representations and certifications electronically at  HYPERLINK "http://orca.bpn.gov" http://orca.bpn.gov or if there are exceptions and/or incomplete responses to the completed annual representations and certifications available electronically at the ORCA website as listed in Section III, paragraph (2). Otherwise proceed to Section V. (1) Offeror Representations and Certifications (a) Offerors must complete the following representations when the resulting contract will be performed in the United States or its outlying areas. Check all that apply. (1) Small business concern. The offeror represents as part of its offer that it  FORMCHECKBOX is,  FORMCHECKBOX  is not a small business concern. (2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph(a)(1) of this provision.] The offeror represents as part of its offer that it  FORMCHECKBOX is,  FORMCHECKBOX is not a veteran-owned small business concern. (3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph(a)(2) of this provision.] The offeror represents as part of its offer that it  FORMCHECKBOX is,  FORMCHECKBOX is not a service-disabled veteran-owned small business concern. (4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph(a)(1) of this provision.] The offeror represents, for general statistical purposes, that it  FORMCHECKBOX is,  FORMCHECKBOX is not a small disadvantaged business concern as defined in 13CFR124.1002. (5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph(a)(1) of this provision.] The offeror represents that it  FORMCHECKBOX is,  FORMCHECKBOX is not a women-owned small business concern. Note: Complete paragraphs(a)(6) and (a)(7) only if this solicitation is expected to exceed $100,000. (6) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph(a)(1) of this provision.] The offeror represents that it  FORMCHECKBOX is a women-owned business concern. (7) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50percent of the contract price:  FORMTEXT       (8) Small Business Size for the Small Business Competitiveness Demonstration Program and for the Targeted Industry Categories under the Small Business Competitiveness Demonstration Program. [Complete only if the offeror has represented itself to be a small business concern under the size standards for this solicitation.] (i) [Complete only for solicitations indicated in an addendum as being set-aside for emerging small businesses in one of the designated industry groups (DIGs).] The offeror represents as part of its offer that it  FORMCHECKBOX is,  FORMCHECKBOX is not an emerging small business. (ii) [Complete only for solicitations indicated in an addendum as being for one of the targeted industry categories (TICs) or designated industry groups (DIGs).] Offeror represents as follows: (A) Offerors number of employees for the past 12months (check the Employees column if size standard stated in the solicitation is expressed in terms of number of employees); or (B) Offerors average annual gross revenue for the last 3 fiscal years (check the Average Annual Gross Number of Revenues column if size standard stated in the solicitation is expressed in terms of annual receipts). (Check one of the following): Number of Employees Average Annual Gross Revenues  FORMCHECKBOX  50 or fewer  FORMCHECKBOX  $1million or less  FORMCHECKBOX  51100  FORMCHECKBOX  $1,000,001$2million  FORMCHECKBOX  101250  FORMCHECKBOX  $2,000,001$3.5million  FORMCHECKBOX  251500  FORMCHECKBOX  $3,500,001$5million  FORMCHECKBOX  501750  FORMCHECKBOX  $5,000,001$10million  FORMCHECKBOX  7511,000  FORMCHECKBOX  $10,000,001$17million  FORMCHECKBOX  Over 1,000  FORMCHECKBOX  Over $17million (9) [Reserved.] (10) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph(a)(1) of this provision.] The offeror represents, as part of its offer, that (i) It  FORMCHECKBOX is,  FORMCHECKBOX is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material change in ownership and control, principal office, or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13CFR Part126; and (ii) It  FORMCHECKBOX is,  FORMCHECKBOX is not a joint venture that complies with the requirements of 13CFR Part126, and the representation in paragraph(a)(10)(i) of this provision is accurate for the HUBZone small business concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the joint venture:  FORMTEXT      ]Each HUBZone small business concern participating in the joint venture shall submit a separate signed copy of the HUBZone representation. (11) [Complete if the offeror has represented itself as disadvantaged in paragraph(a)(4) or (a)(9) of this provision.] The offeror shall check the category in which its ownership falls:  FORMCHECKBOX  Black American.  FORMCHECKBOX  Hispanic American.  FORMCHECKBOX  Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).  FORMCHECKBOX  Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, U.S. Trust Territory of the Pacific Islands (Republic of Palau), Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).  FORMCHECKBOX  Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).  FORMCHECKBOX  Individual/concern, other than one of the preceding. (b) Representations required to implement provisions of Executive Order11246 (1) Previous contracts and compliance. The offeror represents that (i) It  FORMCHECKBOX has,  FORMCHECKBOX has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and (ii) It  FORMCHECKBOX has,  FORMCHECKBOX has not filed all required compliance reports. (2) Affirmative Action Compliance. The offeror represents that (i) It  FORMCHECKBOX has developed and has on file,  FORMCHECKBOX has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41CFR parts 60-1 and 60-2), or (ii) It  FORMCHECKBOX has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor. (c) Certification Regarding Payments to Influence Federal Transactions (31U.S.C.1352). (Applies only if the contract is expected to exceed $100,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. 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. (d) Buy American Act. Complete all applicable sections: (1)  FORMCHECKBOX  Offeror will not deliver any supplies or materials, nor use any construction material in performance of any award resulting from this solicitation. If checked, skip paragraphs (2) and (3). (2) Certifications and identification of country of origin (Supplies and non-construction materials). The terms commercially available off-the-shelf (COTS) item, domestic end product, foreign end product, and United States have the meanings given in FAR 52.225-1, Buy American ActSupplies. (i) Offeror certifies that each end product, except those listed in paragraph (ii) is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of  domestic end product. (ii) Foreign End Products: Line Item No. Country of Origin  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      [List as necessary, include additional sheets as necessary] (3) Certifications and identification of country of origin (Construction materials).  FORMCHECKBOX  Offeror certifies that all construction material used in performing any award resulting from this solicitation will meet the definition of Domestic construction material in FAR 52.225-9.  FORMCHECKBOX  Offeror requests authorization to use certain foreign construction material. Offeror has attached a request complying with the requirements of paragraph (c) of FAR 52.225-9. (e) Certification Regarding Responsibility Matters (Executive Order12689). (Applies only if the contract value is expected to exceed $100,000.) The offeror certifies, to the best of its knowledge and belief, that the offeror and/or any of its principals (1)  FORMCHECKBOX Are,  FORMCHECKBOX are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency; (2)  FORMCHECKBOX Have,  FORMCHECKBOX 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 Federal, state or local government contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property; (3)  FORMCHECKBOX Are,  FORMCHECKBOX are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with, commission of any of these offenses enumerated in paragraph (e)(2) of this clause; and (4)  FORMCHECKBOX  Have,  FORMCHECKBOX  have not, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,000 for which the liability remains unsatisfied. (i) Taxes are considered delinquent if both of the following criteria apply: (A) 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. (B) 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. (ii) Examples. (A) 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. (B) 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. (C) 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. (D) 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). (f) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order13126). [The Alion Buyer/Subcontract Administrator must list in paragraph(f)(1) any end products being acquired under this solicitation that are included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless excluded at 22.1503(b).] (1) Listed end products. Listed End Product Listed Countries of Origin FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      [List as necessary, include additional sheets as necessary] (2) Certification. [If the Alion Buyer/Subcontract Administrator has identified end products and countries of origin in paragraph(f)(1) of this provision, then the offeror must certify to either (f)(2)(i) or (f)(2)(ii) by checking the appropriate block.]  FORMCHECKBOX (i) The offeror will not supply any end product listed in paragraph(f)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product.  FORMCHECKBOX (ii) The offeror may supply an end product listed in paragraph(f)(1) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that it has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture any such end product furnished under this contract. On the basis of those efforts, the offeror certifies that it is not aware of any such use of child labor. (g) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of manufacture of the end products it expects to provide in response to this solicitation is predominantly (1)  FORMCHECKBOX  In the United States (Check this box if the total anticipated price of offered end products manufactured in the United States exceeds the total anticipated price of offered end products manufactured outside the United States); or (2)  FORMCHECKBOX  Outside the United States. (h) Certificates regarding exemptions from the application of the Service Contract Act. (Certification by the offeror as to its compliance with respect to the contract also constitutes its certification as to compliance by its subcontractor if it subcontracts out the exempt services.) [The Alion Buyer/Subcontract Administrator is to check a box to indicate if paragraph (h)(1) or (h)(2) applies.]  FORMCHECKBOX (1) Maintenance, calibration, or repair of certain equipment as described in FAR 22.1003-4(a)(1). The offeror  FORMCHECKBOX does  FORMCHECKBOX does not certify that (i) The items of equipment to be serviced under this contract are used regularly for other than Governmental purposes and are sold or traded by the offeror (or subcontractor in the case of an exempt subcontract) in substantial quantities to the general public in the course of normal business operations; (ii) The services will be furnished at prices which are, or are based on, established catalog or market prices (see FAR 22.1003-4(a)(2)(ii)) for the maintenance, calibration, or repair of such equipment; and (iii) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract will be the same as that used for these employees and equivalent employees servicing the same equipment of commercial customers.  FORMCHECKBOX (2) Certain services as described in FAR22.1003-4(d)(1). The offeror  FORMCHECKBOX  does  FORMCHECKBOX  does not certify that (i) The services under the contract are offered and sold regularly to non-Governmental customers, and are provided by the offeror (or subcontractor in the case of an exempt subcontract) to the general public in substantial quantities in the course of normal business operations; (ii) The contract services will be furnished at prices that are, or are based on, established catalog or market prices (see FAR 22.1003-4(d)(2)(iii)); (iii) Each service employee who will perform the services under the contract will spend only a small portion of his or her time (a monthly average of less than 20 percent of the available hours on an annualized basis, or less than 20 percent of available hours during the contract period if the contract period is less than a month) servicing the Government contract; and (iv) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract is the same as that used for these employees and equivalent employees servicing commercial customers. (3) If paragraph (h)(1) or (h)(2) of this clause applies (i) If the offeror does not certify to the conditions in paragraph (h)(1) or (h)(2) and the Alion Buyer/Subcontract Administrator did not attach a Service Contract Act wage determination to the solicitation, the offeror shall notify the Alion Buyer/Subcontract Administrator as soon as possible; and (ii) The Alion Buyer/Subcontract Administrator may not make an award to the offeror if the offeror fails to execute the certification in paragraph (h)(1) or (h)(2) of this clause or to contact the Alion Buyer/Subcontract Administrator as required in paragraph (h)(3)(i) of this clause. (i) Taxpayer Identification Number (TIN) (26 U.S.C. 6109,  HYPERLINK "http://uscode.house.gov/" 31 U.S.C. 7701). (Not applicable if the offeror is required to provide this information to a central contractor registration database to be eligible for award.) (1) All offerors must submit the information required in paragraphs (i)(3) through (i)(5) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(a) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the Internal Revenue Service (IRS). (2) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offerors relationship with the Government (31 U.S.C. 7701(a)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offerors TIN. (3) Taxpayer Identification Number (TIN).  FORMCHECKBOX  TIN:  FORMTEXT       FORMCHECKBOX  TIN has been applied for.  FORMCHECKBOX  TIN is not required because:  FORMCHECKBOX  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;  FORMCHECKBOX  Offeror is an agency or instrumentality of a foreign government;  FORMCHECKBOX  Offeror is an agency or instrumentality of the Federal Government. (4) Type of organization.  FORMCHECKBOX  Sole proprietorship;  FORMCHECKBOX  Partnership;  FORMCHECKBOX  Corporate entity (not tax-exempt);  FORMCHECKBOX  Corporate entity (tax-exempt);  FORMCHECKBOX  Government entity (Federal, State, or local);  FORMCHECKBOX  Foreign government;  FORMCHECKBOX  International organization per 26CFR1.6049-4;  FORMCHECKBOX  Other:  FORMTEXT       (5) Common parent.  FORMCHECKBOX  Offeror is not owned or controlled by a common parent;  FORMCHECKBOX  Name and TIN of common parent: Name FORMTEXT      TIN FORMTEXT       (j) Restricted business operations in Sudan. By submission of its offer, the offeror certifies that the offeror does not conduct any restricted business operations in Sudan. (k) Prohibition on Contracting with Inverted Domestic Corporations. (1) Relation to Internal Revenue Code. A foreign entity that is treated as an inverted domestic corporation for purposes of the Internal Revenue Code at 26 U.S.C. 7874 (or would be except that the inversion transactions were completed on or before March 4, 2003), is also an inverted domestic corporation for purposes of 6 U.S.C. 395 and for this solicitation provision (see FAR 9.108). (2) Representation. By submission of its offer, the offeror represents that it is not an inverted domestic corporation and is not a subsidiary of one. (2) Certificate of Independent Price Determination (FAR 52.203-2) (Applies only if the contract is expected to exceed $100,000.) (a) The offeror certifies that (1) The prices in this offer have been arrived at independently, without, for the purpose of restricting competition, any consultation, communication, or agreement with any other offeror or competitor relating to (i) Those prices; (ii) The intention to submit an offer; or (iii) The methods or factors used to calculate the prices offered. (2) The prices in this offer have not been and will not be knowingly disclosed by the offeror, directly or indirectly, to any other offeror or competitor before bid opening (in the case of a sealed bid solicitation) or contract award (in the case of a negotiated solicitation) unless otherwise required by law; and (3) No attempt has been made or will be made by the offeror to induce any other concern to submit or not to submit an offer for the purpose of restricting competition. (b) Each signature on the offer is considered to be a certification by the signatory that the signatory (1) Is the person in the offerors organization responsible for determining the prices being offered in this bid or proposal, and that the signatory has not participated and will not participate in any action contrary to paragraphs (a)(1) through (a)(3) of this provision; or (2)(i) Has been authorized, in writing, to act as agent for the following principals in certifying that those principals have not participated, and will not participate in any action contrary to paragraphs (a)(1) through (a)(3) of this provision:  FORMTEXT      [insert full name of person(s) in the offeror s organization responsible for determining the prices offered in this bid or proposal, and the title of his or her position in the offeror s organization]; (ii) As an authorized agent, does certify that the principals named in subdivision (b)(2)(i) of this provision have not participated, and will not participate, in any action contrary to paragraphs (a)(1) through (a)(3) of this provision; and (iii) As an agent, has not personally participated, and will not participate, in any action contrary to paragraphs (a)(1) through (a)(3) of this provision. (c) If the offeror deletes or modifies paragraph (a)(2) of this provision, the offeror must furnish with its offer a signed statement setting forth in detail the circumstances of the disclosure. (3) Place of Performance (FAR 52.215-6) (Applies if Alion does not specify the place of performance.) (a) The offeror or respondent, in the performance of any contract resulting from this solicitation,  FORMCHECKBOX  intends,  FORMCHECKBOX  does not intend [check applicable block] to use one or more plants or facilities located at a different address from the address of the offeror or respondent as indicated in this proposal or response to request for information. (b) If the offeror or respondent checks intends in paragraph (a) of this provision, it shall insert in the following spaces the required information: Place of Performance (street address, city, state, county, zip code) Name and address of owner and operator of the plant or facility if other than offeror FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      [List as necessary, include additional sheets as necessary] (4) Certification of Toxic Chemical Release Reporting (FAR 52.223-13) (a) Executive Order 13148, of April 21, 2000, Greening the Government through Leadership in Environmental Management, requires submission of this certification as a prerequisite for contract award. (b) By signing this offer, the offeror certifies that (1) As the owner or operator of facilities that will be used in the performance of this contract that are subject to the filing and reporting requirements described in section 313 of the Emergency Planning and Community Right-to-Know Act of 1986 (EPCRA) (42 U.S.C. 11023) and section 6607 of the Pollution Prevention Act of 1990 (PPA) (42 U.S.C. 13106), the offeror will file and continue to file for such facilities for the life of the contract the Toxic Chemical Release Inventory Form (Form R) as described in sections 313(a) and (g) of EPCRA and section 6607 of PPA; or (2) None of its owned or operated facilities to be used in the performance of this contract is subject to the Form R filing and reporting requirements because each such facility is exempt for at least one of the following reasons: [Check each block that is applicable.]  FORMCHECKBOX  (i) The facility does not manufacture, process, or otherwise use any toxic chemicals listed in 40 CFR 372.65;  FORMCHECKBOX  (ii) The facility does not have 10 or more full-time employees as specified in section 313(b)(1)(A) of EPCRA, 42 U.S.C. 11023(b)(1)(A);  FORMCHECKBOX  (iii) The facility does not meet the reporting thresholds of toxic chemicals established under section 313(f) of EPCRA, 42 U.S.C. 11023(f) (including the alternate thresholds at 40 CFR 372.27, provided an appropriate certification form has been filed with EPA);  FORMCHECKBOX  (iv) The facility does not fall within the following Standard Industrial Classification (SIC) codes or their corresponding North American Industry Classification System sectors: (A) Major group code 10 (except 1011, 1081, and 1094. (B) Major group code 12 (except 1241). (C) Major group codes 20 through 39. (D) Industry code 4911, 4931, or 4939 (limited to facilities that combust coal and/or oil for the purpose of generating power for distribution in commerce). (E) Industry code 4953 (limited to facilities regulated under the Resource Conservation and Recovery Act, Subtitle C (42 U.S.C. 6921, et seq.), or 5169, or 5171, or 7389 (limited to facilities primarily engaged in solvent recovery services on a contract or fee basis); or  FORMCHECKBOX  (v) The facility is not located in the United States or its outlying areas. (5) Historically Black College or University and Minority Institution Representation (FAR 52.226-2) (a) Definitions. As used in this provision 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 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), including a Hispanic-serving institution of higher education, as defined in Section 502(a) of the Act (20 U.S.C. 1101a). (b) Representation. The offeror represents that it  FORMCHECKBOX  is  FORMCHECKBOX  is not a historically black college or university;  FORMCHECKBOX  is  FORMCHECKBOX  is not a minority institution. (6) Royalty Information (FAR 52.227-6 Alternate 1) (a) Cost or charges for royalties. When the response to this solicitation covers charges for special construction or special assembly that contain costs or charges for royalties totaling more than $250, the following information shall be included in the response relating to each separate item of royalty or license fee: (1) Name and address of licensor. (2) Date of license agreement. (3) Patent numbers, patent application serial numbers, or other basis on which the royalty is payable. (4) Brief description, including any part or model numbers of each contract item or component on which the royalty is payable. (5) Percentage or dollar rate of royalty per unit. (6) Unit price of contract item. (7) Number of units. (8) Total dollar amount of royalties. (b) Copies of current licenses. In addition, if specifically requested by the Alion Buyer/Subcontract Administrator before execution of the contract, the offeror shall furnish a copy of the current license agreement and an identification of applicable claims of specific patents. (7) Compliance with Veterans Employment Reporting Requirements (FAR 52.222-38) (a) By submission of its offer, the offeror represents that, if it is subject to the reporting requirements of 38 U.S.C. 4212(d) (i.e., if it has any contract containing Federal Acquisition Regulation clause 52.222-37, Employment Reports on Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans), it has submitted the most recent VETS-100 Report required by that clause. Check the appropriate box:  FORMCHECKBOX  Offeror has submitted the most recent VETS-100 Report;  FORMCHECKBOX  Offeror is not required to submit a VETS-100 Report. The following are applicable to offers related to Department of Defense contracts only (as cited in the Alion Request for Quote/Proposal): (1) Offeror Representations and Certifications (a) Definitions. As used in this clause (1) Foreign person means any person other than a United States person as defined in Section 16(2) of the Export Administration Act of 1979 (50 U.S.C. App. Sec. 2415). (2) United States means the 50 States, the District of Columbia, outlying areas, and the outer Continental Shelf as defined in 43 U.S.C. 1331. (3) United States person is defined in Section 16(2) of the Export Administration Act of 1979 and means any United States resident or national (other than an individual resident outside the United States and employed by other than a United States person), any domestic concern (including any permanent domestic establishment of any foreign concern), and any foreign subsidiary or affiliate (including any permanent foreign establishment) of any domestic concern which is controlled in fact by such domestic concern, as determined under regulations of the President. (b) Certification. By submitting this offer, the Offeror, if a foreign person, company or entity, certifies that it (1) Does not comply with the Secondary Arab Boycott of Israel; and (2) Is not taking or knowingly agreeing to take any action, with respect to the Secondary Boycott of Israel by Arab countries, which 50 U.S.C. App. Sec. 2407(a) prohibits a United States person from taking. (c) Representation of Extent of Transportation by Sea. (This representation does not apply to solicitations for the direct purchase of ocean transportation services). (1) The Offeror shall indicate by checking the appropriate blank in paragraph (c)(2) of this provision whether transportation of supplies by sea is anticipated under the resultant contract. The term supplies is defined in the Transportation of Supplies by Sea clause of this solicitation. (2) Representation. The Offeror represents that it  FORMCHECKBOX  Does anticipate that supplies will be transported by sea in the performance of any contract or subcontract resulting from this solicitation.  FORMCHECKBOX  Does not anticipate that supplies will be transported by sea in the performance of any contract or subcontract resulting from this solicitation. (3) Any contract resulting from this solicitation will include the Transportation of Supplies by Sea clause. If the Offeror represents that it will not use ocean transportation, the resulting contract will also include the Defense Federal Acquisition Regulation Supplement clause at 252.247-7024, Notification of Transportation of Supplies by Sea. (2) Disclosure of Ownership or Control by the Government of a Terrorist Country (DFARS 252.209-7001) (a) Definitions. As used in this provision (1) Government of a terrorist country includes the state and the government of a terrorist country, as well as any political subdivision, agency, or instrumentality thereof. (2) Terrorist country means a country determined by the Secretary of State, under section 6(j)(1)(A) of the Export Administration Act of 1979 (50 U.S.C. App. 2405(j)(i)(A)), to be a country the government of which has repeatedly provided support for acts of international terrorism. As of the date of this provision, terrorist countries subject to this provision include: Cuba, Iran, Sudan, and Syria. (3) Significant interest means (i) Ownership of or beneficial interest in 5 percent or more of the firms or subsidiarys securities. Beneficial interest includes holding 5 percent or more of any class of the firms securities in nominee shares, street names, or some other method of holding securities that does not disclose the beneficial owner; (ii) Holding a management position in the firm, such as a director or officer; (iii) Ability to control or influence the election, appointment, or tenure of directors or officers in the firm; (iv) Ownership of 10 percent or more of the assets of a firm such as equipment, buildings, real estate, or other tangible assets of the firm; or (v) Holding 50 percent or more of the indebtedness of a firm. (b) Prohibition on award. In accordance with 10 U.S.C. 2327, no contract may be awarded to a firm or a subsidiary of a firm if the government of a terrorist country has a significant interest in the firm or subsidiary or, in the case of a subsidiary, the firm that owns the subsidiary, unless a waiver is granted by the Secretary of Defense. (c) Disclosure. If the government of a terrorist country has a significant interest in the Offeror or a subsidiary of the Offeror, the Offeror shall disclose such interest in an attachment to its offer. If the Offeror is a subsidiary, it shall also disclose any significant interest the government of a terrorist country has in any firm that owns or controls the subsidiary. The disclosure shall include (1) Identification of each government holding a significant interest; and (2) A description of the significant interest held by each government. (3) Disclosure of Ownership or Control by a Foreign Government (DFARS 252.209-7002) (a) Definitions. As used in this provision (1) Effectively owned or controlled means that a foreign government or any entity controlled by a foreign government has the power, either directly or indirectly, whether exercised or exercisable, to control the election, appointment, or tenure of the Offerors officers or a majority of the Offerors board of directors by any means, e.g., ownership, contract, or operation of law (or equivalent power for unincorporated organizations). (2) Entity controlled by a foreign government (i) Means (A) Any domestic or foreign organization or corporation that is effectively owned or controlled by a foreign government; or (B) Any individual acting on behalf of a foreign government. (ii) Does not include an organization or corporation that is owned, but is not controlled, either directly or indirectly, by a foreign government if the ownership of that organization or corporation by that foreign government was effective before October 23, 1992. (3) Foreign government includes the state and the government of any country (other than the United States and its outlying areas) as well as any political subdivision, agency, or instrumentality thereof. (4) Proscribed information means (i) Top Secret information; (ii) Communications Security (COMSEC) information, except classified keys used to operate secure telephone units (STU IIIs); (iii) Restricted Data as defined in the U.S. Atomic Energy Act of 1954, as amended; (iv) Special Access Program (SAP) information; or (v) Sensitive Compartmented Information (SCI). (b) Prohibition on award. No contract under a national security program may be awarded to an entity controlled by a foreign government if that entity requires access to proscribed information to perform the contract, unless the Secretary of Defense or a designee has waived application of 10 U.S.C. 2536(a). (c) Disclosure. The Offeror shall disclose any interest a foreign government has in the Offeror when that interest constitutes control by a foreign government as defined in this provision. If the Offeror is a subsidiary, it shall also disclose any reportable interest a foreign government has in any entity that owns or controls the subsidiary, including reportable interest concerning the Offerors immediate parent, intermediate parents, and the ultimate parent. Use separate paper as needed, and provide the information in the following format: Offerors Point of Contact for Questions about Disclosure (Name and Phone Number with Country Code, City Code and Area Code, as applicable) Name and Address of Offeror Name and Address of Entity Controlled by a Foreign Government Description of Interest, Ownership Percentage, and Identification of Foreign Government (4) Buy American ActBalance of Payments Program Certificate (a) Definitions. Commercially available off-the-shelf (COTS) item, domestic end product, foreign end product, qualifying country, qualifying country end product, and United States have the meanings given in DFARS 252.225-7001, Buy American Act and Balance of Payments Program. (b)  FORMCHECKBOX  Offeror certifies that each end product, except those the offeror has listed in paragraph (c) or (d) of this provision, is a domestic end product. (c)  FORMCHECKBOX  Offeror certifies that the following end products are qualifying country end products: Line Item No. Country of Origin  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      [List as necessary, include additional sheets as necessary] (d)  FORMCHECKBOX  The following end products are other foreign end products, including end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in the definition of domestic end product: Line Item No. Country of Origin  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      [List as necessary, include additional sheets as necessary] SECTION V OTHER REPRESENTATIONS AND CERTIFICATIONS (1) Conflicts Of Interest (FAR 9.5, Organizational and Consultant Conflicts of Interest and FAR 52.203-16, Preventing Personal Conflicts of Interest)  FORMCHECKBOX  Offeror represents that no other activities or relationships of Offeror or its employees or consultants will affect the ability of Offeror to render impartial assistance or advice to Alion or the Government, or will create an unfair competitive advantage for Offeror with regard to other work Offeror is performing, or expects to perform for Alion or the Government.  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B*CJOJPJQJ^JaJmH phsH 2 *h<|B*CJOJPJQJ^JaJmH phsH 5h<|h<|B*CJOJPJQJ^JaJmH phsH /huB*CJOJPJQJ^JaJmH phsH ;huhu6B*CJOJPJQJ]^JaJmH phsH 5huhuB*CJOJPJQJ^JaJmH phsH r~9:=xy汙|dG'G>jShB*CJOJPJQJU^JaJmH phsH 8jhB*CJOJPJQJU^JaJmH phsH /hFB*CJOJPJQJ^JaJmH phsH 8hh6B*CJOJPJQJ^JaJmH phsH /hB*CJOJPJQJ^JaJmH phsH 5hhB*CJOJPJQJ^JaJmH phsH 2hu5B*CJOJPJQJ^JaJmH phsH 2hG5B*CJOJPJQJ^JaJmH phsH AF P̭̍u]Bu5h6Qh6QB*CJOJPJQJ^JaJmH phsH /huB*CJOJPJQJ^JaJmH phsH /h6QB*CJOJPJQJ^JaJmH phsH >jShB*CJOJPJQJU^JaJmH phsH U8jhB*CJOJPJQJU^JaJmH phsH /hB*CJOJPJQJ^JaJmH phsH 5hhB*CJOJPJQJ^JaJmH phsH FORMCHECKBOX  Offeror hereby discloses the following potential conflicts of interest (attach a separate sheet for the disclosure). (2) Identification And Assertion Of Restrictions On The Government's Use, Release, Or Disclosure Of Technical Data Or Computer Software. Check applicable boxes:  FORMCHECKBOX  Offeror will not be furnishing any technical data, computer software or computer software documentation under any award that may result from this solicitation.  FORMCHECKBOX  Offeror will not be furnishing any noncommercial software or any technical data or software documentation that pertains to noncommercial items.  FORMCHECKBOX  All technical data, computer software or computer software documentation required to be furnished under any award that may result from this solicitation will be submitted without restrictions on use, release or disclosure.  FORMCHECKBOX  Some technical data or computer software will be submitted with restrictions on use, release or disclosure. Offeror's assertions, including the assertions of its subcontractors or suppliers or potential subcontractors or suppliers, shall be submitted as an attachment to its offer in the following format, dated and signed by an official authorized to contractually obligate the Offeror. Technical Data or Computer Software to be Furnished With Restrictions* (List)Basis for Assertion** (Explain)Asserted Rights Category*** (Identify)Name of Entity Asserting Restrictions**** (Identify) * For technical data (other than software documentation) pertaining to items, components, or processes developed at private expense, identify both the deliverable technical data and each such item, component, or process. ** Development at private expense, either exclusively or partially, is the only basis for asserting restrictions. *** Enter asserted rights category (e.g., government purpose license rights from a prior contract, rights in SBIR data generated under another contract, limited, restricted, or government purpose rights under this or a prior contract, or specially negotiated licenses). **** Corporation, individual, or other person, as appropriate. (3) Technical Data Or Computer Software Previously Delivered To The Government. Check the applicable box:  FORMCHECKBOX  Offeror will not be furnishing any technical data or software under any award that may result from this solicitation.  FORMCHECKBOX  Offeror has attached to its offer an identification of all documents or other media incorporating technical data or software it intends to deliver under any award with other than unlimited rights that are identical or substantially similar to documents or other media that Offeror has produced for, delivered to, or is obligated to deliver to the Government under any contract or subcontract. The attachment identifies: (a) The contract number under which the data or software were produced; (b) The contract number under which, and the name and address of the organization to whom, the data or software were most recently delivered or will be delivered; and (c) Any limitations on the Government's rights to use or disclose the data or software, including, when applicable, identification of the earliest date the limitations expire. SECTION VICERTIFICATION The Offeror represents and certifies as part of his offer that the information provided herewith is accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date shown below. 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