I
5.
CONTINGENT FEE REPRESENTATION (Applicable only to proposals in which the
'cgregate amount involved exceeds $10,000)
The offeror represents:
(a) that he Ti has, Li has not, employed or
zevained any company or person (other than a full-time bona fide employee working
“tlelyfor the offeror) to solicit or secure this contract, and (b) that he Td|
Play il has not, paid or agreed to pay any company or person (other than a full-
tare bona fide employee working solely for the offeror) any fee, commission,
percentage, Or brokerage fee contingent upon or resulting from the awerd of this
cittract; and agrees to furnish information relating to (a) and (b) above as
zsecuested by the Contracting Officer.
(For interpretation of the representation,
-ncluding the term “bona fide employee," see Code of Federal Regulations, Title
“1, Chapter 1, Subpart 1-1.5).
ECUAL OPPORTUNITY REPRESENTATION [FPR 1-11.805-4(b) and Temporary Regulation
“=, dated September 15,
a.
1970}
The offeror represents that he Tfhas, 1{has not, participated ina
“reviecus contract or subcontract subject to the Equal Opportunity clause herein,
~ tse Clause originally contained in Section 301 of Executive Order No. 11114;
Le || has, {|| has not, filed all required compliance reports; and that
"-esentations indicating submission of required compliance reports, signed by
-- 2resed subcontractors, will be obtained prior to subcontract awards.
(The
‘'+ Yepresentation need not be submitted in connection with contracts or
..rcontracts which are exempt from the clause.)
b.
If required compliance reports were filed, the name of the agency
vequiring the reports:
c.
.
The offeror represents that (1) he TI has developed and has on file,
_. as not developed and does not have on file,
at each establishment affirmative
-l1.0n programs as required by the_rules and reguiations of the Secretary of Labor
‘24 CFR 60-1 and 60-2), or (2) he {[| has not previously had contracts subject
". the written affirmative action program requirement of the rules and regulations
ee,
ci tne Secretary of Labor.
ae
CERTIFICATION OF INDEPENDENT PRICE DETERMINATION (Applicable to all bids and
rroposals over $10,000 except reguests for technical proposals in connection with
two-step formal advertising involving firm fixed-price contracts and fixed-price
contracts with escalation and contracts for utility services where rates are set
by law or reguiation)
°
a.
By submission of this offer, the offeror certifies, and in the case of a
joint offer, each party thereto certifies as to its own organization, that in
connection with this procurement:
(1)
The prices in this offer have been arrived at independently, without
consultation,- communication, or agreement, for the purpose of restricting
competition, as to the matter relating to such prices with any other offeror or
with any competitor;