|
•
<br />
<br />•
<br />C t.
<br />,t ~;!
<br />,S '.
<br />t
<br />,~~
<br />Contract No. ~ ~ Attachment 1
<br />__~_
<br />.CONSULTANT CONTRACT
<br />REPRESENTATIONS, CERTIFICATIONS AND ACKNOWLEDGEMENTS
<br />I. TYPE OF BUSINESS ORGANIZATION: (check appropriate box
<br />The contract recipient represents that he operates as ~ an
<br />individual, [_] a partnership, [~ a nonprofit organization,
<br />or ~X] a corporation under the laws of the State of Texas
<br />II. SMALL BUSINESS: (check appropriate box)
<br />The contract recipient represents that he ~ is, or ~ is not,
<br />a small business concern. A small business concern for the
<br />purpose of Government procurement is a concern, including
<br />its affiliates, which is independently owned and operated,
<br />is not dominate in the field of operation in which it. is
<br />bidding, and can further. qualify under the criteria, as
<br />prescribed by the Small Business Administration.. (See Code
<br />of Federal Regulations, Title 13, Part 121, as amended, which
<br />contains detailed industry definitions and related procedures.)
<br />Number of employees 303 .
<br />III. CONTINGENT FEE: (check appropriate boxes)
<br />The contract recipient represents (a) that he [~ has, fX] has
<br />not, employed or retained any company or person (other than
<br />a full-time bona fide employee working solely for the offeror)
<br />to solicit or secure this contract, and (b) that he [~ has,
<br />has not, paid or agreed to pay any company or person (other
<br />than a full-time bona fide employee working solely for the
<br />offeror) any fee, commission, percentage, or brokerage fee
<br />contingent upon or resulting from the award of this contract;
<br />and agrees to furnish information relating to (a) and (b) above,
<br />as requested by the contracting officer. (NOTE: For inter-
<br />pretation of the representation, including the term "bona fide
<br />employee". See Code of Federal Regulations, Title 41, Chapter 1,
<br />Subpart 1-1.5).
<br />IV. EQUAL OPPORTUNITY: (check appropriate boxes) _
<br />The contract recipient represents that he[X~ha~, ~~' has not,
<br />participated in a previous contract or subcontract subject
<br />either to the Equal Opportunity clause herein or the clause
<br />originally contained in Section 301 of Executive Order 10925,
<br />or the clause contained in Section 201 of Executive Order
<br />N0. 11114; that he `XJ has*, ~] has not, filed all required
<br />compliance reports; and that representations indicating sub-
<br />mission of required compliance reports, signed by proposed
<br />subcontractors, will he obtained prior to subcontract awards.
<br />*If you cert~.fy that you have participated in a previous contract,
<br />subject to the Equal Opportunity clause, but have not been required
<br />to file compliance reports, then you should check the box reading
<br />"that he has filed all required compliance reports".
<br />CA-1 Rev 9'/74
<br />Page 1 of 2
<br />;,~ ;.
<br />x ,,
<br />.,.yp:,
<br />. ..~. i,^. ~~
<br />LE
<br />~, ~~~ .
<br />.'~~ ~~..
<br />~-
<br />~; ~~; f
<br />~ ~',~ ~ , ,
<br />h~/,A,
<br />~,~,~ i+d ~ ~~ '
<br />~.,~~;}
<br />~,
<br />~','~
<br />{" ' ~'' ~
<br />;; y ~t`
<br />. ,. ~
<br />
|