GSA3518
Representations and Certifications (Acquisition of Leasehold Interests in Real Property)
GSA Form 3518, Representations and Certifications (Acquisition of Leasehold Interests in Real Property), is a General Services Administration form. Its footer reads GSA 3518 (REV. 5/2013). GSA hosts it in its forms library, and GSA's page lists APD 2800.12A as the authority.
The form says to complete the appropriate boxes, sign the form and attach it to the offer. The representations and certifications are made by the Offeror, which the form defines as the owner of the property offered, not an individual or agent representing the owner. Its 12 numbered provisions cover small business status, equal opportunity reports, tax and felony representations, independent pricing, lobbying, responsibility matters, taxpayer identification, the DUNS number and contractor registration. Each page has an initials line for the lessor and the Government.
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NAICS code 531190 and a size standard of $20.5 Million in annual average gross revenue for the last 3 fiscal years, then is or is not boxes for small, small disadvantaged, women-owned, WOSB, EDWOSB, veteran-owned, service-disabled veteran-owned and HUBZone status.
52.204-5 women-owned business (other than small business), 52.222-22 previous contracts and compliance reports, and 52.222-25 affirmative action compliance. The last two say they apply when the estimated value exceeds $10,000.
Is or is not boxes on whether the corporation has an assessed unpaid Federal tax liability, or a felony conviction under any Federal law within the preceding 24 months.
52.203-02 certificate of independent price determination, 52.203-11 payments to influence certain Federal transactions, and 52.209-5 responsibility matters such as debarment, convictions, delinquent Federal taxes over $3,000 and default terminations.
Taxpayer identification number or the reason none is required, type of organization, common parent, the DUNS number, and Central Contractor Registration status.
Name, street, city, state and ZIP, telephone number, signature and date of the offeror or authorized representative.
Each provision carries the number and date printed on the form.
Fill in the solicitation number and its date at the top. The form says to complete appropriate boxes, sign the form and attach it to the offer.
Check is or is not for each status in provision 1. Several items say to complete them only if the offeror represented itself as a small business or a particular type of concern.
Provisions 3 to 5 and 8 use has or has not and is or is not boxes. The form says an offeror that deletes or modifies paragraph (a)(2) of provision 6 furnishes a signed statement of the circumstances of the disclosure.
Provision 9 asks for the TIN or why none is required, the type of organization and any common parent. Provisions 10 and 11 ask for the DUNS number.
Provision 12 has two boxes: registration active and copy attached, or will activate registration and submit a copy before award. It says to register at https://www.acquisition.gov and renew annually.
The offeror or authorized representative enters a name, address and telephone number, then signs and dates. Each page has an initials line for the lessor and the Government.
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The form says to attach it to the offer. It prints no mailing address.
If registrants under the Lobbying Disclosure Act of 1995 made a lobbying contact for the offeror on this contract, provision 7 says the offeror completes and submits OMB Standard Form LLL, Disclosure of Lobbying Activities, with its offer.
Provision 7 prints a civil penalty of not less than $10,000 and not more than $100,000 for each failure. Provision 8 cites Section 1001, Title 18, United States Code, and provision 1 cites 15 U.S.C. 645(d).
Provision 8 says the Offeror gives immediate written notice to the Contracting Officer if, before award, its certification was erroneous when submitted or has become erroneous.
The footer reads GSA 3518 (REV. 5/2013). GSA's page gives a current revision date of 05/2013 and lists APD 2800.12A. Provisions 3 and 4 cite OMB Control Number 1215-0072.
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The opening note and the signature block name these roles.
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The footer names the General Services Administration and reads GSA 3518 (REV. 5/2013). GSA hosts it in its forms library, and GSA's page lists APD 2800.12A as the authority.
The form says the Offeror is the owner of the property offered, not an individual or agent representing the owner.
The form marks some as conditional: provisions 3 and 4 apply when the estimated value of the acquisition exceeds $10,000, provision 7 when it exceeds $100,000, and provisions 6 and 8 when it exceeds the simplified lease acquisition threshold.
Provision 1 gives NAICS code 531190 and a small business size standard of $20.5 Million in annual average gross revenue of the concern for the last 3 fiscal years.
It says that if the contract is subject to the payment reporting requirements in FAR 4.904, failure or refusal to furnish the information may result in a 31 percent reduction of payments otherwise due.
Central Contractor Registration. Provision 12 says the Offeror must be registered prior to lease award, registers at https://www.acquisition.gov and updates or renews its registration annually.
Provision 6 says each signature on the offer is considered a certification by the signatory, and provision 7 says the offeror, by signing its offer, certifies the lobbying statement.