GSA3518A
Representations and Certifications (Short Form)
GSA Form 3518A, Representations and Certifications (Short Form), is a General Services Administration form. Its heading adds For Leases At or Below the Simplified Lease Acquisition Threshold, and its footer reads GSA 3518A (REV. 5/2013). GSA hosts it in its forms library.
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 9 numbered provisions cover small business status, equal opportunity reports, tax and felony representations, lobbying, taxpayer identification, the DUNS number and contractor registration. Each page has an initials line for the lessor and the Government.
You can fill it out free in your browser on this page and download the result without an account.
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.
52.222-22 previous contracts and compliance reports and 52.222-25 affirmative action compliance, each marked as applicable when the estimated value of the acquisition 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.
Certification and disclosure regarding payments to influence certain Federal transactions, marked as applicable when the estimated value of the acquisition exceeds $100,000.
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 2 to 4 use has or has not and is or is not boxes. Provision 5 is a certification made by signing the offer, with a disclosure on Standard Form LLL where it applies.
Provision 6 asks for the TIN or why none is required, the type of organization and any common parent. Provisions 7 and 8 ask for the DUNS number.
Provision 9 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.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
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 5 says the offeror completes and submits OMB Standard Form LLL, Disclosure of Lobbying Activities, with its offer.
Provision 5 prints a civil penalty of not less than $10,000 and not more than $100,000 for each failure, citing 31 U.S.C. 1352. Provision 1 cites 15 U.S.C. 645(d) for misrepresenting small business status.
The footer reads GSA 3518A (REV. 5/2013). GSA's page gives a current revision date of 05/2013 and lists no authority or regulation. Provisions 2 and 3 cite OMB Control Number 1215-0072.
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The heading, the opening note and the signature block name these roles.
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The footer names the General Services Administration and reads GSA 3518A (REV. 5/2013). GSA hosts it in its forms library. GSA's page lists no authority or regulation.
The heading says the form is For Leases At or Below the Simplified Lease Acquisition Threshold. It has 9 numbered provisions.
The form says the Offeror is the owner of the property offered, not an individual or agent representing the owner.
Provisions 2 and 3 are marked as applicable when the estimated value of the acquisition exceeds $10,000, and provision 5 when it exceeds $100,000.
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 9 says the Offeror must be registered prior to lease award, registers at https://www.acquisition.gov and updates or renews its registration annually.