REPS and CERTS 0.00

Request for Proposal Number: 0000963801

REPRESENTATIONS AND CERTIFICATIONS

For the Pacific Northwest National Laboratory
Operated by Battelle Memorial Institute

Battelle Memorial Institute has executed and is engaged in the performance of Prime Contract DE-AC0576RL01830 with the United States Department of Energy (DOE), for the management, operation, and maintenance of the Pacific Northwest National Laboratory (PNNL) in Richland, Washington. The following certifications must be completed, and this form must be signed and returned with the Offeror's proposal. ----------------------The following must be completed for proposals exceeding $15,000--------------------Name and DUNS Number Individual/Company Name

"Doing Business As" (DBA)

DUNS Number

SAM Unique Entity Identifier

Taxpayer Identification (cl 405 - Oct 1998)

A. Definitions

"Common Parent," as used in this solicitation provision, means that corporation entity 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.
"Taxpayer Identification Number (TIN)," as used in this provision, means the number required by the Internal Revenue Service (IRS) to be used by the Offeror in reporting income tax and other returns. The TIN may be either a Social Security Number or an Employee Identification Number. B. All Offerors must submit the information required in Paragraphs D through F of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M and implementing regulations issued by the IRS. If the resulting contract is subject to the reporting requirements described in Federal Acquisition Regulation (FAR) 4.904, the failure or refusal by the Offeror to furnish the information may result in a 31 percent reduction of payments otherwise due under the contract. C. The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the Offeror's relationship with the government (31 U.S.C. 7701(c)(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 Offeror's TIN.

D. Taxpayer Identification Number (TIN)

E. Type of Organization

Sole proprietorship

Government entity (Federal, State, or local)

Partnership

Foreign government

Corporate entity (not tax-exempt)