Supplier Vetting Management

Annual Supplier Certification

L3Harris cannot provide direction on questions pertaining to your company. Any questions should be forwarded to your legal counsel or appropriate authorized officer of your company.
Supplier Details
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Company Address

Billing Address (if different from above)
Company Name or Address Changes

Note to existing suppliers that have previously completed an L3Harris annual supplier certification:

Any company name or address changes must be communicated by providing notification of the change on your company letterhead.

A current W9 is also required for company name changes.

There are no address change attachments for this request
Company Information
The offeror, by checking the applicable box, represents that it is:
 United States Owned
 United States Incorporated With Foreign Parent
 Foreign Owned
 Manufacturing
 Distributor
 Services
Parent Company
Additional Address or Location to Cover
Do you want this certification to cover other company addresses or alternate locations that adhere to your location's procedures, if so please list:

The procurement of material, supplies, or services for a U.S. Government contract requires compliance by Prime Contractors, Subcontractors, and Suppliers with various programs enacted into law, implemented by Executive Order and declared by Federal Regulations.

The following certifications are effective for a period of 12 months beginning on the date of signature of this document. If there is any change to your status or to the information provided within any section of this document during the period, you are required to inform L3Harris business unit named on the accompaying letterhead in writing promptly, no later than fifteen (15) days from the change in status.

Section I is required by L3Harris Trade Compliance. Sections II, III, IV, V,and VI are required by L3Harris to update supplier records. Section IV contains Certifications which require your acknowledgment prior to any solicitation or purchase order activity. Please review, complete, and sign where applicable sections: I, II, III, IV, V, VI and VII. THERE ARE NO EXCEPTIONS FOR ANY REQUIRED SECTION.

Section I: Export/Import Compliance Certification
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L3Harris requires that its suppliers, both domestic and foreign, certify certain information necessary to ensure compliance with U.S. Government export control laws and regulations, to include the U.S. Department of State, Directorate of Defense Trade Controls (DDTC), the International Traffic in Arms Regulations (ITAR), the U.S. Department of Commerce, Bureau of Industry and Security (BIS), and the Export Administration Regulations (EAR). Adherence to these requirements is necessary before L3Harris will place, or continue to place, any orders, participate in technical discussions, or provide any items, data, or assistance with suppliers. This certification must be signed by a duly authorized officer of your company.

A. Supplier Export/Import Compliance Point of Contact

Provide the contact information for the Empowered Official who is authorized to discuss/verify/confirm the export compliance requirements associated with this certification. If your company does not have an Empowered Official, provide the Export Compliance Point of Contact who can serve in this capacity.

B. U.S Company Status (Not applicable for Foreign Suppliers)

ITAR 22 CFR §120.15 defines a “U.S. Person” as any individual who is a citizen of the United States, a permanent resident alien of the United States, a permanent resident alien of the United States, or a protected individual as defined by 8 U.S.C 1324b(a)(3). It also includes any juridical person organized under the laws of the United States or any jurisdiction within the United States, including foreign branches; and Any person in the United States

Is your company a “U.S. Person” as defined in both ITAR 22 CFR §120.15 and EAR 15 CFR Part 772?
C. Involvement of Foreign Persons (Not applicable for Foreign Suppliers)

ITAR 22 CFR §120.16 and EAR 15 CFR Part 772 defines a “Foreign Person” is any natural person who is not a lawful permanent resident as defined by 8 U.S.C. 1101(a)(20) or who is not a protected individual as defined by 8 U.S.C. 1324b(a)(3). It also means any foreign corporation, business association, partnership, trust, society or any other entity or group that is not incorporated or organized to do business in the United States, as well as international organizations, foreign governments and any agency or subdivision of foreign governments (e.g., diplomatic missions).

Does your company employ any foreign persons and/or foreign contract laborers?
Yes - if so, provide the nationalities:
No
Will your company transfer any technical data received from L3Harris to any foreign persons, to include any foreign employees and/or contract laborers?
Yes - if so, provide the nationalities:
No
D. DDTC Registration Requirements (22 CFR § 122.1) (Not applicable for Foreign Suppliers)

All U.S. suppliers of L3Harris must comply with the U.S. regulatory requirements as specified in ITAR 22 CFR §122.1, which states that:

“Any person who engages in the United States in the business of either manufacturing or exporting or temporarily importing defense articles or furnishing defense services is required to register with the Directorate of Defense Trade Controls under §122.2. For the purpose of this subchapter, engaging in such a business requires only one occasion of manufacturing or exporting or temporarily importing a defense article or furnishing a defense service. Engaging in such a business requires only one occasion of manufacturing or exporting or temporarily importing a defense article or furnishing a defense service. Manufacturers of defense articles who do not engage in exporting must nevertheless register.“

Foreign persons may not be subject to U.S. registration requirement if they are not participating in certain specific brokering activities. However, they are reminded that end-use and re-transfer requirements are imposed on many controlled goods originating in the U.S.

Is your company registered with the U.S Department of State, Directorate of Defense Trade Controls (DDTC)?
Yes: The registration expiration date is: (If the expiration date is within 30 days, provide renewal date below)
Renewal Application in Process, Application Date
New Application in Process, Application Date
No: We are currently not registered and do not plan on registering with DDTC – if “No”, complete E below.
E. Our business is not required to be registered with the U.S. Department of State for the following reason: (Not applicable for Foreign Suppliers)
Check only one item
We supply/manufacture products that are subject exclusively to the controls of the Export Administration Regulation (EAR) and they are classified as (provide the Export Control Classification Number(s), “ECCN(s)”, use a separate attachment if necessary).
Our activities as a distributor/reseller have not and do not involve the manufacture or export of defense articles.
We are a non-US company and are not subject to US export regulation including registration requirements placed on foreign persons acting in certain brokering capacities.
We are a consultant to L3Harris, providing other business services. None of the aforementioned options apply to our service agreement with L3Harris.
Our service activities involving Defense Articles do not constitute the manufacture of Defense Articles and do not require manufacturer registration).
F. International Export/Import compliance requirements including: International Traffic in Arms Regulations 22 CFR § 120-130 (Not applicable for Foreign Suppliers)
1. Does your company perform work at non-U.S. facilities, affiliates or subsidiaries with an address in a country other than the country of incorporation of your business for L3Harris transactions?
Yes - if so, list country(s):
No
2. Will any third party who is a non-U.S. company or who will utilize non-U.S. facilities or non-U.S. persons be involved in any way on any L3Harris transactions?
Yes - if so, list country(s):
No
3. Does your company have formal export control policies, procedures, and training to prevent unauthorized export or disclosure of export-controlled data?
Yes
No
G. Specially Designated Nationals (Check all that apply):
1. Offeror is , is NOT  owned or controlled, in whole or in part, by an individual or entity listed on the U.S. Treasury Department’s Office of Foreign Assets Control’s Specially Designated Nationals (SDN) List ( http://www.treasury.gov/resource-center/sanctions/SDN-List/Pages/default.aspx )
2. Offeror is , is NOT  owned or controlled, in whole or in part, by a citizen or resident of, or an entity incorporated or registered to do business in, Cuba, Iran, Syria, Sudan or North Korea.
Export/Import compliance requirement, please read the following and sign the certification below:

Third Country National Employees: Supplier hereby acknowledges notification of the requirement to disclose to L3Harris any employees, by country, who are third country nationals or hold dual-citizenship status. N/A for dual citizens that hold U.S. citizenship.

Restricted Party Screening: Supplier certifies that all employees or representatives of their company that will interact with L3Harris are not debarred or otherwise restricted from participation in government contracting or international transactions conducted under the jurisdiction of the EAR and ITAR.

Compliance Program: Supplier has reviewed and complies with the U.S. export regulations as set forth in the International Traffic in Arms Regulations “ITAR” at 22 CFR parts 120-130, further defined at https://www.pmddtc.state.gov/ddtc_public?id=ddtc_kb_article_page&sys_id=24d528fddbfc930044f9ff621f961987 and has developed and deployed control processes, including but not limited to, restricted party screening and marking of export-controlled documents, sufficient to meet the requirements of applicable export/import laws and regulations and to prevent disclosure of technical information to unauthorized entities. Supplier may not disclose Buyer’s technical data to any foreign national or foreign country without prior written approval from L3Harris and either the U.S. Department of Commerce (EAR) or the U.S. Department of State (ITAR). Supplier understands that it is obligated to review all L3Harris provided information and in the event of any ambiguity, contact L3Harris immediately to obtain an export control determination in cases where export control jurisdiction has not been clearly marked or otherwise identified by L3Harris.

Payments of Fees, Commissions and Political Contributions: Supplier understands it is obligated to provide information on certain payments in accordance with 22 CFR 130. Specifically, if supplier provides over $500,000 of defense articles or services to L3Harris, Supplier may be required to provide L3Harris with information on all payments of fees commissions and political contributions paid by Supplier or on its behalf, with respect to the sale of goods or services to L3Harris.

I certify that to the best of my knowledge the above information is true and correct and that our company shall be responsible for ensuring that the requirements of this certification are conveyed to all sub-tier suppliers that receive Buyers Export-Controlled Data.

Section II: Business Information
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A. Organization Ownership

1. Type of Organization - The offeror, by checking the applicable box, represents that it operates as: (Check only one)

A corporation incorporated under the laws of the State of
A sole proprietorship
A Limited Liability Partnership
A Non-Profit Organization
A government entity (Federal, State, or local)
A foreign entity and if a corporation registered for business in (country).
A partnership
An International organization per 26 CFR 1.6049-4
A joint venture between
An individual
Other

2 Common Parent (Check only one):

Supplier is not owned or controlled by a common parent.
Supplier is owned or controlled by a common parent.

3. FAR 52.204-3/AMS 3.2.2.3-70 Taxpayer Identification (Not applicable for Foreign Suppliers)

B. Check all applicable box(es) as described under FAR 19.001 Definitions and FAR 19.201 General Policy (Not applicable for Foreign Suppliers)
 Large Business
 Small Business 
If your business is a Small Business and also falls into one or more of the diversity categories below (as defined by the Small Business Administration at www.SBA.gov), please check all additional applicable classifications of your business. *Knowingly misrepresenting the status of any concern or person in order to obtain a contract/subcontract for oneself or another party is subject to the penalties and remedies described in 15 U.S. Code § 645 (d).
 Small Disadvantaged Business
 Woman-Owned Small Business
 Historically Black Colleges and Universities, and Minority Educational Institutions
 Veteran-Owned Small Business
 Service-Disabled Veteran-Owned Small Business
 Alaskan Native Corporation
 Tribal Enterprise that has been certified by the Small Business Administration as a Small Disadvantaged Business
 Hubzone Small Business *Include copy of certification from the U.S. Small Business Adm.

Size/Socioeconomic Status Representation: The offeror verifies by submission that the size or socioeconomic representations and certifications (electronically submitted herein) are current, accurate, and complete as of the date submitted for requests for proposals, requests for quotations, purchase orders or subcontracts received from L3Harris and understand the responsibility for notifying L3Harris of any changes in status affecting this certification. In accordance with 15 U.S.C. 645 (d) any person who misrepresents its size shall (1) be punished by a fine, imprisonment, or both; (2) be subject to administrative remedies; and (3) be ineligible for participation in programs conducted under the authority of the Small Business Act.

C. Executive Compensation (Not applicable for Foreign Suppliers)

Per FAR 52.204-10 L3Harris is required to report information on certain subcontract awards.

Accordingly, based on the requirements of this clause, there may be instances when as supplier is required to register and report the names and the total compensation of each of the five most highly compensated executives for their preceding completed fiscal year within the System for Award Management, www.sam.gov.

This requirement is a time sensitive requirement. Therefore, if supplier answers both 1 & 2 below as “YES” and 3 as “NO”, then the submittal and recording of Executive Compensation by supplier must be completed prior to L3Harris Purchase Order award. An exemption would occur if in the previous tax year the supplier had gross income, from all sources, under $300,000.

1. Did your business or organization (represented by a DUNS number) during your preceding completed fiscal year realize 80% or more of its annual gross revenues from U.S. Federal contracts, subcontracts, loans, grants, sub-grants and cooperative agreements?

2. Did your business or organization (represented by a DUNS number) during your preceding completed fiscal year realize $25,000,000 or more of its annual gross revenues from U.S. Federal contracts, subcontracts, loans, grants, subgrants, and cooperative agreements?

3. Does the public have access to information about the compensation of the executives in your business or organization (represented by a DUNS number) through periodic reports filed under section 13(a) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986?


D. Related Parties Certification
Is a current owner or member of management of L3Harris (functional title of Vice President or above), or a member of their immediate family (spouse, child, parent, sibling, in-law or any household member cohabitating) known to be employed/involved as an owner or member of management with your company? (Reference GAAP ASC 850)
Yes - if so, please identify the related parties and their position/interest within your company:
No
Section III: Supplier Responsibility
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A. Business Continuity Plan
Check only one item
 Supplier has a continuity plan in place. Supplier will (a) promptly notify L3Harris in the event of a FORCE MAJEURE event, (b) maintain partial performance as reasonably possible, and (C) resume full performance as soon as is reasonably possible.
 Supplier does not have a continuity plan in place. Supplier will (a) promptly notify L3Harris in the event of a FORCE MAJEURE event, (b) maintain partial performance as reasonably possible, and (c) resume full performance as soon as is reasonably possible.
B. Counterfeit Electronic Part Detection and Avoidance System

Definition. "Electronic part," as used in this provision--

Means an integrated circuit, a discrete electronic component (including, but not limited to, a transistor, capacitor, resistor, or diode), or a circuit assembly (section 818(f)(2) of Pub. L. 112-81).
Check only one item
 Supplier does supply electronic parts and will comply with requirements of SECTION 818 of the National Defense Authorization Act for Fiscal Year 2012 and DFARS 252.246-7007.
 Supplier does supply electronic parts but does not comply with requirements of SECTION 818 of the National Defense Authorization Act for Fiscal Year 2012 and DFARS 252.246-7007.
 Supplier does not supply electronic parts.
C. Responsible Supplier
1. Supplier deems itself responsible in accordance with FAR 9.104 which includes having satisfactory records of integrity, past performance, and business ethics consistent with or similar to the L3Harris policies related to the ethics and business conduct located at https://www.l3harris.com/sites/default/files/2020-08/L3HarrisSupplierCodeOfConduct_0.pdf ; adequate financial resources; technical equipment; facilities; and the organizational experience, skills and controls available or obtainable to perform contracts as awarded.
2. Supplier has implemented processes which may include procedures and/or a compliance plan (which can be provided upon request) to prevent any prohibited activities identified in paragraph (b) of the clause at 52.222-50 Combating Trafficking in Persons, and will Immediately notify L3Harris of any discovery of prohibited activities identified in paragraph (b) of the clause at 52.222-50 Combating Trafficking in Persons, and to monitor, detect, and terminate the contract with a subcontractor engaging in prohibited activities identified at paragraph (b) of the clause at 52.222-50, Combating Trafficking in Persons; and
3. After having conducted due diligence, either -
(i) To the best of Supplier's knowledge and belief, neither it nor any of its proposed agents, subcontractors, or their agents is engaged in any such activities; or
(ii) If abuses relating to any of the prohibited activities identified in 52.222-50 (b) have been found, the Offeror or proposed subcontractor has taken the appropriate remediate and referral actions.

Supplier Current Quality Certifications and Standards (Include Type and Expiration Date as applicable)

D. FAR 52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities

Additional information for the requirements of this clause can be reviewed at the following link: 52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities.

1. Does/did Supplier provide L3Harris with any computers, laptops, servers or electronic devices (including memory devices)?
2. Does/did Supplier provide L3Harris with any electronic files during the course of doing business? E.g. CofC, CofA, End Item Data Pack, First Article Inspection data, etc?
3. Based on the FAR requirements and responses provided above, Supplier and its Subcontractors will comply with FAR 52.204-23- prohibition on contracting for hardware, software, and services developed or provided by Kaspersky Lab and other covered entities (Jul 2018) in its performance of any contract. (A non-applicable response should be specified as “Yes”)
E. FAR 52.204-26, Covered Telecommunications Equipment or Services-Representation

Covered Telecommunications Equipment or Services-Representation

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(c) Representation. The Offeror represents that it does, does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.
F. DFARS 252.204-7016, Covered Defense Telecommunication Equipment or Services Representation

COVERED DEFENSE TELECOMMUNICATIONS EQUIPMENT OR SERVICES—REPRESENTATION

(a) Definitions. As used in this provision, “covered defense telecommunications equipment or services” has the meaning provided in the clause 252.204-7018, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(c) Representation. The Offeror represents that it does, does not provide covered defense telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.
G. AMS 3.6.4-24, Covered Telecommunications Equipment or Services-Representation

Covered Telecommunications Equipment or Services-Representation

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” has the meaning per the clause 3.6.4-23 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment”.

(b) Procedures. The offeror must review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for covered telecommunications equipment or services.

(c) Representation. The offeror represents that it does, does not provide covered telecommunications equipment or services as part of its offered products or services to the Government in the performance of any contract, subcontract, to other contractual instrument.

Section IV: Federal Acquisition Regulation (FAR) Certifications
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A. Certification and disclosure regarding payments to influence certain federal transactions as described under FAR 52.203-11/12
Check only one item
Supplier declares they are in compliance with 31 U.S.C. 1352 which prohibits a recipient of a Federal contract, grant, loan or cooperative agreement including the extension, continuation, renewal amendment or modifications (“Award) from using appropriated funds to pay any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with any covered Federal actions. In addition, supplier declares it will obtain this certification from its suppliers for every Award greater than $150,000 prior to making such Award, and will require flowdown to all sub-tier suppliers for certification prior to each Award greater than $150,000. Supplier further declares that in the event it receives an Office of Management and Budget (OMB) Standard Form LLL, Disclosure Lobbying Activities (“SF-LLL”) from a supplier at any tier in connection with an L3Harris Award, or an update to an SF-LLL, supplier will provide such disclosure to L3Harris not later than 30 days after the end of the most recently completed calendar quarter.
Supplier declares, under Lobbying Disclosure Act of 1995, they have, or may, make a lobbying contact with respect to an L3Harris Award that exceeds $150,000 and submits attached to this certification or will submit as soon as applicable, the SF-LLL to L3Harris as required in FAR 52.203-12(g), and that supplier will provide update as required by 31 U.S.C. 1352 to L3Harris not later than 30 days after the end of the most recently completed calendar quarter.
B. Certification regarding debarment, suspension, proposed debarment and other responsibility matters as described under FAR 52.209-5

The Offeror certifies, to the best of its knowledge and belief, that

(i) The Offeror and/or any of its Principals and/or employees
1.
presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;
2.
within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, state, or local) contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and
3.
presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in subdivision (a)(1)(i)(B) of this provision;
4.
within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,000 for which the liability remains unsatisfied.
(ii) The Offeror
within a three (3) year period had contracts terminated for default by any Federal agency.
C. Previous Contracts and Compliance Reports as described under FAR 52.222-22 (Not applicable for Foreign Suppliers)
Check applicable boxes in statements 1 & 2 or select exempt option and provide explanation
Supplier represents that it
(1) Has , Has Not , participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation and
(2) Has , Has Not , filed all required compliance reports.
OR
(3)
Not Applicable if not a first tier subcontractor with 50 employees or more and orders of 50K or more
Not applicable if supplier only provides commercial items
D. Certification of Affirmative Action as described under FAR 52.222-25: (Not applicable for Foreign Suppliers)
Respond to only one statement
(A) Supplier represents that at each establishment, affirmative action programs required by the rules and regulations of the Secretary of Labor (41CFR 60-1 and 60-2):
ARE developed and ARE on file
ARE not developed and ARE not on file
OR
(B) Supplier has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.
OR
(C)
Not Applicable if not a first tier subcontractor with 50 employees or more and orders of 50K or more
Not applicable if supplier only provides commercial items
Section V: Defense Federal Acquisition Regulation Supplement (DFARS) Certifications
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A. DFARS 252.204-7008, Compliance with Safeguarding Covered Defense Information Controls – NA for COTS

Definitions. As used in this provision—

“Controlled technical information,” “covered contractor information system,” “covered defense information,” “cyber incident,” “information system,” and “technical information” are defined in clause 252.204-7012, Safeguarding Covered Defense Information and Cyber Incident Reporting.

The security requirements required by contract clause 252.204-7012 , shall be implemented for all covered defense information on all covered contractor information systems that support the performance of this contract.

For covered contractor information systems that are not part of an information technology service or system operated on behalf of the Government (see 252.204-7012(b)(2))
1) By submission of this offer, the Offeror represents that it will implement the security requirements specified by National Institute of Standards and Technology (NIST) Special Publication (SP) 800-171 “Protecting Controlled Unclassified Information in Nonfederal Information Systems and Organizations” (see http://dx.doi.org/10.6028/NIST.SP.800-171) that are in effect at the time the solicitation is issued.
2) If the Offeror proposes to vary from any of the security requirements specified by NIST SP 800-171 that are in effect at the time the solicitation is issued, the Offeror shall submit to L3Harris, a written explanation of—
(i) Why a particular security requirement is not applicable; or
(ii) How an alternative but equally effective, security measure is used to compensate for the inability to satisfy a particular requirement and achieve equivalent protection.
Section VI: Anti-Corruption Compliance Certification
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The Foreign Corrupt Practices Act of 1977 (“FCPA”) is a criminal law of the U.S. that prohibits U.S. companies, their employees and agents from corruptly giving, offering, promising, or authorizing anything of value to foreign (non-U.S.) officials or foreign political parties, officials or candidates, for the purpose of influencing them to misuse their official capacity to obtain, keep, or direct business or gain any improper business advantage. The FCPA also prohibits intentional misrepresentations in a company’s books and records and requires that a company’s books, records and accounts be maintained in reasonable detail accurately representing transactions or any payment. In addition, the FCPA also forbids offering or paying anything of value to any person or entity (for example, a third-party) when it is known that all or part of the payment will be transmitted to a foreign official for the improper purposes mentioned above.

The UK Bribery Act (“Bribery Act”) sets out a range of criminal offences in connection with corrupt payments made to public officials and private parties anywhere in the world. Facilitation payments are prohibited under the Bribery Act. The Bribery Act also makes it an offence to request, agree to receive, or to accept a bribe.

The FCPA and Bribery Act apply to L3Harris operations worldwide, its employees and to all persons and entities, wherever located, acting on behalf of L3Harris, such as suppliers, representatives, consultants, and agents. Companies that violate the FCPA and Bribery Act may be subject to extensive financial penalties. Individual officers, directors, employees, marketing representatives, consultants, suppliers or agents found to have willfully violated the FCPA, Bribery Act or other local anti-corruption law may be fined and imprisoned for such violations.

Check only one box
Supplier is a U.S. Company operating in the United States only
Supplier is a U.S. or Foreign (non-U.S.) Company and operates partially or exclusively outside the United States

By entering my name electronically, I hereby authorize that all information provided in this document is correct to the best of my knowledge

Section VII: Anti-Kickback Certification
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The Offeror hereby certifies that it has not proposed, offered, or given any kickback to any employee of L3Harris and that it will not do so in the future.

By entering my name electronically, I hereby authorize that all information provided in this document is correct to the best of my knowledge

Section VIII: Certification
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As a duly authorized representative of the company denoted below, I certify the accuracy of all statements herein, acknowledge an awareness of the U.S. Government’s contracting and subcontracting programs and confirm that our company will comply with all statements herein.

I understand that this certification shall apply to all requests for quotations, requests for proposals, purchase orders or subcontracts received from L3Harris and understand that I am responsible for notifying L3Harris of any changes in status affecting this certification.

I further acknowledge that where information must be exchanged between our company and L3Harris, regardless of the media or method used to exchange information, we shall preserve in confidence L3Harris information and shall, unless otherwise authorized in writing by an authorized agent of L3Harris, prevent disclosure to third parties. We shall further restrict disclosure of L3Harris information to our employees on a need to know basis and will advise the restrictions of disclosure and use. If we determine an unauthorized use or disclosure of L3Harris information, we shall promptly notify L3Harris of the disclosure and shall endeavor to prevent further unauthorized use or disclosure.

By entering my name electronically, I hereby certify that all information provided herein is current, accurate, and complete; and applies to any gap in time between submittal.

Date Submitted To L3Harris
(mm/dd/yyyy)
Review and Complete
Additional Documentation
AttachmentDate
Precision Associates, Inc. ISO Cert.pdf    7/1/2021
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