Self-Certification Form - Army Contracting Command

Army Contracting Command

DFARS 252.245-7005 (Management of Reporting of Government Property) Acknowledgement
This property, assets auctioned by this seller on behalf of the United States Army Contracting Command, is subject to the rules within DFARS 252.245-7005 (Management of Reporting of Government Property). To review the regulation, please click here.

The rules within DFARS 252.245-7005 (Management of Reporting of Government Property), more specifically, clause 1 (Restrictions on purchase or retention of Contractor inventory), restrict this property being sold to any person or that person's agent, employee, or household member if that person:

(1) Is a civilian employee of DoD or the U.S. Coast Guard;

(2) Is a member of the Armed Forces of the United States, including the U.S. Coast Guard; or

(3) Has any functional or supervisory responsibilities for or within DoD's property disposal, disposition, or plant clearance programs or for the disposal of contractor inventory.
What is your Full Name?*
What is your username?*
Note: This is what you use to login to GovDeals.com or AllSurplus.com.
What is your e-mail address?*
How many LOT numbers did you purchase?*
Note: If you purchased 6 (six) or more lots, please complete one submission for the first 5 (five), and then a second submission for the others.
FIRST LOT:
Example: If your LOT # is 28943-5, input 28943-0005
SECOND LOT:
Example: If your LOT # is 28943-6, input 28943-0006
THIRD LOT:
Example: If your LOT # is 28943-7, input 28943-0007
FOURTH LOT:
Example: If your LOT # is 28943-8, input 28943-0008
FIFTH LOT:
Example: If your LOT # is 28943-9, input 28943-0009
By signing this form, you certify that you do not meet the criteria listed in 1, 2, or 3 above. Providing false information will void the sale and may subject the person making the false statement to criminal penalties.
Your Signature:*

Clear
Date acknowledged:*

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