Completing the Electronic Annual Certifications & Representations Survey: Supplier Guidance
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1 UTC Completing the Electronic Annual Certifications & Representations Survey: Supplier Guidance Name: Supplier Guidance: Completing the Electronic Annual Certifications & Representations Survey Owner: UTC Compliance Revision: #3 Date: January 23,
2 Table of Contents 1) Introduction 2) UTC Supplier Portal Survey Application 3) List of referenced regulatory, FAR & DFARS 4) Advance preparation required uploads 5) Section by section form information - 2 -
3 1) Introduction: The Annual Certifications and Representations is collected annually from all UTC suppliers in compliance with regulatory, public law, FAR and DFAR requirements. All Suppliers are required to respond to all the required fields of this certification as the regulatory, public laws, FAR and DFARS apply to their business. This document is your company certification that specific obligations under individual purchase orders will be met. Certain of these requirements are invoked by dollar thresholds, contract type, or other conditions of the purchase order. All regulatory, FAR and DFARS references are provided below. It is recommended that your company understand the requirements prior to completing this electronic form. The electronic collection of this information will allow for consistency of the process for all Quality Approved US Domestic Suppliers. The electronic collection will allow all UTC business units to access the document which will be retained centrally. This means that the supplier will only need to complete their Certifications and Representations once annually. Suppliers who have specific questions should contact their UTC Business Unit Buyers IT IS RECOMMENDED THAT ALL SUPPLIERS REVIEW THIS GUIDANCE TO ENSURE SUCCESSFUL SUBMISSION. It is further recommended that this Certifications & Representations be completed by an individual of the company who is familiar with the completion of the company annual representations and certification to the United States Government electronically via the System for Award Management (SAM) Web site accessed through as required under FAR 4.12 Representations and Certifications and Offeror Representations and Certifications -- Commercial Items. Please note that our form includes additional elements as required by United Technologies and its operating units. The full Federal Acquisition Regulation (FAR) and Defense Federal Acquisition Regulation Supplement (DFARS) clause sections can be accessed from
4 2) UTC Supplier Portal Survey Application A) Registration Process: The process begins when the supplier Location Administrator receives an invitation to complete their Certs & Reps Survey on the UTC Supplier Portal. Need Support? Please Please provide your SL ID (Supplier Location ID see page 12). Please specify that your issue is related to the Certs & Reps application for the new Supplier Portal at Suppliers.utc.com - 4 -
5 The Supplier Location Administrator will review the Terms and Conditions Step 1 Read Acknowledge Continue - 5 -
6 Location Administrator Registration: 2 Name, Contact Information User Preferences Continue - 6 -
7 Location Registration: 3 Password Challenge questions Continue - 7 -
8 Registration Confirmation Continue to Supplier Portal Log In Screen - 8 -
9 B) Login screen after registration: Need Support? Please Please provide your SL ID (Supplier Location ID see page 12). Please specify that your issue is related to the Certs & Reps application for the new Supplier Portal at Suppliers.utc.com Location:
10 Forgot Password Gain access:
11 Certs and Reps Survey Site Location Home Page Edit your supplier location properties Entry for Certs & Reps application
12 - 12 -
13 - 13 -
14 Complete each Step Need Support? Please Please provide your SL ID (Supplier Location ID see page 12). Please specify that your issue is related to the Certs & Reps application for the new Supplier Portal at Suppliers.utc.com
15 Advance Preparation/ Required Uploads In advance of completing the survey the supplier will need to prepare in advance to ensure that all of the required uploads are available prior to the submission. If your business is located in a HUB Zone: The HUB Zone Certification received from the SBA is a required upload. If your business is certified as Minority Owned and Controlled: A NMSDC (National Minority Supplier Development Council) Certification is a required upload. A. List of Supplier Information Type of Business Country of Legal Entity Incorporation US owned Yes/No If Yes Incorporated under the laws of which state Year Founded Congressional District Fiscal Year End
16 List of Referenced Regulatory, FAR and DFARS referenced on survey: B. Business Size: 18 U.S.C Under 15 U.S.C. 645 (D), any person who misrepresents a firm's status as established pursuant to Sections 8(a), 8(d), 9 or 15 of the Small Business Act or any other provision of the Federal Law that specifically references Section 8(d) for a definition of program eligibility, shall (1) be punished by the imposition of fine, imprisonment, or be ineligible for participation in programs conducted under the authority of the act. Upload for State and NMSDC Certifications / please have PDF copy available Upload for HUB Zone Certification Letter / please have PDF copy available C. Certificate of Independent Price Determination (FAR ) No entry required, your signature on this certification indicates that your company is compliant with this clause. D. Federal Funding Accountability and Transparency Act of 2006 (Pub L ) (FAR ) If No is selected for Question 1, no other information is required. If Yes is selected for Question 1, question 2 will appear. If Yes is selected for Question 2 no other information is required. If No is selected for Question 2 a drop down will appear and completion of information is required. E. Affirmative Action Compliance (FAR ) Acknowledgment that your company HAS or DOES NOT HAVE an Affirmative Action Program. If NOT, acknowledgment that your company has not had previous contracts subject to FAR F. Equal Opportunity (FAR ) Yes / No response required G. Equal Opportunity for Disabled Veterans and Veterans of The Vietnam Era (FAR ) Acknowledgment that your company HAS or Does Not Have Yes / No response required
17 H. Affirmative Action for Workers with Disabilities (FAR ) Acknowledgment that your company HAS or Does Not Have Yes / No response required I. Previous Contracts and Compliance Reports (FAR ) Acknowledgment that your company HAS or DOES NOT participated in contracts that are subject to FAR If HAS, acknowledgment that your company has filed all required compliance reports. If NOT Applicable, an Exemption selection is provided. J. Preference for Domestic Specialty Metals (DFARS ) Do you comply with DFARS Yes or No? If No a reason drop down is provided. K. Union Contract information Acknowledgment that your company HAS or DOES NOT HAVE a Union. If Yes, Provide Union Name and Contract Expiration Date MM/DD/YY. L. Report of Performance Outside of the United States (DFARS ) No entry required, your signature on this certification indicates that your company would be compliant with this clause if it applied to your business. M. Suspended or Debarred Certification (FAR ) Acknowledgment your company IS or IS NOT presently debarred or ineligible for contract award by US Government Agencies. N. Certification Regarding Responsibility Matters (FAR ) Acknowledgment that your company HAS or HAS NOT been convicted of or had a civil judgment. Acknowledgment that your company IS or IS NOT presently indicted for or criminally or civilly charged. Acknowledgment that your company HAS or HAS NOT within a three year period preceding this certification been notified of Delinquent Federal Taxes. O. Subcontractor (Supplier) Code of Business Ethics (FAR ) Acknowledgment that your company HAS or DOES NOT HAVE an Ethics Program
18 P. Directorate of Defense Trade Controls Registration; Export Compliance Acknowledgment that your company manufactures defense articles listed on the United States Munitions List. YES or NO. If YES, your company s registrations start and end dates MM/DD/YYYY are required. Supplier or its Parent acknowledgment that they ARE or ARE NOT registered with DDTC. Acknowledgment that you employ Foreign Nationals: YES or NO. If YES, Acknowledgment that you have a License in place to authorize access. Acknowledgment that your company utilizes technical date: YES or NO. If YES acknowledgment that your company has a Technology Control Plan: YES or NO. Q. Payments to Influence Certain Federal Transactions (FAR ) No entry required, your signature on this certification indicates that your company would be compliant with this clause if it applied to your business. R. Payments of Fees, Commissions or Political Contributions to Foreign Countries 22 CFR AND No entry required, your signature on this certification indicates that your company would be compliant with this clause if it applied to your business. S. Buy American Act-Trade Agreements (FAR , DFARS ) Acknowledgment that your company DOES or DOES NOT certify compliance with the FAR. T. Representation of Transportation by Air or Sea (FAR , DFARS ) No entry required, your signature on this certification indicates that your company would be compliant with this clause if it applied to your business. U. HS14722 Controlled Materials for Procured Parts (Available on the SCM Portal) Certification of Toxic Chemical Release Reporting (FAR ) Acknowledgment of compliance to the FAR, Or, Acknowledgment of exemption to the FAR. V. Customs Administration C-TPAT Acknowledgment that your company participates in a supply chain security program: YES or NO. IF YES, provide the name of the security program
19 W. Aerospace Insurance as per UTC Standard Terms & Conditions Sec. 22. Supplier must complete the Supplier Limits and Policy Number fields provided. Mark N/A for the policy number in categories that do not apply. If your company has a fully executed Long Term Agreement: List the agreement number in the field provided. X. Certification Regarding Knowledge of Child Labor for Listed End Products (FAR ) Select One: WILL NOT SUPPLY MAY SUPPLY, includes a certification statement of your companies good faith effort to determine whether forced or indentured child labor was used. Y. Safeguarding of Covered Defense Information (DFARS ) Nov 2013) Supplier Understands and is compliant Yes/ No Z. Prohibition of Segregated Facilities (FAR ) No entry required, your signature on this certification indicates that your company would be compliant with this clause if it applied to your business. AA. Employment Reports on Disabled Veterans and Veterans of the Vietnam Era (FAR )1 No entry required, your signature on this certification indicates that your company would be compliant with this clause if it applied to your business. AB. Certification Regarding Trafficking in Persons ( ) If applicable per the clause requirements The supplier will certify that they will not engage in any trafficking of persons Supplier has hiring policies to protect the rights of its employees Has notified its employees of the responsibility to report trafficking in persons violations. AC. Business Specific Questions All Yes / No questions except where described Does your Company perform any FAA repairs, overhauls, modification or inspections as defined in CFR Title 14. Part 145 either as a FAA approved repair station or under contract from a FAA approved repair station. Is your company an FAA approved Repair Station Please provide the date the certification was issued or renewed Date entry required Please identify the type of repairs the station is rated to perform Description of repairs required Do you perform maintenance repairs, overhauls modification
20 Final Signature Must be completed by an Authorized Signer from the Supplier Location who is authorized to contractually commit the suppliers company
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