Long Term Contracting (LTC)

Long Term Contracting System

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MLTC740J

Certification for MCD6/061, MOZZARELLA CHEESE
** Please answer all the certification questions before submitting the bid.

Projected CCR Status at Bid Open: Inactive Corporate DUNS #: 000000000-0000 CCR Expiration Date :
For this bid you are designated as : LARGE BUSINESS
**If this is not correct, Please select the appropriate designation
01) Annual Representations and Certifications (FAR 52.204-8(b)): The offeror has completed the annual
representations and certifications electronically via the Online Representations and Certifications Application
(ORCA) website at http://orca.bpn.gov. (Continued in question 01A.)
01A) After reviewing the ORCA database information, the offeror verifies by submission of the offer that the
representations and certifications currently posted electronically have been entered or updated within the last 12
months, are current, accurate, complete, and applicable to this solicitation (including the business size standard
applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in
this offer by reference (see FAR 4.1201); except for the changes identified below (OFFEROR TO INSERT
CHANGES, IDENTIFYING CHANGE BY CLAUSE NUMBER, TITLE, AND DATE). These amended representation
(s) and/or certification(s) are also incorporated in this offer and are current, accurate, complete, as of this date of
this offer. Any changes provided by the offeror are applicable to this solicitation only, and do not result in an
update to the representations and certifications posted on ORCA. ENTER N/A IF THERE ARE NO CHANGES.

02) Amendments to Solicitation: If this solicitation is amended, then all terms and conditions which are not
modified remain unchanged. Offerors shall acknowledge receipt of any amendment to this solicitation by
identifying the amendment number and date in the space provided: (ENTER N/A IF NOT APPLICABLE.)

03) All USDA contracts with the offeror that have a Not-Later-Than date prior to this offer opening
Have been delivered

Have not been delivered

No previous contracts

04) The offeror certifies that the commercial-brand product to be delivered has a history of successful distribution
and use in domestic commercial channels, is sold on the commercial market, and has an established level of
consumer acceptance. Insert the commercial brand names(s) offered.

05) All nonmanufacturers must furnish to the Government, at the time of the offer, the name, address, phone
number, and business size (i.e., large or small) of the supplier. If the offeror is a manufacturer, insert N/A.

06) Insert name, title, fax number and telephone number(s) of person submitting the offer.

07) For quantity offered, list all plants offeror intends to use:

08) Name of Laboratory:

https://indianocean.sc.egov.usda.gov/Domestic/Main

2/14/2008