Contract Closeout Guide Enclosure 1: Contractor’s Certification – General Provisions – Template and Instructions
(The CO must include the following enclosure, as applicable, in the Contracting Officer’s Completion/Expiration Letter. Do not include this introductory paragraph or the attachment designation and title in the enclosure.)
CONTRACTOR’S CERTIFICATION – GENERAL PROVISIONS
Completion instructions: The Contractor shall specify the “contract number” and “contractor name” in the spaces provided and place an “x” or “√” in the appropriate block under each of the three items below. If any item is answered in the affirmative, provide one copy of the information required by the contract. The Contractor’s authorized business contact point shall then sign and date the certification below.
Contract Number: __________________________
Contractor Name: __________________________
1. NOTICE AND ASSISTANCE REGARDING PATENT/COPYRIGHT INFRINGEMENT:
a notice or claim of patent or copyright infringement based on the performance of the contract.
2. REPORTING OF ROYALTIES:
involve royalty payments in excess of $250.00.
3. PATENT RIGHTS:
an invention or discovery made by the Contractor or its employees as a result of performance under the contract.
In accordance with the terms and conditions of the cited contract, I hereby certify that the above information is true to the best of my knowledge as it pertains to the reports required by the contract.
CONTRACTOR REPRESENTATIVE NAME AND TITLE