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U.S. STALSERVICE Pec�C Of
<br /> Y�,1[S POST,�
<br /> Z � � REPRESENTATIONS AND CERTIFICATIONS
<br /> J LL1Wal n
<br /> .. . .. (Business DataJ
<br /> Name and Address ot Of feror (No.and Street,Apt./Surte No.,City,County,State and ZlP Codel Solicitation or Order No.
<br /> I 1�1a,i,e.i.�1g Addne��5: C,i.ty v{� Onotlo BOx 6G Cny�,,�a„Q, Bay, ti4n. 55323
<br />� C�y o� Onv��o 1335 Bnow�1 Rd. So. Onano, M�nnel�o�a te of Ofier or o�de�
<br /> The U.S. Postal Service is Cooperating With Other Agencies of the Federal Government in the Collecting of Data Conceming Contract Awards.
<br /> The Offeror is Requested to Check the Appropriate Blockls) Contained on This Form.
<br /> NOTE: Of/e�s MUST set for[h full, accurate and complete information as required by this solicitation (including a[tachments). The penalty for
<br /> making false statements in offe�s is prescribed in 18 U.S.C. 1001.
<br /> Definitions
<br /> 1. SMALL BUSINESS CONCERN. A small business 4. LABOR SURPLUS AREA. A geographical area which
<br /> concern for the purposes of Postal Service procurement is a at the time of award is either a section of concentrated un-
<br /> concern, including its affiliates, which is independently employment or underemployment, a persistent labor
<br /> owned and operated, is not dominant in the field of operat- surplus area, or a substantial labor surplus area, as defined
<br /> ions in which it is submitting an offer, and is of a size in this paragraph.
<br /> consistent with the standards set forth by SBA in CFR Part (a) Section of concentrated unemployment or underem-
<br /> 121, or if no standard has been estabiished, then of a size ployment means appropriate sections of States or labor
<br /> employing not more than 500 employees. (Also see PCM areas so classified by the Secretary of Labor.
<br /> Section 1, Part 7.J (b) Persistent labor surplus area means an area which is
<br /> classified by the Department of Labor as an area of
<br /> substantial and persistent labor surplus (also called
<br /> 2. MINORITY BUSINESS ENTERPRISE. A minority Area ofSubstantialandPersistent Unemployment) and
<br /> business enterprise is a concern of which at least 51 percent is listed as such by that Department in conjunction
<br /> is owned by, and of which the management and daily with its publication Area Trends ui Entployn�ent and
<br /> business operations are controlled by, one or more mem- Unemployment.
<br /> bers of a minority group. (For the purpose of this defini- (c) Substantial labor surplus area means an area which is
<br /> tion, minority g�oup members are U.S. citizens who are classified by the Department of Labor as an area of
<br /> Black Ame�icans, Hispanic Americans, Native Ame�icans, substantial labor surplus (also called Area of Substan-
<br /> or Asian-Pacific Ame�icans. The term "Native Ameri- tral UnemploymeniJ and which is listed as such by
<br /> cans" means American lndians, Eskimos, Aleuts, or native that Department in conjunction with its publication
<br /> Havraiians. 'Asian-Pacific Ame�icans" means ihose whose Area Trends i�i Eniploynte�tt and U��enzploynte�tt.
<br /> o�igins are from Japan, China, the Philippines, Vietnain,
<br /> Ko�ea, Samoa, Guam, the U.S. Trust Territories of the 5. LABOR SURPLUS AREA CONCtRN. A firm which
<br /> Pacific, No�thern Marianas, Laos, Cambodia, or Taiwan.J will perform or cause to be performed a substantial pro-
<br /> portion of a contract in a labor surplus area.
<br /> 3. WOMAN-OWNED BUSINESS. A woman-owned busi- 6. EDUCATIONAL OR OTHER NONPROFIT ORGANI-
<br /> ness is a business which is at least 51 percent owned, con- ZATION. Any corporation, foundation, trust, or other in-
<br /> trolled, and operated by a woman or women. Controlled is stitution operated for scientific or educational pruposes,
<br /> defined as exercising the power to make policy decisions. noi organized for profit, no part of the net earnings of
<br /> Operated is defined as actively involved in the day-to-day which inures to the profit of any private shareholder or
<br /> management. individual.
<br /> Check as Many of the Following Blocks as are Applicable to the Entity Submitting This Offer
<br /> ����� Type of Business
<br /> (����k Type of Business
<br /> Labor Surplus Area Woman•Owned Business
<br /> Small Business ` Educational or Other Non-Profit Organization
<br /> Minority Business Enterprise None of the Above Apply to This Entity
<br /> Company Representative
<br /> "Printed Name and Title Signature
<br />��
<br /> (�.'a�2n R. Be�1,so�1, l�dm.<iti<,3�ic�o,`�
<br /> rS Fo�m 7319-C,,1;�ril 17�;3
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