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36C10F27R0003 Appendix L-01

OFFEROR COMPANY INFORMATION

Company Name:

Address:

CAGE Code:

Unique Entity Identifier (UEI):

Taxpayer Identification Number (TIN):

SAM.Gov Registration Expiration Date:

VetCert Certification Expiration Date (SDVOSB only):

Proposal Validity Statement:

Teaming Arrangements
☐ Yes ☐ No

Contracting POC:

Name Email Phone Number

Technical POC:

Name

Person(s) Authorized to Obligate the Company:
Name
Business Size/Designation:
☐ Large ☐ Small☐ SDVOSB

If small, other socio-economic designation(s):

☐ SDB ☐ WOSB ☐ HUBZone ☐ 8(a) ☐ VOSB

Banking Information:
Entity Name

Address

POC

Email Address

Surety Information:
Entity Name

Address

POC

E-mail Address

Appendix L-01

File details come from the government source that posted it. Updated .