Exhibit L - Offering Entity Acknowledgement Form.pdf

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X1DB--Additional Files - West Branch 36C25024R0209
Solicitation number
36C25024R0209
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About this file

This document is a Request for Lease Proposals (RLP) Offering Entity Acknowledgement form for Network Contracting Office 10, specifically RLP No. 36C25024R0209. The form serves as a template for offerors to provide certification that submitted information is accurate and will be used as a basis for proposal evaluation. Failure to complete required fields may result in a proposal being deemed nonresponsive.

The form requires offerors to submit standard identifying information including offering entity name, address, UEI number, tax identification number, and authorized official contact details (name, phone, email). Offerors must confirm whether the authorized official is listed in entity SAM representations and the entity operating agreement. The form includes a size status designation section requiring selection of one category: Service-Disabled Veteran-Owned Small Business (SDVOSB), Veteran-Owned Small Business (VOSB), Small Business (SB), or Large Business. For veteran-owned entities, certification of current verification in the Small Business Set-Aside (SBS) database is required. The form concludes with signature and date fields for the offering entity's point of contact. This is a template document used in the proposal submission process rather than a solicitation outlining specific products, services, or contract terms.

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Text version

REQUEST FOR LEASE NETWORK CONTRACTING OFFICE 10

PROPOSALS (RLP) Exhibit: ____

Offering Entity Acknowledgement for RLP No.: _______________________

The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: _______________________. Failure to provide the required information may result in your proposal being deemed non-responsive.

Offeror Information

Offering Entity Name: __________________________________ Address: __________________________________ Offering Entity UEI Number: ________________________ Offering Entity Tax Identification No.: ________________________ Authorized Official Name: ________________________ Authorized Official Phone Number: ________________________ Authorized Official E-mail: ________________________ Authorized Official is Listed in Entity SAM Representations: Yes No Authorized Official is Listed in Entity Operating Agreement: Yes No

Date of Submission: ________________________ Time Specified for Receipt of Offers: ________________________

Offering Entity/Prime Contractor Size Status: SDVOSB

VOSB

SB

LARGE BUSINESS

Offering Entity Currently Verified in SBS **This block only pertains to offerors who are Service-Disabled Veteran-Owned Small Businesses or Veteran-Owned Small Businesses.

Offering Entity POC Signature Date

Offering Entity POC Name

Exhibit: L
Offering Entity Tax Identification No 1:
Offering Entity Tax Identification No 2:
Authorized Official Phone Number 1:
Authorized Official Phone Number 2:
Time Specified for Receipt of Offers:
VOSB: Off
SB: Off
LARGE BUSINESS: Off
Offering Entity Currently Verified in VetBiz: Off
Offering Entity POC Name:
RLP: 36C25024R0209
Name:
Address:
UEI No:
Date:
SDVOSB: Off
Yes1: Off
Yes2: Off
No2: Off
No1: Off

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