Attachment 004 - Barracks Maintenance - Affirmation of Business Status Certification.pdf
PDF 133 KB Posted
- Attached to
- Barracks Maintenance OTA
- Solicitation number
- W91248-26-R-0040
About this file
This is a Business Status Certification form that requires every significant participating entity in a federal procurement to complete and certify their business classification status. The form requires entities to provide standard business identification information including legal entity name, proposed NAICS code, industry size standard (Small/Large/Foreign), UEI number, CAGE code, tax identification number, SAM registration status with expiration date, and complete address and point of contact details.
The entity must certify its status by selecting one of five business classifications: Nontraditional Defense Contractor (NDC) as defined in 10 U.S.C. § 3014, which has not performed DoD contracts subject to full cost accounting standards coverage within the preceding year; Nonprofit Research Institution (NRI) as defined in 40 C.F.R. § 262.200, organized exclusively for scientific or educational purposes and filed under 26 U.S.C. 501(c)(3); Small Business Contractor (SB) as defined in 15 U.S.C. § 632, independently owned and not dominant in its field; Traditional Defense Contractor (TDC), subdivided into TDC Small Business or TDC Large Business; or Other (Self-Identify) for entities not covered by the above categories. A signatory authorized to represent the entity must certify under penalty of perjury that all representations are accurate and true, with electronic signatures carrying the same legal weight as written signatures.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_005_ArMA_Barracks_Historicals_3year(JUL23-26)Rev2.xlsx | XLSX spreadsheet | |
| Attachment 003 - Barrack Maintenance - Terms and Conditions_Rev 1.docx | DOCX document | |
| Questions and Answers - W91248-26-R-0040 Barracks Maintenance (Final).docx | DOCX document | |
| W91248-26-R-0040_Barracks Maintenance_RPP_Rev 01.docx | DOCX document | |
| Annual Camera Permit Template.docx | DOCX document | |
| Attachment 001 - Barracks Maint SOO Rev02.docx | DOCX document | |
| Attachment 005 - ArMA Barracks Historicals 3year(JUL23-26)Rev1.xlsx | XLSX spreadsheet | |
| Attachment 002 - Barracks Maintenance Apendix A.docx | DOCX document | |
| Attachment 007 - FCI to ISR Facility Summary.xlsx | XLSX spreadsheet | |
| W91248-26-R-0040_Barracks Maintenance_RPP.docx | DOCX document | |
| Attachment 006 - OTA Barracks Maintenance Site Plan.pptx | PPTX presentation | |
| Attachment 003 - Barrack Maintenance - Terms and Conditions.docx | DOCX document |
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Text version
ATTACHMENT 004: AFFIRMATION OF BUSINESS STATUS CERTIFICATION
May 5, 2026 Page 1 of 2
Every significant participating entity shall complete the following table and provide a signature representing its certification.
Legal Entity Name
Proposed NAICS Code
Industry Size Standard (Small/Large/Foreign)
UEI Number
CAGE Code
Tax Identification
Active SAM Registration ☐ Yes ☐ No Expiration Date:
Address 1
Address 2
City/State/Zip
POC Name/Title
POC Phone/e-mail
The Entity named above represents that it is (check one of the following boxes):
A Nontraditional Defense Contractor (NDC) – As defined in 10 U.S.C. § 3014, is an entity that is not currently performing and has not performed, for at least the one-year period preceding the solicitation of sources by DoD for the procurement or transaction, any contract or subcontract for the DoD that is subject to full coverage under the cost accounting standards prescribed pursuant to section 1502 of title 41 and the regulations implementing such section.
A Nonprofit Research Institution (NRI) – As defined in 40 C.F.R. § 262.200, is an organization that conducts research as its primary function and files as a non-profit organization under the tax code of 26 U.S.C. 501(c)(3). Additionally, it means an organization owned and operated exclusively for scientific or educational purposes, no part of the net earnings of which, inures to the benefit of any private shareholder or individual; and includes federally funded research and development centers, as identified by the National Scientific Foundation.
ATTACHMENT 003: AFFIRMATION OF BUSINESS STATUS CERTIFICATION
May 5, 2026 Page 2 of 2
A Small Business Contractor (SB) – As defined in 15 U.S.C. § 632, small business concern is an enterprise that is deemed to be one that is independently owned and operated, and is not dominant in its field of operation based on the appropriate standards, utilizing the number of employees, dollar volume of business, net worth, net income, a combination thereof, or other appropriate factors.
A Traditional Defense Contractor (TDC) – A TDC is an entity that does not meet the definition of a NDC, as defined in 10 U.S.C. § 3014. (Check one of the following)
☐ TDC – Small Business
☐ TDC – Large Business
Other (Self-Identify) – For entities not covered above. Please specify.
The undersigned hereby certifies that the representations made herein are accurate and true regarding the entity identified above. I authorize my electronic signature to carry the same weight and legal effect as my written signature.
Signature
Name
Title
Date
File details come from the government source that posted it. Updated .