Attachment 3 - Offeror Information and Certification (1).pdf

This document is a form template for collecting offeror information and certifications in a federal solicitation process.

The form requires offerors to provide company identification details including Company Name, CAGE Code, and UEI Number, along with business size information (Number of Employees and Total Yearly Revenue) necessary to determine the offeror's size classification under the applicable NAICS code for the solicitation. Offerors must indicate which documents are included in their submission by checking boxes for the Offer (Technical Capability), Price Proposal Worksheet, Offeror Information Document, and Conflict of Interest Statement. The form also requires offerors to specify whether their Representations and Certifications are attached to the submission or maintained in the System for Award Management (SAM) at https://sam.gov/, and to confirm their registration status in SAM. An authorized company representative must sign and date the form, certifying their authority to legally bind the company and submit the offer on its behalf. The signature also serves as acknowledgment of receipt of any addendums issued for the solicitation. The form includes blank spaces for the authorized agent's printed name and title.