Attachment 3 - Offeror Information and Certification..pdf

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Attached to
Paint Booth Filters
Solicitation number
FA485526Q0056
Issued by

About this file

This is an Offeror Information and Certification form that serves as a required submission document for federal contract proposals.

The form requires offerors to provide company identification information including Company Name, CAGE Code, and UEI Number, along with business size data consisting of Number of Employees and Total Yearly Revenue. This business size information is necessary to determine the appropriate NAICS classification for the solicitation. The form includes checkboxes for offerors to confirm which documents are included with their offer: the Technical Capability Offer, Price Proposal Worksheet, Offeror Information Document, and Conflict of Interest Statement. Offerors must indicate whether their Representations and Certifications are attached to the submission or contained in the System for Award Management (SAM) at https://sam.gov/, and must confirm their registration status in SAM. The form concludes with a certification section where an authorized company representative must sign and date the document, acknowledging their legal authority to bind the company and confirming receipt of all solicitation addendums. The signatory must print their name and title on the form.

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Text version

Attachment 3 – Offeror Information & Certification

Company Name:

Cage Code:

UEI Number:

*Number of Employees:

*Total Yearly Revenue:

*Information Required to determine size of business for the NAICS for this solicitation.

This offer includes the following documents:

☐ Offer (Technical Capability) ☐ Price Proposal Worksheet ☐ Offeror Information Document ☐ Conflict of Interest Statement

Representations and Certifications are ☐ attached to this document OR ☐ are contained in the System for Award Management (SAM) located at https://sam.gov/.

Offeror confirms that it ☐ IS ☐ IS NOT registered in the System for Award Management.

By providing my signature I, the undersigned, certify that I am an individual who has the authority to sign for and legally bind the Company and hereby submit this offeror for the Company. My signature also acknowledges receipt of any and all addendums issued for this solicitation.

Signature Date

Printed Name and Title of Authorized Agent https://sam.gov/content/home

Text1:
Text2:
Text3:
Text4:
Text5:
Check Box6: Off
Check Box7: Off
Group9: Off
Group10: Off
Text10:
Date11_af_date:
Check Box8: Off
Check Box9: Off

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