Attachment 3 - Offeror Information and Certification.pdf

This is an Offeror Information and Certification form template used in federal contract solicitations to collect company data and obtain authorized signatures from offerors submitting proposals.

The form requires offerors to provide basic company identification information including Company Name, Cage Code, and UEI Number. It also mandates collection of the Number of Employees and Total Yearly Revenue, which are specifically noted as information required to determine business size under the applicable NAICS code for the solicitation. The form includes checkboxes for offerors to confirm which documents are included in their submission: Offer (Technical Capability), Price Proposal Worksheet, Offeror Information Document, and Conflict of Interest Statement. Offerors must indicate whether their Representations and Certifications are attached directly to this document 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 signature block where an authorized company representative certifies their authority to legally bind the company, submits the offeror on behalf of the company, and acknowledges receipt of all solicitation addendums. The authorized agent must provide their printed name, title, signature, and the date of submission.