Attachment 3 - Offeror Information and Certification.pdf
PDF 262 KB Posted
- Attached to
- Car Wash Rack System Cannon AFB
- Solicitation number
- FA485526Q0017
About this file
This document is a template for Offeror Information and Certification, required as part of a federal contract solicitation submission.
Offerors must complete company identification fields including Company Name, CAGE Code, and UEI Number. Three asterisked fields require completion to determine business size under the applicable NAICS code: Number of Employees, and Total Yearly Revenue. The form includes checkboxes for offerors to confirm inclusion of required documents: Offer (Technical Capability), 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 SAM registration status. The authorized agent signing the form certifies that they possess the legal authority to bind the company and acknowledges receipt of all solicitation addendums. Signature, date, and printed name and title of the authorized agent are required fields.
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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: |
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| 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 .