Attachment 3 - Offeror Information and Certification.pdf

This is a template form for offeror information and certification required as part of a federal contract solicitation response.

The form requests basic company identification information including Company Name, CAGE Code, and UEI Number. Offerors must provide business size data marked as required to determine NAICS classification, specifically the Number of Employees and Total Yearly Revenue. The form includes checkboxes for offerors to confirm which documents are included with 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 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 signature block where an authorized company representative certifies their authority to legally bind the company, submits the offer, and acknowledges receipt of all solicitation addendums. The authorized agent must print their name and title along with providing a signature and date.