Attachment 3 - Offeror Information and Certification.pdf
PDF 262 KB Posted
- Solicitation number
- FA485526Q0053
About this file
This is a federal contracting form template for offeror information and certification submission. 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 appropriate NAICS classification for the solicitation. Offerors must confirm which supporting documents are included with their submission: technical capability offer, price proposal worksheet, offeror information document, and conflict of interest statement.
The form directs offerors to indicate whether representations and certifications are attached directly to the submission or maintained in the System for Award Management (SAM) at https://sam.gov/, and requires confirmation of SAM registration status. The authorized company representative must sign and date the form, certifying that they have legal authority to bind the company and that they acknowledge receipt of all solicitation addendums. This is a template document without specific product/service requirements, response dates, or pricing terms.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .