Attachment 3 - Offeror Information and Certification.pdf

This is an Offeror Information and Certification form template used in federal solicitations to collect essential company data and obtain authorized signatures for contract proposal submissions.

The form requires offerors to provide company identification information including Company Name, CAGE Code, and UEI Number, along with business size metrics (Number of Employees and Total Yearly Revenue) necessary to determine size classification under the applicable NAICS code for the solicitation. The form includes checkboxes for offerors to confirm which proposal documents are included with their submission: Offer (Technical Capability), Price Proposal Worksheet, Offeror Information Document, and Conflict of Interest Statement. Offerors must indicate whether Representations and Certifications are attached to the form or contained in the System for Award Management (SAM) at https://sam.gov/, and confirm their SAM registration status. The form concludes with a certification statement requiring an authorized agent's signature and printed name/title, whereby the signatory attests to having legal authority to bind the company, submits the offer on the company's behalf, and acknowledges receipt of all solicitation addendums. This is a template document without specific products, services, pricing terms, response dates, or award information.