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 requires offerors to provide basic company identification information including company name, CAGE Code, and UEI Number. Offerors must also supply business size metrics—specifically the number of employees and total yearly revenue—as these data points are used to determine the company's size classification under the applicable NAICS code for the solicitation. The form includes a checklist for offerors to confirm which documents are included in their submission: the technical capability offer, price proposal worksheet, offeror information document, and conflict of interest statement. Additionally, offerors must indicate whether their representations and certifications are attached directly to this document or are maintained in the System for Award Management (SAM) at sam.gov, and they must confirm their registration status in SAM. The form concludes with a certification section requiring signature and date from an authorized company representative who has the legal authority to bind the company. The authorized agent's printed name and title must also be provided. By signing, the offeror certifies receipt of all addendums issued for the solicitation and submits the offer on behalf of the company.