Attachment 3 - Offeror Information and Certification.pdf

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

The form requires offerors to provide company identification information including company name, CAGE code, and UEI number, along with business size data consisting of the number of employees and total yearly revenue necessary to determine business size classification under the applicable NAICS code for the solicitation. Offerors must indicate which documents are included in their submission by checking boxes for the technical offer, price proposal worksheet, offeror information document, and conflict of interest statement. The form specifies whether representations and certifications are attached 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 agent signing the form must certify they have the authority to legally bind the company and must acknowledge receipt of all addendums issued for the solicitation. The form requires the signature, date, printed name, and title of the authorized agent executing the certification.