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 submission.

The form requires offerors to provide company identification information including company name, CAGE Code, and UEI Number. Offerors must also supply business size data consisting of the number of employees and total yearly revenue, which are marked as required information needed to determine the business size classification under the applicable NAICS code for the solicitation. The form includes checkboxes for offerors to confirm which documents are included in 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 form or contained in the System for Award Management (SAM) at sam.gov, and whether they are registered in SAM. The form requires signature by an authorized agent with legal binding authority, who must print their name and title and provide the submission date. The signature certifies that the individual is authorized to represent the company and acknowledges receipt of all solicitation addendums issued.