Attachment 3 - Offeror Information and Certification.pdf

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Attached to
Motorcycle Safety Training
Solicitation number
FA485526Q0016
Issued by

About this file

This is an offeror information and certification form that serves as a required submission document for federal contract proposals. The form requests basic company identification information including company name, CAGE code, and UEI number, along with business size data comprising the number of employees and total yearly revenue—information necessary to determine the offeror's business size classification under the applicable NAICS code for the solicitation.

The form includes checkboxes for offerors to confirm inclusion of supporting documents: the technical capability offer, price proposal worksheet, offeror information document, and conflict of interest statement. Offerors must also indicate whether their representations and certifications are attached to the submission or maintained in the System for Award Management (SAM) at https://sam.gov/, and confirm their registration status in SAM. The form requires signature and date from an authorized company representative with legal binding authority, along with printed name and title. The signatory's signature constitutes certification of the offeror's submission and acknowledgment of receipt of all solicitation addendums issued.

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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 .