Attachment 3 - Offeror Information and Certification.pdf

This is an offeror information and certification form that serves as a required submission document for federal contract proposals. Offerors must complete company identification fields including Company Name, CAGE Code, and UEI Number, and provide business size information including the number of employees and total yearly revenue to determine eligibility under the applicable NAICS code for the solicitation.

The form includes checkboxes for offerors to confirm which required documents are included in their submission: 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 directly to this document or maintained in the System for Award Management (SAM) at https://sam.gov/, and confirm their registration status in SAM. The form concludes with a certification statement requiring signature from an authorized company representative who can legally bind the organization, with the signatory also acknowledging receipt of all solicitation addendums. The authorized agent must print their name and title alongside the signature and date.