Attachment 3 - Offeror Information and Certification.pdf
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- Attached to
- 27 SOSS TITAN BUNKABLE BEDS
- Solicitation number
- FA485526Q0084
About this file
Attachment 3 is an Offeror Information & Certification form 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 metrics of Number of Employees and Total Yearly Revenue, which are necessary to determine business size classification under the applicable NAICS code for the solicitation. Offerors must indicate which documents are included with their offer by checking boxes for: Offer (Technical Capability), Price Proposal Worksheet, Offeror Information Document, and Conflict of Interest Statement. The form requires offerors to specify whether their Representations and Certifications are attached to the document or contained in the System for Award Management (SAM) at https://sam.gov/, and to confirm their SAM registration status. The authorized company representative must sign and date the certification, acknowledging their legal authority to bind the company and confirming receipt of all solicitation addendums. The printed name and title of the authorized agent must also be provided on the form.
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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
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| Check Box6: Off |
| Check Box7: Off |
| Group9: Off |
| Group10: Off |
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| Date11_af_date: |
| Check Box8: Off |
| Check Box9: Off |
File details come from the government source that posted it. Updated .