Attachment 3 - Offeror Information and Certification.pdf
PDF 240 KB Posted
- Attached to
- Cannon AFB - 4625 Boiler
- Solicitation number
- FA485527Q0001
About this file
This is a template form for offeror information and certification used in federal contract solicitations. The form requires offerors to provide company identification details including company name, CAGE code, and UEI number, along with business size information such as number of employees and total yearly revenue. This data is 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 which 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 to this document or are contained in the System for Award Management (SAM) at https://sam.gov/, and confirm their registration status in SAM. The form concludes with a certification section requiring signature and date from an authorized company representative who can legally bind the organization. By signing, the representative certifies their authority to submit the offer on behalf of the company and acknowledges receipt of all addendums issued for the solicitation.
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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 .