Attachment 3 - Offeror Information and Certification.pdf
PDF 262 KB Posted
- Attached to
- FA485526Q0027 - Building 1265 Boiler Replacement
- Solicitation number
- FA485526Q0027
About this file
This is a template form for offeror information and certification required as part of a federal contract solicitation response.
The form requires offerors to provide company identification information including company name, CAGE code, and UEI number. Offerors must also supply business size information consisting of number of employees and total yearly revenue, which are marked as required to determine size classification under the applicable NAICS code for the solicitation. The form includes checkboxes for offerors to confirm inclusion of standard proposal documents: technical capability offer, price proposal worksheet, offeror information document, and conflict of interest statement. Offerors must indicate whether representations and certifications are attached to the submission or maintained in the System for Award Management (SAM) at sam.gov, and must confirm their registration status in SAM. The form concludes with a certification statement and signature block requiring an authorized company representative to sign and date the submission, with the signatory certifying authority to legally bind the company and acknowledging receipt of all solicitation addendums.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .