Attachment 3 - Offeror Information and Certification.pdf

This is an Offeror Information & Certification form template used in federal contract solicitations to collect company data and obtain authorized certifications from bidders.

The form requires offerors to provide basic company information including company name, Cage Code, UEI Number, number of employees, and total yearly revenue. The employee count and revenue figures are specifically designated as information required to determine the business size classification under the applicable NAICS code for the solicitation. Offerors must indicate which documents are included with their submission: Offer (Technical Capability), Price Proposal Worksheet, Offeror Information Document, and Conflict of Interest Statement. The form allows 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 requires confirmation of SAM registration status. An authorized company representative must sign and date the form, certifying that they have authority to legally bind the company and acknowledging receipt of all solicitation addendums. The signature block includes spaces for the authorized agent's printed name and title.