Attachment 3 - Offeror Information and Certification.pdf

This is an Offeror Information and Certification form template used in federal solicitations to collect company identification and confirm submission of required offer documentation.

The form requires offerors to provide basic company information including legal name, Cage Code, Unique Entity Identifier (UEI) number, number of employees, and total yearly revenue. The employee count and revenue figures are specifically designated as information required to determine business size classification under the applicable North American Industry Classification System (NAICS) code for the solicitation. Offerors must indicate which documents are included in their submission 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 as a separate document or contained in the System for Award Management (SAM) at sam.gov, and to confirm their registration status in SAM. The authorized company representative must sign and date the form, certifying that they have legal authority to bind the company and acknowledging receipt of all solicitation addendums. This template serves as a standardized checklist and legal certification mechanism for federal contract submissions.