Attachment 3 Offeror Information and Certification.pdf

This is an Offeror Information & Certification form template used in federal solicitations to collect company data and verify offer completeness. Offerors must provide their Company Name, CAGE Code, and UEI Number, along with the Number of Employees and Total Yearly Revenue—information required to determine business size classification under the relevant NAICS code for the solicitation. The form includes checkboxes for offerors to confirm inclusion of required documents: the Technical Capability Offer, Price Proposal Worksheet, Offeror Information Document, and Conflict of Interest Statement.

The form requires offerors to indicate whether Representations and Certifications are attached directly or maintained in the System for Award Management (SAM) at https://sam.gov/, and to confirm their registration status in SAM. The authorized agent signing the form certifies that they have legal authority to bind the company, submit the offer on its behalf, and acknowledge receipt of all addendums issued for the solicitation. An authorized agent must provide their signature, printed name, title, and the submission date.