Attachment 3 - Offeror Information and Certification.pdf

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Attached to
Portable Aircraft Rescue Fire Fighting (ARFF) Live Fire BPA REAQ
Solicitation number
FA485526Q0047
Issued by

About this file

This is an Offeror Information & Certification form template used in federal contract solicitations to collect company and submission information from bidders. The form requires offerors to provide basic company identification data including company name, CAGE code, UEI number, number of employees, and total yearly revenue. The employee count and revenue information are specifically designated as required to determine the business size classification under the relevant NAICS code for the solicitation.

The form includes a checklist for offerors to indicate 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 the document or maintained in the System for Award Management (SAM) at sam.gov, and confirm their registration status in SAM. The form concludes with a signature block where an authorized company representative certifies that they have the authority to legally bind the company, submit the offer, and acknowledge receipt of all solicitation addendums. The document is a blank template with blank lines for completion by offerors.

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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

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Check Box6: Off
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Group9: Off
Group10: Off
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Date11_af_date:
Check Box8: Off
Check Box9: Off

File details come from the government source that posted it. Updated .