ATTACHMENT C- SOCIOECONOMICS DESIGNATIONS PDF VERSION.pdf
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This is a federal contracting form used for declaring an offeror's socioeconomic status and certifications. The form requires the offeror to provide their business name and SAM UEI number, then check all applicable small business designations and socioeconomic certifications that accurately represent their company status. The five certification categories available for selection are: Small Business, 8(a) Small Business, HUBZone Small Business, Service-Disabled Veteran Owned Small Business, and Women-Owned Small Business. The form must be signed by an authorized representative with their printed name and the date of certification.
This is a template form with no specific contract details, products, services, response dates, or award information. It serves as a standardized declaration mechanism for offerors to self-certify their eligibility for federal small business set-asides and socioeconomic preference programs during the proposal submission process.
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ATTACHMENT C
OFFEROR SOCIOECONOMIC DESIGNATIONS DECLARATIONS
Offeror Name: ________________________________
SAM UEI# __________________________________
Small Business/Socioeconomic Designations/Certifications (Check ALL that apply):
___ Small Business
___ 8(a) Small Business
___ HUBZone Small Business
___ Service-Disabled Veteran Owned Small Business
___ Women-Owned Small Business
Signed By: ________________________________
Print Name: ________________________________
Date: ________________________________
File details come from the government source that posted it. Updated .