Attachment J-14 - Small Business Certification - Letter of Intent - Revised Version 1 - Final.pdf

RFP Number: 69319524R000001 Revised Version 1

Attachment J-14 Small Business Certification –

Letter of Intent

Attachment- J-14 - Small Business Certification – Letter of Intent

Name of prime offeror’s firm:

Address:

City: State: Zip:

Telephone: Email:

Name of Small Business firm (subcontractor only):

Address:

City: State: Zip:

Telephone: Email:

The undersigned offeror has satisfied the requirements of the specification in the following manner (please check the appropriate space):

(Please Check)

☐ The offer has an active registration in the System for Award Management (SAM) on-line registrant database for the U.S. Federal Government (note: registration on the SAM is required to be considered in this IFB/RFP).

Registered NAICS CODE:

Type of Small Business Firm: (please select all that apply)

☐ SBA Certified 8A Program

Participant

☐ SBA Certified HUB Zone

Firm

☐ SBA Certified Small

Disadvantaged Business

☐ Self-Certified Small

Disadvantaged Business

☐ Service Disabled Veteran

Owned

☐ AbilityOne (formerly JWOD)

Non-Profit Agency

☐ Veteran Owned Business ☐Woman Owned Business ☐Women-Owned Small

Business (WOSB)

☐ Economically

Disadvantaged Women- Owned Small Business

(EDWOSB)

Affirmation

The above-named small business firm certifies that it has completed the small business application process on (date)________________as stated in stated in section L.23 Proposal Preparation Instructions (page number 154) of the solicitation.

By: ________________________________________ ___________________________

(Authorized Signature) Title

(Submit this page for each Small Business subcontractor and for offeror also, if a registered small business.)

RFP Number: 69319524R000001