Attachment J-5 Reps and Certs Validation.pdf

Attachment J-5

Representation and Certification Validation

RFP Number: 15F06724R0000188

RFP Title: Enterprise Facility Operations and Maintenance (EFOM)

Contractor Name: ____________________________________________________

ATTESTATION

I, the undersigned, hereby certify that all representations and certifications provided in clauses included in Section K of this Request for Proposal (RFP) are accurate, current, and complete as of the date of this submission. I understand that these representations and certifications are incorporated by reference into any resultant contract and that any false, misleading, or incomplete statements may result in termination of the contract and other legal actions.

By signing this attestation, I affirm that:

The information provided in the Representations and Certifications (Section K) is true and correct to the best of my knowledge and belief as well as up-to-date in my SAM.gov registration.

I am authorized to make these representations and certifications on behalf of the company identified below.

The company identified below meets all the eligibility requirements set forth in the RFP and applicable Federal Acquisition Regulations (FAR). Any changes to these representations and certifications will be promptly reported to the contracting officer.

Authorized Signature: _______________________________________

Printed Name: ______________________________________________

Title: ______________________________________________________

Date: ______________________________________________________

Company Address: ___________________________________________

City, State, ZIP Code: ________________________________________

Contact Phone Number: _______________________________________

Contact Email Address: _______________________________________

UEI Number: _______________________________________

CAGE Code: _______________________________________