Attachment 2 - Offeror's Information Page - Aircraft Charter Services - District of Alaska.doc

ATTACHMENT #2 – OFFEROR’S INFORMATION PAGE – RFQ # DJMS-10-Q-0242

Offeror’s Name (include ‘Doing Business As’ (DBA) and/or ‘Limited Liability Corporation’ (LLC) if applicable):

Offeror’s Address:

Offeror’s Email /Website:

Phone Number:

Cell Phone Number:

Fax Number:

Dun’s Number:

Federal Tax I.D. Number:

CAGE / NCAGE Number:

Name on FAA Certificate:

FAA Certificate Number:

Business Size (check all that apply):

_____ Small Business

_____ Small Disadvantaged Business

_____ Woman-Owned Small Business

_____ Veteran-Owned Small Business

_____ Service-Disabled Veteran-Owned Small Business

_____ 8(a) Certified Small Business

_____ HUBZone Firm

_____ Large Business

I, ______________________________________________, represent that, to the best of my knowledge and belief, the information included in my offer is complete, accurate, and true.

Signature

Date