Exhibit L - Offering Entity Acknowledgement Form.pdf

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Attached to
X1AA--Annex-Pre-Proposal - Questions and Answers
Solicitation number
36C25025R0016
Issued by

About this file

This is a template for an Offering Entity Acknowledgement form used in a Request for Lease Proposals (RLP) solicitation issued by Network Contracting Office 10, identified as RLP No. 36C25025R0016. The form serves as an attestation that offerors provide accurate information for proposal evaluation purposes, with a warning that failure to provide required information may result in the proposal being deemed nonresponsive.

The form requires offerors to submit comprehensive company and authorized official information, including the offering entity name, address, UEI number, tax identification number, authorized official contact details, and confirmation of the official's registration in both the System for Award Management (SAM) Representations and the entity's operating agreement. Offerors must also declare their business size status by selecting one of four categories: Service-Disabled Veteran-Owned Small Business (SDVOSB), Veteran-Owned Small Business (VOSB), Small Business (SB), or Large Business. The form includes a checkbox for offerors to indicate current verification status in the Small Business Subcontracting Tracking System (SBS), which applies only to SDVOSB and VOSB entities. The form concludes with signature and date lines for the offering entity's point of contact. This is a blank template document without specific products, services, response dates, pricing terms, or award information.

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Text version

REQUEST FOR LEASE NETWORK CONTRACTING OFFICE 10

PROPOSALS (RLP) Exhibit: ____

Offering Entity Acknowledgement for RLP No.: _______________________

The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: _______________________. Failure to provide the required information may result in your proposal being deemed non-responsive.

Offeror Information

Offering Entity Name: __________________________________ Address: __________________________________ Offering Entity UEI Number: ________________________ Offering Entity Tax Identification No.: ________________________ Authorized Official Name: ________________________ Authorized Official Phone Number: ________________________ Authorized Official E-mail: ________________________ Authorized Official is Listed in Entity SAM Representations: Yes No Authorized Official is Listed in Entity Operating Agreement: Yes No

Date of Submission: ________________________ Time Specified for Receipt of Offers: ________________________

Offering Entity/Prime Contractor Size Status: SDVOSB

VOSB

SB

LARGE BUSINESS

Offering Entity Currently Verified in SBS **This block only pertains to offerors who are Service-Disabled Veteran-Owned Small Businesses or Veteran-Owned Small Businesses.

Offering Entity POC Signature Date

Offering Entity POC Name

Exhibit: L
Offering Entity Tax Identification No 1:
Offering Entity Tax Identification No 2:
Authorized Official Phone Number 1:
Authorized Official Phone Number 2:
Time Specified for Receipt of Offers:
VOSB: Off
SB: Off
LARGE BUSINESS: Off
Offering Entity Currently Verified in VetBiz: Off
Offering Entity POC Name:
RLP: 36C25025R0016
Name:
Address:
UEI No:
Date:
SDVOSB: Off
Yes1: Off
Yes2: Off
No2: Off
No1: Off

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