Exhibit M - Offering Entity Acknowledgement Form.pdf
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- Solicitation number
- 36C25022R0049
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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 VetBiz **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: M |
| 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: 36C25022R0049 |
| Name: |
| Address: |
| UEI No: |
| Date: |
| SDVOSB: Off |
| Yes1: Off |
| Yes2: Off |
| No2: Off |
| No1: Off |
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