Contract_Certification_Sheet.pdf

PDF 72 KB Posted

Attached to
CDD 2015 AML REMEDIATION Federal contract opportunity
Solicitation number
L15PS00505
Issued by
Department of the Interior Bureau of Land Management California Region

About this file

Contract Certification Sheet

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Text version

Solicitation L15PS00505

CDD 2015 AML REMEDIATION

CONTRACTOR CERTIFICATION SHEET

This Certification Sheet must be signed and returned along with all the “required attachments” as an entire package.

1. Company Name: ___________________________________________

2. Telephone Number: ___________________________________________

3. Fax Number: ___________________________________________

4. Address: ___________________________________________

5. email: ___________________________________________

6. Organization type: ___________________________________________

7. Duns Number: ___________________________________________

8. Contractor’s License Number: ________________________________

9. State Issuing Contractors License: ________________________________

10. Other Licenses: ___________________________________________

11. Bidders Name (print): ___________________________________________

12. Title: ___________________________________________

13. Signature: ___________________________________________

14. Date ___________________________________________

File details come from the government source that posted it. Updated .