Attach1_CompanyCert_rev.pdf

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FY24 MCON PROJECT P-859, CONSOLIDATED HEADQUARTERS PHASE II, U. S. NAVSUPPACT, MCB GUAM
Solicitation number
N6274226R1304
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This is a Certification of U.S. Company form required as an attachment to Request for Proposal (RFP) N62742-26-R-1304 for FY24 MILCON P-859, Consolidated Headquarters PHII at U.S. Naval Supply Activity, MCB Finegayan, Guam. The form serves as a template for prospective contractors to certify their status as U.S. companies and must be completed and submitted with their proposals.

Bidding companies must complete company identification information including name, address, phone number, SAM UEI, CAGE code, and facility clearance level. The form requires certification of three mandatory criteria: (1) the company's corporate headquarters is located in the United States with the state of incorporation identified; (2) the company has filed required corporate, employment, state, and federal income tax returns for a minimum of two years and has paid all taxes due; and (3) the company employs United States citizens in key management positions. An authorized company representative must sign the form using wet or digital signature, provide printed name and title, and certify that all information is accurate and complete at the time of submission.

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Attach1_CompanyCert.pdf PDF
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ATTACHMENT (1)

CERTIFICATION OF U.S. COMPANY

REQUEST FOR PROPOSAL (RFP) N62742-26-R-1304

FY24 MILCON P-859, CONSOLIDATED HEADQUARTERS PHII,

U.S. NAVSUPPACT, MCB FINEGAYAN, GUAM

Company Name:

Company Address:

Company Phone: _________________ SAM UEI: ____________________________

CAGE Code: ____________________ Facility Clearance Level: ________________

Instructions: Each company shall review the three (3) statements below and check “YES” or “NO” to each statement, certifying that the company is a U.S. Company.

For the purpose of this form, “United States Company” means a Company incorporated in the United States that complies with the following:

Yes No (1) The Company’s corporate headquarters is in the United States.

State of incorporation: ______________________

Yes No (2) The Company has filed corporate and employment tax returns in the United States for a minimum of 2 years (if required), has filed State and Federal income tax returns (if required) for 2 years, and has paid any taxes due as a result of these filings.

Yes No (3) The Company employs United States citizens in key management positions.

By signing below, the undersigned does hereby agree that the information contained in this document is accurate and complete at the time of submission.

Signature (Wet or Digital only):

Print Name:

Title:

Date:

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