Attach1_CompanyCert_rev.pdf
PDF 97 KB Posted
- Solicitation number
- N6274226R1304
About this file
This document is a Certification of U.S. Company form required for submission in response to Request for Proposal (RFP) N62742-26-R-1304 for FY24 MILCON P-859, Consolidated Headquarters PHII, at U.S. Naval Supply Activity (NAVSUPPACT), MCB Finegayan, Guam. The form is issued by NAVFAC (Naval Facilities Engineering Systems Command) Pacific.
Bidders must complete company identification information including name, address, phone number, SAM UEI, CAGE code, and facility clearance level. The form requires companies to certify their U.S. status by confirming three specific criteria: (1) corporate headquarters is located in the United States with state of incorporation noted; (2) the company has filed required corporate, employment, state, and federal income tax returns for a minimum of two years and paid all taxes due; and (3) the company employs U.S. citizens in key management positions. An authorized company representative must sign the certification (wet or digital signature only), print their name and title, and date the document, attesting that all information is accurate and complete at the time of submission. This is a template form and does not address specific products or services required for the underlying contract opportunity.
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| Attach3_NDA.pdf | ||
| CJA_KabaMas GPMO_13Feb2025_Redacted.pdf | ||
| Attach2_CitizenCert_rev.pdf | ||
| CJA_JCI DDC_Red.pdf |
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Text version
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 .