Representations and Certifications.pdf
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- Solicitation number
- W912QR26QA019
About this file
This document is a Representations & Certifications form template for federal contract bidders.
The form captures essential company identification and registration information required for federal contract opportunities. Respondents must provide their company name, address, phone number, and email address. The form requires selection of applicable business size categories, including Large Business, Small Business, HUBZone, 8(a), Women-Owned Small Business, Economically Disadvantaged Women-Owned Small Business, and Service-Disabled Veteran-Owned designations. Contractors must confirm current registration with the System for Award Management (SAM) and provide their Tax Identification Number (TIN), Unique Entity Identifier (a 12-character alphanumeric code), and CAGE Code. All requested identifiers are referenced to FAR 52.204-7, which governs contractor identification and registration requirements. This form serves as a standard template for solicitations and does not address specific products, services, response deadlines, or award information.
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REPRESENTATIONS & CERTIFICATIONS
COMPANY NAME AND ADDRESS: _________________________________________
PHONE NUMBER: _________________________________________
EMAIL ADDRESS: _________________________________________
BUSINESS SIZE (select one or more as applicable):
Large Business ____ Small Business ____ HUBZone ____ 8(a) ____ Women-Owned Small Business ____
Economically Disadvantaged Women-Owned Small Business ____ Service-Disabled Veteran-Owned ____
CURRENTLY REGISTERED WITH SYSTEM FOR AWARD MANAGEMENT (SAM): YES ____ NO ____
(Note: See FAR 52.204-7)
TAX IDENTIFICATION NUMBER (TIN): ____________
UNIQUE ENTITY IDENTIFIER: ____________
(Note: See FAR 52.204-7. The Unique Entity Identifier is a 12 character alphanumeric code.)
CAGE CODE: ________
(Note: See FAR 52.204-7)
File details come from the government source that posted it. Updated .