Reps and Certs.pdf
PDF 178 KB Posted
- Solicitation number
- W912QR25QA078
About this file
This document is a Representations and Certifications form designed for companies to provide key business information when responding to a federal contract opportunity. The form requires companies to specify their business size (options include Large Business, Small Business, HUBZone, 8(a), Women-Owned Small Business, Economically Disadvantaged Women-Owned Small Business, and Service-Disabled Veteran-Owned), confirm their System for Award Management (SAM) registration status, and provide critical identifiers such as Tax Identification Number (TIN), Unique Entity Identifier, and CAGE Code. The blank template is intended to capture essential company details for potential federal contract consideration, with references to Federal Acquisition Regulation (FAR) 52.204-7 for additional guidance on completing the form.
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Text version
REPRESENTATIONS AND 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 .