REPS AND CERTS.pdf
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- Solicitation number
- W912QR26QA009
About this file
This document is a standard Representations & Certifications form for federal contracting. The form requires a company to provide key business details, including contact information, business size classification, and registration status. Contractors can indicate their business type, such as small business, HUBZone, 8A, woman-owned, or service-disabled veteran-owned. The form also requires entry of tax identification number, Unique Entity Identifier (previously DUNS number), and CAGE number. Companies must specify whether they are registered in the System for Award Management (SAM) as part of Federal Acquisition Regulation (FAR) 52.204-7 compliance.
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Text version
REPRESENTATIONS & CERTIFICATIONS
COMPANY NAME AND ADDRESS: __________________________________________________________
PHONE NUMBER ____________________
EMAIL ADDRESS ______________________________________________________
BUSINESS SIZE (select one)
Large Business _____ Small Business_____ HUBZone Business_____ 8A _____
Woman-Owned ____ Service-Disabled Veteran-Owned ____
Contractor is registered with SAM: _____ YES _____ NO
(See FAR 52.204-7)
TAX ID # ______________________
INDICATE Unique Entity Identifier (previously DUNS NUMBER) ___________________
(Note: See FAR 52.204-7. Unique Entity Identifier is a 9 digit numeric code.)
CAGE NO. _________
(FAR 52.204-7)
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