Reps and Certs.pdf
PDF 178 KB Posted
- Attached to
- W912QR26RA021 - Green River Lake Cleaning
- Solicitation number
- W912QR26RA021
About this file
This document is a Representations and Certifications form for a federal contract opportunity. The form requires potential contractors to provide key business information, including company contact details, business size classification (with options such as Small Business, HUBZone, 8(a), Women-Owned Small Business, Service-Disabled Veteran-Owned), and mandatory federal registration details. Companies must indicate their System for Award Management (SAM) registration status, provide their Tax Identification Number (TIN), Unique Entity Identifier (a 12-character alphanumeric code), and CAGE Code, which are critical for federal contract eligibility and identification purposes.
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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 .