REPS and CERTS.pdf

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PRN for USACE Louisville District Health Unit
Solicitation number
W912QR26QA014
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About this file

This document is a Representations and Certifications form for a federal contract opportunity. The form requires a company to provide key business details, including contact information, business size classification options (such as Small Business, HUBZone, 8(a), Women-Owned Small Business), SAM registration status, Tax Identification Number (TIN), Unique Entity Identifier, and CAGE Code. The form allows businesses to self-identify their size and ownership status, which can be critical for qualifying for specific contract set-asides or procurement preferences. Companies must complete this document to establish their eligibility and provide essential identifying information for federal contracting purposes.

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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 .