Reps and Certs.pdf

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Attached to
W912QR26QA010 - Carr Creek Lake Park Attendant Contract
Solicitation number
W912QR26QA010
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About this file

This is a Representations and Certifications form template used in federal contract solicitations to collect essential company information and eligibility data from prospective contractors.

The form requires contractors to provide company name, address, phone number, and email address. Contractors must select their applicable business size classification from options including Large Business, Small Business, HUBZone, 8(a), Women-Owned Small Business, Economically Disadvantaged Women-Owned Small Business, and Service-Disabled Veteran-Owned. The form also requires confirmation of registration with the System for Award Management (SAM), along with three critical identifiers: Tax Identification Number (TIN), Unique Entity Identifier (a 12-character alphanumeric code), and CAGE Code. All fields reference FAR 52.204-7, indicating compliance with Federal Acquisition Regulation requirements for entity identification and registration. This template is used to establish contractor eligibility, business classification for set-aside purposes, and obtain necessary registration and identification information required for federal contracting.

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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 .