REPS AND CERTS.pdf

PDF 46 KB Posted

Attached to
Hazardous Chemical Waste Disposal
Solicitation number
W912QR26QA035
Issued by

About this file

This is a Representations and Certifications form template used in federal contract solicitations to collect contractor information and business classification data.

The form requires contractors to provide company name, address, phone number, and email address. Contractors must select their business size category from options including Large Business, Small Business, HUBZone Business, 8(a), Woman-Owned, or Service-Disabled Veteran-Owned. The form requires confirmation of SAM (System for Award Management) registration status and collection of tax identification information, including the Unique Entity Identifier (formerly DUNS number, which must be a 9-digit numeric code) and CAGE number. All fields reference FAR 52.204-7, the applicable federal acquisition regulation clause governing contractor identification and registration requirements. This template serves as a standard mechanism for federal agencies to verify contractor eligibility, business classification for small business set-asides, and compliance with federal contractor registration mandates prior to award.

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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)

File details come from the government source that posted it. Updated .