Reps and Certs.pdf
PDF 178 KB Posted
- Solicitation number
- W912QR26QA055
About this file
This is a Representations and Certifications template form used in federal contracting to collect company identification and business classification information from prospective contractors.
The form requires contractors to provide basic company information including name, address, phone number, and email address. Contractors must select their applicable business size category 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 current registration with the System for Award Management (SAM) and collection of three key identifiers: Tax Identification Number (TIN), Unique Entity Identifier (a 12-character alphanumeric code), and CAGE Code. 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 document for establishing contractor eligibility and status in federal procurement processes.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment W912QR26QA0550001 SF 30.pdf | ||
| PIEE Directions1.pdf | ||
| Solicitation - W912QR26QA055 Professional Appearance.pdf | ||
| Exhibits.pdf | ||
| SPECIAL INSTRUCTIONS.pdf | ||
| Price Breakout Schedule.pdf | ||
| SOW.pdf | ||
| Wage Rates_IN20260006.pdf |
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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 .