Reps and Certs.pdf

PDF 178 KB Posted

Attached to
W912QR26QA055 - Cagles Mill Water Line Replacement
Solicitation number
W912QR26QA055
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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

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Solicitation Amendment W912QR26QA0550001 SF 30.pdf PDF
PIEE Directions1.pdf PDF
Solicitation - W912QR26QA055 Professional Appearance.pdf PDF
Exhibits.pdf PDF
SPECIAL INSTRUCTIONS.pdf PDF
Price Breakout Schedule.pdf PDF
SOW.pdf PDF
Wage Rates_IN20260006.pdf 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 .