REPS AND CERTS.pdf
PDF 46 KB Posted
- Attached to
- NOLIN RIVER LAKE TAILWATER RESTROOM CONSTRUCTION
- Solicitation number
- W912QR26QA067
About this file
This is a Representations & Certifications form template used in federal contracting to collect essential contractor information and eligibility data.
The form requires contractors to provide company name, address, phone number, and email address. Contractors must select their business size classification from options including Large Business, Small Business, HUBZone Business, 8(a) certified, Woman-Owned, or Service-Disabled Veteran-Owned. The form requests confirmation of System for Award Management (SAM) registration status, Tax ID number, Unique Entity Identifier (the 9-digit numeric code formerly known as DUNS number), and CAGE number. All requested identifiers reference FAR 52.204-7 compliance requirements. This template does not address specific products, services, performance requirements, pricing terms, response deadlines, or award information.
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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 .