REPS AND CERTS.pdf
PDF 46 KB Posted
- Solicitation number
- W912QR26QA071
About this file
This is a Representations & Certifications form template used for federal contract solicitations 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), Woman-Owned, or Service-Disabled Veteran-Owned. The form captures SAM registration status (required per FAR 52.204-7), along with the contractor's Tax ID, Unique Entity Identifier (a 9-digit numeric code formerly known as DUNS number), and CAGE number. All identifiers referenced are governed by FAR 52.204-7. This template serves as a baseline document for collecting contractor qualifications and certifications required to evaluate eligibility for federal contract opportunities.
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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 .