REPS AND CERTS.pdf

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Attached to
REPLACE UPS AT JT MYERS LOCKS AND NEWBURGH LOCKS
Solicitation number
W912QR26QA084
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About this file

This is a Representations and Certifications form template used in federal contract solicitations.

The form requires contractors to provide company identification information including 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 requires confirmation of SAM (System for Award Management) registration status and collection of three critical federal identifiers: Tax ID Number, Unique Entity Identifier (the 9-digit numeric code formerly known as DUNS Number), and CAGE Number. All fields reference FAR 52.204-7, the applicable Federal Acquisition Regulation clause governing entity identification and registration requirements. This template is a standard component of federal contract proposals and serves to establish contractor eligibility, identity verification, and small business status certifications required for federal procurement.

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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)

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