Reps Certs.pdf

PDF 110 KB Posted

Attached to
Traffic Controllers for Markland Bridge
Solicitation number
W912QR25QA057
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About this file

This file is a Representations & Certifications form for a federal contract opportunity. The document provides a template for a company to fill out key business and identification details, including business size classification options (Large Business, Small Business, HUBZone, 8(a), Women-Owned Small Business, Economically Disadvantaged Women-Owned Small Business, Service-Disabled Veteran-Owned), SAM registration status, Tax Identification Number, Unique Entity Identifier, and CAGE Code. The form requires the company to provide its name, address, phone number, and email address, with spaces to check applicable business size designations and provide required federal contracting identification information.

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REPRESENTATIONS & 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 .