Offeror_Info_Page.docx

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D/AZ Terminal Cleaning
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USMS_MSD_0004
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OFFEROR’S INFORMATION PAGE

Each company shall complete this page and submit as the first page of their proposal.

Offeror’s Name (include ‘Doing Business As’ (DBA) and/or ‘Limited Liability Corporation’ (LLC) if applicable):

Offeror’s Address:

Offeror’s Email and Website:

Phone Number: Fax Number: Dun’s Number:

Federal Tax I.D. Number:

Business Size (check all that apply):Small Business
_ Other than Small
_ Disadvantaged
_ Women-Owned
_ HUBZone
_ Service-Disabled Veteran-Owned
_ Women-Owned Small Business (WOSB) Eligible Under the WOSB Program
_ EDWOSB
_ 8(a) Certified Small Business

I, _ , represent that, to the best of my knowledge and belief, the information included in my offer is complete, accurate, and true.

Signature Date

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