Volume I TEMPLATE.docx

Solicitation # 15G1AC22Q00000002 – Volume I Page 2 of 2

Contractor Information/Representations

Company name:

Company address:

Tax ID:

Unique Entity Identifier:

Cage Code:

Contractor representative’s POC information (name, phone number, email address):

FAR 52.212-3, Offeror Representations and Certifications-Commercial Items. The full text of this solicitation provision may be accessed electronically at: www.acquisition.gov.

a. The Contractor shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. Paragraph b is provided below:

(b)(1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications in SAM.

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing the SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications-Commercial Products and Commercial Services, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs _______________.

[Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

b. If the Contractor has not completed the annual representations and certifications electronically, the Contractor shall complete only paragraphs (c) through (v)) of this provision.

Additional representation:

· I attest I am a Point Blank original equipment manufacturer or an authorized reseller. If I am an authorized reseller, I am including documentation that verifies my authorized reseller status. The OIG reserves the right to contact the manufacturer to verify the quoter’s authorized reseller status.