W51EW7-26-R-A010_Caisson_Atch_003_Affirmation_of_Business_Status_Certification.pdf
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- Attached to
- Caisson Wagon - Other Transaction Authority (OTA) Request for Prototype Proposal (RPP) W51EW7-26-R-A010
- Solicitation number
- W51EW7-26-R-A010
- Issued by
-
Department of the Army
About this file
This document is an Affirmation of Business Status Certification form that requires every significant participating entity in a federal contract opportunity to complete and certify their business classification status as of May 5, 2026.
The form requires entities to provide standard business identification information including legal entity name, proposed NAICS code, industry size standard classification (Small/Large/Foreign), UEI number, CAGE code, tax identification number, SAM registration status with expiration date, and complete address and point of contact details. Each entity must then certify its business status by selecting one of five categories: Nontraditional Defense Contractor (NDC) as defined in 10 U.S.C. § 3014; Nonprofit Research Institution (NRI) as defined in 40 C.F.R. § 262.200 and 26 U.S.C. 501(c)(3); Small Business Contractor (SB) as defined in 15 U.S.C. § 632; Traditional Defense Contractor (TDC) subdivided into TDC–Small Business or TDC–Large Business; or Other (Self-Identify) for entities not covered by the preceding categories. The certification must be executed by an authorized representative who certifies under penalty of perjury that all representations are accurate and true, with electronic signatures carrying the same legal weight as written signatures.
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Text version
May 5, 2026 Page 1 of 2
ATTACHMENT 003: AFFIRMATION OF BUSINESS STATUS CERTIFICATION
Every significant participating entity shall complete the following table and provide a signature representing its certification.
Legal Entity Name Proposed NAICS Code
Industry Size Standard (Small/Large/Foreign) UEI Number CAGE Code Tax Identification Active SAM Registration ☐ Yes ☐ No Expiration Date:
Address 1 Address 2 City/State/Zip POC Name/Title POC Phone/e-mail
The Entity named above represents that it is (check one of the following boxes):
A Nontraditional Defense Contractor (NDC) – As defined in 10 U.S.C. § 3014, is an entity that is not currently performing and has not performed, for at least the one-year period preceding the solicitation of sources by DoD for the procurement or transaction, any contract or subcontract for the DoD that is subject to full coverage under the cost accounting standards prescribed pursuant to section 1502 of title 41 and the regulations implementing such section.
A Nonprofit Research Institution (NRI) – As defined in 40 C.F.R. § 262.200, is an organization that conducts research as its primary function and files as a non-profit organization under the tax code of 26 U.S.C. 501(c)(3). Additionally, it means an organization owned and operated exclusively for scientific or educational purposes, no part of the net earnings of which, inures to the benefit of any private shareholder or individual; and includes federally funded research and development centers, as identified by the National Scientific Foundation.
ATTACHMENT 003: AFFIRMATION OF BUSINESS STATUS CERTIFICATION
May 5, 2026 Page 2 of 2
A Small Business Contractor (SB) – As defined in 15 U.S.C. § 632, small business concern is an enterprise that is deemed to be one that is independently owned and operated, and is not dominant in its field of operation based on the appropriate standards, utilizing the number of employees, dollar volume of business, net worth, net income, a combination thereof, or other appropriate factors.
A Traditional Defense Contractor (TDC) – A TDC is an entity that does not meet the definition of a NDC, as defined in 10 U.S.C. § 3014. (Check one of the following)
☐TDC – Small Business
☐TDC – Large Business
Other (Self-Identify) – For entities not covered above. Please specify.
The undersigned hereby certifies that the representations made herein are accurate and true regarding the entity identified above. I authorize my electronic signature to carry the same weight and legal effect as my written signature.
Signature
Name
Title
Date
| Legal Entity Name: |
| Proposed NAICS Code: |
| Industry Size Standard SmallLargeForeign: |
| UEI Number: |
| CAGE Code: |
| Tax Identification: |
| Yes: Off |
| No Expiration Date: Off |
| Yes No Expiration DateAddress 1: |
| Yes No Expiration DateAddress 2: |
| Yes No Expiration DateCityStateZip: |
| Yes No Expiration DatePOC NameTitle: |
| Yes No Expiration DatePOC Phoneemail: |
| TDC Small Business: Off |
| TDC Large Business: Off |
| Other SelfIdentify For entities not covered above Please specify: |
| Signature: |
| Name: |
| Title: |
| Date: |
File details come from the government source that posted it. Updated .