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Attachment 0003 - SAM Certification

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Date: 21 August 2019

RFQ: TATRC External Data Line Contract

KO: Barton Vint

NAICS: 517311

Competition: Full & Open

RFQ Attachment 3 – System for Award Management SAM Record Certification Sheet

I certify that all of the representations and certifications completed in SAM are current, complete and accurate as of the date of my signature provided below for RFQ TATRC External Data Line Contract.

Signature Date

Title

Organization

E-Mail Address

Phone

OR

I certify that all of the representations and certifications completed in SAM are current, complete and accurate as of the date of my signature provided below for RFQ TATRC External Data Line Contract with the exception of the following:

(list any changes)

Signature Date

Title

Organization

E-Mail Address

Phone

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