Reps and Certs.pdf

PDF 178 KB Posted

Attached to
W912QR25QA039 - Green River Lake Flooring
Solicitation number
W912QR25QA039
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About this file

This file is a Representations and Certifications form for a federal contract opportunity. The document provides a template for a company to fill out key business information, including business size classifications (such as Small Business, HUBZone, 8(a), Women-Owned Small Business), SAM registration status, Tax Identification Number, Unique Entity Identifier, and CAGE Code. The form requires companies to provide their contact details and check applicable business size categories, which is critical for determining eligibility for specific federal contract opportunities.

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Text version

REPRESENTATIONS AND 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 .