Reps Certs.pdf

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Attached to
Traffic Controllers for Markland Highway Bridge
Solicitation number
W912QR25QA053
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About this file

This document is a Representations & Certifications form for a federal contract opportunity. The form requires a company to provide key business information, including company name, contact details, business size classification, and federal registration status. Specific fields include:

Business size options (checkboxes): Large Business, Small Business, HUBZone, 8(a), Women-Owned Small Business, Economically Disadvantaged Women-Owned Small Business, and Service-Disabled Veteran-Owned. The form also requires SAM registration status, Tax Identification Number (TIN), Unique Entity Identifier, and CAGE Code. The form is designed for potential vendors to self-identify their business characteristics and key identification information for a federal contract opportunity related to traffic control services for the Army Corps of Engineers at the Markland Highway Bridge in Warsaw, Kentucky.

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REPRESENTATIONS & 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 .