Reps and Certs.pdf

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Attached to
W912QR25QA054 - Harsha Lake Hydraulics Relocation
Solicitation number
W912QR25QA054
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This document is a standard Representations and Certifications form for federal contract submissions, providing a template for contractors to declare key business and registration information. The form requires companies to specify their business size (options include Large Business, Small Business, HUBZone, 8(a), Women-Owned Small Business, Economically Disadvantaged Women-Owned Small Business, and Service-Disabled Veteran-Owned), confirm System for Award Management (SAM) registration status, and provide critical identifiers such as Tax Identification Number (TIN), Unique Entity Identifier, and CAGE Code. The form is designed to capture essential company details that federal agencies use for verification and classification purposes during the contract bidding process.

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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 .