Reps and Certs.pdf
PDF 80 KB Posted
- Attached to
- Markland LD Mowing
- Solicitation number
- W912QR26QA024
About this file
This is a Representations and Certifications template form used in federal contracting to collect essential company information and business status documentation from potential contractors.
The form requires contractors to provide company name and address, phone number, and email address. Contractors must select their business size classification from the following categories: Large Business, Small Business, HUBZone, 8(a), Women-Owned Small Business, Economically Disadvantaged Women-Owned Small Business, or Service-Disabled Veteran-Owned. Additionally, contractors must indicate whether they are currently registered with the System for Award Management (SAM) and provide their Tax Identification Number (TIN), Unique Entity Identifier (a 12-character alphanumeric code), and CAGE Code. All requested identifiers are required per FAR 52.204-7 and must be accurately completed to enable federal government processing and contract award eligibility.
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Text version
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 .