Reps and Certs.pdf

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Mowing and Herbicide at McAlpine Lock and Dam
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W912QR26QA032
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This is a Representations and Certifications form template for federal contract proposals. The form requires companies to provide essential identification and registration information, including company name, address, phone number, and email address. Contractors must select their applicable business size category from options including Large Business, Small Business, HUBZone, 8(a), Women-Owned Small Business, Economically Disadvantaged Women-Owned Small Business, and Service-Disabled Veteran-Owned classifications.

The form mandates completion of critical federal registration data, specifically requesting confirmation of current System for Award Management (SAM) registration status, Tax Identification Number (TIN), Unique Entity Identifier (a 12-character alphanumeric code), and CAGE Code. All fields reference FAR 52.204-7, the federal acquisition regulation clause governing contractor identification and registration requirements. This template serves as a standard submission document for contractors bidding on federal opportunities to establish their business credentials and eligibility for contract award consideration.

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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 .