ATTACHMENT E PROVISION REPRESENTATIONS SHEET

​ fferors shall complete and submit​​Attachment E – Provision Representations​ O
​Sheet​​with their proposal. The sheet must be completed in full, signed, and dated by​ ​an authorized representative of the offeror. The Government reserves the right to​ ​verify and/or clarify the completed representations with the apparent awardee prior to​ ​award.​
​Attachment E – Provision Representations Sheet​
​ AM.gov Registration Active?​
S
​☐ Yes​
​☐ No​
​SAM.gov Representations and Certifications​
​ he offeror certifies that its representations and certifications in SAM.gov are​ T
​current, accurate, and complete as of the date of proposal submission.​ ​ Yes​
☐
​☐ No — If no, explain below:​

​Business Size Representation​
​For the NAICS code identified in the solicitation, the offeror represents that it is:​ ​ Small Business​
☐
​☐ Other than Small Business​
​If applicable, check all that apply:​
​ Small Disadvantaged Business​
☐
​☐ Woman-Owned Small Business​
​☐ Economically Disadvantaged Woman-Owned Small Business​ ​☐ HUBZone Small Business​
​☐ Service-Disabled Veteran-Owned Small Business​
​☐ Veteran-Owned Small Business​

​ 8(a) Participant​
☐
​Offerors shall complete and submit​​Attachment E – Provision Representations​ ​Sheet​​with their proposal. The sheet must be completed in full, signed, and dated by​ ​an authorized representative of the offeror. The Government reserves the right to​ ​verify and/or clarify the completed representations with the apparent awardee prior to​ ​award.​
​Exceptions or Changes to Representations​
​ oes the offeror take any exception to any solicitation provision,​ D
​representation, certification, term, or condition?​
​ No​
☐
​☐ Yes — If yes, explain below:​

​Authorized Representative​
​ y signing below, the offeror certifies that the information provided in this​ B
​Provision Representations Sheet is accurate and complete to the best of its​ ​knowledge.​