Reps and Certs Short

Pre-Award Information
Representations and Certifications
(ANL-70A Short Version)

Please have this document executed by an official authorized to sign on behalf of your organization. This document is intended to be a supplement to your U.S. Federal Government Online Representations and Certifications Application in the System for Award Management (SAM at http://www.sam.gov). The clauses from the Federal Acquisition Regulation (FAR) below are the dated versions that appear in the Laboratory’s prime contract with the U.S. Department of Energy, available at https://www.anl.gov/prime-contract on the date this document is executed. By executing this document, you further certify that as of the date executed, your company’s SAM Online Representations and Certifications are true and correct, and acknowledge they are incorporated into this document by reference, as well as that your company’s SAM registration is compliant with FAR 52.204-12. In addition, you acknowledge and agree that you are under a continuing duty to update the Laboratory in the event of changes to the representations and certifications made in this document or in SAM.

PART 1 - APPLICABLE FOR ALL OFFERS/SOLICITATIONS

1.0

General Information
Legal Name of Company/Entity:
Unique Entity ID Number (UEI):
(UEI is a unique 12-character alphanumeric ID assigned to an entity by SAM.GOV)

Doing Business As:
(If applicable):

Company/Entity Physical Street Address:
(Include zip code + 4 code)

Primary Performance Location:
(If different than address above – Physical Street Address, City, State, and Zip + 4 Code)

Primary Contact:
(For Contract – Name, email, and phone number)

Primary Contact:
(For Contract Close-out if different– Name, email, and phone number)

Primary Contact:
(For Property Management if different – Name, email, and phone number)

1.1

Business Organization – Entity Type
Please select Company/Entity Type from the options below:

1.2

North American Industry Classification System (NAICS) Code Please provide the NAICS Code and Size Standard for the RFP/RFQ request

Size Standard

NAICS Code

ANL-70A (Short Version) - Reps & Certs
September 29, 2026

Argonne National Laboratory

1.3

Required Tax Documentation
Completion of this Representation and Certifications document serves as confirmation that the appropriate required tax documents () have been or will be submitted to [email protected] (a secured site). 1)

To find the correct IRS tax form, visit the IRS Forms & Publications page: https://www.irs.gov/forms-pubs