CTA Template.docx

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INL Professional and Administrative Services Mexico City
Solicitation number
19AQMM22R0008
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This template provides guidance for validating a contractor's performance on a past project as part of a teaming arrangement. The template requires the offeror to identify their contractor teaming arrangement name, DUNS number, and members. They must also provide details of a past project including the contract and order numbers, title, agency, and period of performance. The offeror certifies they were the sole performer of the project. At least a majority of the arrangement members excluding the offeror must then sign, certifying the offeror was the sole performer and no other member will take credit for the project.

This solicitation is seeking a single-award IDIQ contract to provide subject matter experts and administrative support to the Bureau of International Narcotics and Law Enforcement in Mexico City. Required services include expertise in areas such as anti-money laundering, aviation, counternarcotics, corrections, rule of law, and border security. The Department of State is the issuing agency. Offerors must use the provided templates in their submissions, with questions due November 19th and proposals due December 6th, though the date may be extended if significant amendments are needed. The opportunity is set aside for small businesses only.

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Consolidated Government Responses 19AQMM22R0008 12.29.21.xlsx XLSX spreadsheet
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Attachment 1 -SoW Professional and Administrative Services Amdmt 002.doc DOC document
Attachment 3-Section L Amendment 002.docx DOCX document
Attachment 4-Section M Amendment 002.docx DOCX document
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Attachment 2 -Pricing Spreadsheet Amendment 001.xlsx XLSX spreadsheet
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19AQMM22R0008-0001.pdf PDF
Attachment 3-Section L Amendment 001.docx DOCX document
Attachment 4-Section M Amendment 001.docx DOCX document
Attachment 2 -Pricing Spreadsheet.xlsx XLSX spreadsheet
Attachment 4-Section M.docx DOCX document
Attachment 5 - Past Performance Rating Form.xlsx XLSX spreadsheet
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19AQMM22R0008

INL Professional and Administrative Services Contractor Teaming Arrangement Template

CONTRACTOR TEAMING ARRANGEMENT (CTA) TEMPLATE

(An existing Joint Venture or Partnership for an Other than Small Business CTA, or a Small Business CTA)

General: This form shall be sent to the members of the Offeror's existing or previous Contractor Team Arrangement (CTA) to validate the Offeror's performance under a project awarded to the CTA. This form shall be signed by a majority of members in the CTA, excluding the offeror. The Government will use this information solely for source selection purposes.

CTA Members: You are receiving this form because the Offeror cited in Part I claims that they performed the project identified in Part II as a member of your CTA and is using the project as relevant experience for its INL-WHP IT Services IDIQ, as either (a) an other-than-small business existing Joint Venture or Partnership proposal, or (b) a Small Business CTA proposal.

By signing this form in Part IV you are certifying that the Offeror was the only CTA member that performed the project and that no other CTA member, or the CTA, shall claim credit for this project. By completing this form, you are not required to make changes to any existing documents or systems related to the project awarded to your CTA. If you have any questions about this document, please email weakley-lugokf@state.gov.

Offeror: Part I, II, and III shall be completed by the Offeror. To complete this form, place the cursor in the highlighted area and begin typing. All responses in Part II, III and IV shall match what is entered into the corresponding Attachment 1 (Relevant Experience (PSC Group) Project Template) or Attachment (Relevant Experience Biometrics and Cloud). After completing Parts I, II, and III, the Offeror shall send this form to the CTA members and shall be signed by at least the majority of members, excluding the Offeror.

PART I: OFFEROR AND CTA INFORMATION

OFFEROR NAME:
Click here to enter text.
CONTRACTOR TEAMING ARRANGEMENT NAME:
Click here to enter text.
CONTRACTOR TEAMING ARRANGEMENT DUNS:
Click here to enter text.
NUMBER OF CTA MEMBERS:
Click here to enter text.

PART II: PROJECT IDENTIFICATION

CONTRACT NUMBER:
Click here to enter text.
ORDER NUMBER (if applicable):
Click here to enter text.
PROJECT TITLE:
Click here to enter text.
AGENCY OR CUSTOMER:
Click here to enter text.
TOTAL PERIOD OF PERFORMANCE, INCLUDING OPTIONS: (MM/YYYY - MM/YYYY or MM/YYYY – Present)
Click here to enter text.

PART III: OFFEROR CERTIFICATION

I certify that the Offeror identified in Part I was the only CTA member that performed the project identified above.

NAME:

TITLE:

EMAIL:

PHONE NUMBER:

DATE:
SIGNATURE:

PART IV: CTA MEMBER CERTIFICATION

Each CTA member shall have a Corporate Officer certify by signing below that they are a member of the CTA identified in Part I, and that the Offeror stated in Part I was the only CTA member that performed the project and that no other CTA member, or the CTA, shall claim credit for this project identified in Section II. Each CTA Member that chooses to sign this form will fill out one of the CTA Member boxes, sign and date and send back to the Offeror.

CTA Member #1:

CTA MEMBER NAME:

CTA MEMBER DUNS:

I certify that the Offeror identified in Part I was the only CTA member that performed the project identified above.

NAME:

TITLE:

EMAIL:

PHONE NUMBER:

DATE:
SIGNATURE:

PART IV: CTA MEMBER CERTIFICATION (Continued)

CTA Member #2:

CTA MEMBER NAME:

CTA MEMBER DUNS:

I certify that the Offeror identified in Part I was the only CTA member that performed the project identified above.

NAME:

TITLE:

EMAIL:

PHONE NUMBER:

DATE:
SIGNATURE:

CTA Member #3:

CTA MEMBER NAME:

CTA MEMBER DUNS:

I certify that the Offeror identified in Part I was the only CTA member that performed the project identified above.

NAME:

TITLE:

EMAIL:

PHONE NUMBER:

DATE:
SIGNATURE:

CTA Member #4:

CTA MEMBER NAME:

CTA MEMBER DUNS:

I certify that the Offeror identified in Part I was the only CTA member that performed the project identified above.

NAME:

TITLE:

EMAIL:

PHONE NUMBER:

DATE:
SIGNATURE:

PART IV: CTA MEMBER CERTIFICATION (Continued)

CTA Member #5:

CTA MEMBER NAME:

CTA MEMBER DUNS:

I certify that the Offeror identified in Part I was the only CTA member that performed the project identified above.

NAME:

TITLE:

EMAIL:

PHONE NUMBER:

DATE:
SIGNATURE:

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