J.P-6 Project Verification Form - Polaris.docx

Polaris GWAC Program Attachment J.P-6

ATTACHMENT J.P-6

PROJECT VERIFICATION FORM

This attachment may be used as the Project Verification Form when required by Section L.5.2.2.1.1(2), L.5.2.2.1.2 and/or L.5.2.3.1.1 for verification of submitted relevant experience.

Offeror: Parts I and II must be completed by the Offeror.

After completing Parts I and II, the Offeror must send this form to the cognizant Contracting Officer, Contracting Officer’s Representative, or Corporate Officer/Official for verification in accordance with L.5.2.2.1.1(2), L.5.2.2.1.2 and/or L.5.2.3.1.1. The cognizant Contracting Officer, Contracting Officer’s Representative, or Corporate Officer/Official must provide this verification within Part III of this form. After receiving the completed form, it must be submitted with the claimed Relevant Experience Project within the proposal.

Customer: You are receiving this form because the contractor (cited in Part I) is claiming the below project as relevant experience in response to the Polaris GWAC solicitation.

By signing this form in Part III, you are verifying the contractor performed the work as detailed in Part I.

PART I: PROJECT IDENTIFICATION

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integral to performance of the Project. If claimed, identify the emerging technology provided)

PART II: PROJECT CONTACT INFORMATION

Contracting Officer (or Corporate Officer/Employee of the customer with cognizance over the submitted project for Non-Federal projects)

Contracting Officer’s Representative (Complete only if COR providing signature verification in Part III)

PART III: PROJECT VERIFICATION

Signature below by a Contracting Officer, Contracting Officer’s Representative, or Corporate Official for the ordering activity constitutes acceptance of the above project information to be accurate as ordered and received by the listed entity.