Attachment_3_-_IDEA_Cover_Sheet.pdf

IDEA White Paper Cover Page

Submitter Data

Company Name:

Address:

City: State/Province: Zip: Country:

Business Phone: Fax:

POC Name First: POC Name Middle: POC Name Last:

POC Phone: POC E-mail:

Year Founded:

DUNS + 4: TIN/EIN: CAGE Code:

Subcontractors/Partners: Subcontractor Country:

1. 1.

2. 2.

3. 3.

Business Type:

Solution Abstract

Abstract:

Proposed Solution Type:

Problem Statement Addressed:

Funding Requested from TSA to Perform Demonstration (Only include funding that will not be covered by the vendor):

Proposed Demonstration Duration (weeks): Solution Technology Readiness Level (TRL):

Government Involvement

How did you hear about IDEA? If other, please specify:

Has your company or any of your subcontractors/partners contracted with the Federal Government before?

If yes, please specify which agency:

Has your company contracted with TSA before?

If you’ve held a contract previously, please specify which one(s):

Have any of your subcontractors/partners contracted with TSA before?

If they’ve held a contract previously, please specify which one(s):

Have you ever responded to a TSA solicitation before?

If yes, please specify which one(s):

Have any of your subcontractors/partners responded to a TSA solicitation before?

If yes, please specify which one(s):

Have you submitted to a DHS BAA or developmental effort previously?

If yes, please specify which one(s):

Have any of your subcontractors/partners submitted to a DHS BAA or developmental effort previously?

If yes, please specify which one(s):

Additional Notes/Comments:

Solution Name:

Information Sharing: In some cases, TSA may have an opportunity to share the details of this submission with other components or departments in the Federal Government (e.g., CBP, DHS) for the purposes of information sharing and collaboration on vendor capabilities. By signing here, I consent to TSA sharing this white paper submission with other U.S. Federal Government entities.

Acknowledgment: By signing here, I acknowledge that the information in this IDEA BAA white paper submission is accurate to the best of my knowledge and all information has been validated to the best of my ability.

Vendor-Identified (if applicable):