ATTACHMENT_L-1_Offeror_Information_Form MCC V.pdf

DO NOT modify or alter this form. (Rev. 5/23)

OFFEROR INFORMATION FORM - Attachment L-1 (Page 1) for

NASA- MCC-V - 80MSFC23R0008

Use this form to provide offeror’s general information.

1. Offeror Information: Unique Entity ID (UEI):

Offeror Name:

Home Office Address:

Email of POC:

HUBZone 2. Type of Small Business: SB WOSB 8(a) SDVOSB

Other (explain)

Local Office Address Within 100 miles of MSFC

Name of Point of Contact (POC)for offeror:

Phone number of POC:

3. Use the below space to briefly describe your firm's (including, as appropriate, such elements as production control procedures, property control systems, quality assurance measures, and safety programs applicable to materials to be produced or services to be performed by the prospective contractor and subcontractors):

a. Organization

OFFEROR INFORMATION FORM – Attachment L-1 (Page 2) for

NASA MCC-V - 80MSFC23R0008

b. Experience

c. Accounting and operational controls

OFFEROR INFORMATION FORM – Attachment L-1 (Page 3)

NASA MCC-V - 80MSFC23R0008

d. Technical skills, or the ability to obtain them

OFFEROR INFORMATION FORM – Attachment L-1 (Page 4)

NASA MCC-V - 80MSFC23R0008

e. Have the necessary production, construction, and technical equipment and facilities, or the ability to obtain them.