CCDC SC BAA Proposal Cover Page.docx

CCDC Soldier Center BAA Proposal Cover Page

1. For Consideration By:

☐ Combat Feeding ☐ Soldier Protection and Survivability ☐ Soldier Performance Optimization ☐ Expeditionary Maneuver Support & Field Service Technologies ☐ Aerial Delivery ☐ Simulation & Training Technology

2. Check the Appropriate Box(es) if this Proposal Includes Any of the Items Below:

☐ Human Subjects ☐ Vertebrate Animals ☐ National Environment Policy Act ☐ GFE (Government Furnished Equipment) ☐ GFP (Government Furnished Property) ☐ Biosafety Level (BL) 1-4 Facility ☐ Genetically Engineered Organisms ☐ Ozone Depleting Substances

3. Check the Type of Award Document Proposed:

☐ Contract

☐ Grant ☐ Cooperative Agreement

4. BAA Number: Click here to enter text.

5. Proposal Title:

6. Topic Area by Number and Title: Click here to enter text.

7. Total Funds Requested: Click here to enter text.

8. Offeror Submitting Proposal:

Name: Click here to enter text.

Address: Click here to enter text.

Duns: Click here to enter text.

Cage: Click here to enter text.

9. Type of Business: (Please select the appropriate entry) ☐ Large Business ☐ Minority Institutions ☐ Small Disadvantage Business ☐ Other ☐ Other Small Business ☐ Historically Black Colleges and Universities

10. Primary Investigator/Technical Point of Contact:

Salutation:

Last Name:

First Name:

Street Address:

City, State:

Zip Code:

Telephone:

Fax (if available):

E-mail (if available):

11. Office Administrative Point of Contact:

Salutation:

Last Name:

First Name:

Street Address:

City, State:

Zip Code:

Telephone:

Fax (if available):

E-mail (if available):

12. Date Proposal Prepared: Click here to enter a date.

13. Date Proposal Expires: Click here to enter a date.

14. Signature of Authorized Representative for Offeror:

image1.emf