Atch 2. ARES_Offeror OT Agreement Eligibility Form.docx

Attachment 2: ARES Offeror OT Agreement Eligibility Form The purpose of this form is to certify and support verification that the offeror is qualified to enter into a transaction for a prototype project in accordance with 10 U.S.C. § 4022(d). Offerors are required to complete this form and failure to submit a completed certification may render the proposal ineligible for consideration for award. Additionally, self-certification of Nontraditional Defense Contractor (NDC) status will be verified by the Government, and the Government reserves the right to require additional documentation to verify status. Offerors must complete all sections below that apply.

NOTE: The Agreements Officer (AO) will make the final determination on offeror’s eligibility to participate in the Aerospace Readiness Enterprise System (ARES) prototype and production phases.

A. Offeror Information

· Legal name (matching SAM):

· SAM UEI:

· CAGE Code:

· Address:

· Point of contact (name, title, email, phone):

· Teaming partners/subcontractors (list names, SAM UEI/CAGE, small business/NDC status):

B. Eligibility Path(s) Under 10 U.S.C. § 4022 Check at least one box and provide the requested details. You may check multiple if applicable.

☐1. Participation by a NDC to a significant extent (10 U.S.C. § 4022(D)(1)(A)).

· Is the prime an NDC? ☐ Yes ☐ No

· If not, identify the NDC participant(s):

· Name(s):

· Describe the NDC’s “significant extent” contribution (tasks, unique capabilities, IP, key personnel, or cost/value share). Include quantifiable measures (e.g., percentage of total effort/cost, critical technical milestones owned by NDC):

· Narrative:

· Estimated share (% of total effort/cost):

· Attach NDC Self-Certification (see Section D) for each NDC entity.

☐ 2. All significant participants are Small Businesses or NDCs (10 U.S.C. § 4022(D)(1)(B)).

· List all team participants and indicate Small Business or NDC:

· Participant:

· Status (Small Business/NDC):

· Role:

· Attach supporting SAM small business representations and NDC Self-Certifications.

☐ 3. Offeror white paper includes cost-sharing of at least one-third of total project cost to be paid out of funds provided by sources other than the Federal Government (10 U.S.C. § 4022(D)(1)(C)).

· Total proposed project cost (all sources): $

· Proposed non-Federal cost share (cash, IR&D, in-kind, equipment, facilities, labor):

· Percentage of total project cost: %

· Describe the source(s) and basis of valuation for cost share (attach supporting documentation):

· Narrative:

· Documentation attached: ☐ Yes ☐ No

C. Team Composition and Roles

· Provide a concise workshare matrix showing each participant’s tasks, level of effort, and critical deliverables:

· Participant:

· Tasks:

· Level of effort (%):

D. Nontraditional Defense Contractor (NDC) Self-Certification Complete for each entity claiming NDC status. An NDC is an entity that is not currently performing and has not performed, for at least the one-year period preceding the solicitation, any DoD contract or subcontract subject to full coverage under the Cost Accounting Standards (CAS) (see 48 CFR 9903.201-1(b)(1); DoD OT Guide).

· Entity name:

· SAM UEI/CAGE:

· NDC status: ☐ The entity certifies it is an NDC under the definition above.

· Basis of certification:

· The entity has not performed any DoD contract or subcontract subject to full CAS coverage in the one-year period preceding the solicitation.

· If the entity has performed DoD work, it was not subject to full CAS coverage (e.g., exempt, modified, or not CAS-covered). Explain:

· Narrative:

· Authorized representative name/title:

· Signature/date:

E. Small Business Status (if relying on Path 2)

· Prime small business? ☐ Yes ☐ No

· NAICS code(s) proposed:

· SAM small business representation current? ☐ Yes ☐ No

· Attach SAM entity record or other SBA documentation.

F. Certifications, Representations, and Acknowledgements

· The offeror certifies the information provided is true and correct to the best of its knowledge and understands that false statements may be subject to 18 U.S.C. § 1001.

· The offeror acknowledges the Agreements Officer will make the final eligibility determination and may request additional information.

Authorized Representative Name/Title: _____________________________

Signature/Date: ___________________________________

G. Optional Supporting Documentation Checklist ☐ NDC Self-Certification(s) for each NDC participant ☐ SAM small business status evidence for each small business participant ☐ Cost share documentation (valuation, commitment letters, IR&D accounting, equipment/facility valuations) ☐ Workshare matrix and significant contribution narrative ☐ Organizational chart for team (if helpful)

H. Definitions

Nontraditional Defense Contractor, 10 U.S. Code § 3014. In this part, the term “nontraditional defense contractor”, with respect to a procurement or with respect to a transaction authorized under section 4021(a) or 4022 of this title, means an entity that is not currently performing and has not performed, for at least the one-year period preceding the solicitation of sources by the Department of Defense for the procurement or transaction, any contract or subcontract for the Department of Defense that is subject to full coverage under the cost accounting standards prescribed pursuant to section 1502 of title 41 and the regulations implementing such section.

Significant Extent. Significant Extent is determined by the Agreements Officer and should be supported by measurable contributions (unique technology/IP, critical tasks, or substantial cost/effort share). In evaluating the significance of expected NDC/nonprofit research institution participation, pursuant to 10 U.S.C. § 4022(d)(1)(A), the Agreements Officer (AO) will consider input from relevant technical advisors in assessing the totality of the circumstances for each proposed prototype project and make an independent judgment as to the significance of expected NDC, small business, or other entity participation.