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SOURCE SELECTION INFORMATION — SEE FAR 2.101 AND 3.104
(When filled-in, this Document becomes CUI//SP-SSEL)
HTC71126RE147 DPAA PAPUA NEW GUINEA
ATTACHMENT 4: BUSINESS COMPLIANCE CHECKLIST
Company Name of Offeror: __________________________________________________________________ Complete all requirements listed below and check the corresponding boxes to confirm compliance. Submission of this checklist as the cover sheet for your Business Compliance submission is mandatory.
| Verify |
| Compliance Requirement Description |
A. SOLICITATION & CONTRACT DOCUMENTATION
| [ ] |
| SF 1449 (Signed): Complete all required blocks (12, 17a, 30a–c) |
| [ ] |
| CAGE Code: Include in Block 17a |
| [ ] |
| Authorized Signature: SF 1449 signed by company representative |
| [ ] |
| SAM Registration: Verify active status at submission time |
B. PAYMENT & REMITTANCE INFORMATION
| [ ] |
| Address Verification: Check Block 17b if remittance differs from business address (If your remittance address is the same as your business address, you may write "N/A" in the boxes for this section.) |
| [ ] |
| Remittance Details: Provide complete address (if different from business) |
| [ ] |
| SAM Alignment: Confirm remittance address matches SAM.gov registration |
C. SOLICITATION AMENDMENTS
| [ ] |
| SF 30 Amendment Acknowledgment: Return one signed copy of each amendment received |
D. COMPANY IDENTIFICATION
Prime Contractor Information and Principal Subcontractor(s) Information (if applicable):
| [ ] |
| Attachment 9: Complete RFP Offeror Information Sheet (Company/Division name, street address, CAGE, UEI, and authorized POCs) |
E. ELIGIBILITY REQUIREMENTS
| [ ] |
| Attachment 8: Complete Basic Eligibility and Carrier Flag Status form |
| [ ] |
| Air Carrier & CARB Certification: Provide current FAA/CAA Operations Specification (OpSpecs) or foreign equivalent, and submit DoD Commercial Air Transportation Quality and Safety Review Program documentation proving active CARB approval for the company and all proposed aircraft |
| [ ] |
| Air Operator Certificate (AOC): Provide valid AOC issued by CASA PNG, OR provide official documentation from CASA PNG confirming successful completion of Phase 1 (Pre-Application) and Phase 2 (Formal Application) of the AOC certification process. |
| [ ] |
| Insurance Capability: Provide either (1) active, formal proof of current insurance coverage (e.g., an active Certificate of Insurance / Acord Form) meeting the limits in PWS 4.15.2, or (2) a written statement on company letterhead, signed by an authorized corporate officer, certifying the Offeror’s capability and commitment to secure all required coverages. |
(Note: If option 2 is submitted at proposal, active physical Proof of Insurance Coverage must be provided prior to contract award as a strict condition of eligibility).
F. REPRESENTATIONS & CERTIFICATIONS
In accordance with FAR 4.1102(a) and FAR provision 52.204-19, Offerors must maintain active representations and certifications in SAM.gov. Please select ONE of the options below:
| [ ] |
| Full SAM.gov Alignment (No Exceptions): By checking this box, the Offeror certifies that its annual representations and certifications posted electronically in SAM.gov are active, current, accurate, and complete as of the date of proposal submission, and are incorporated by reference |
| [ ] |
| SAM.gov Alignment with Exceptions: By checking this box, the Offeror certifies that its SAM.gov profile is active and current except for the items indicated below. (If checking this option, you must check the applicable exceptions below and attach the required l documents ): |
| [ ] |
| Missing/Incomplete SAM Representation: Specify FAR/DFARS Clause Number(s): ________________________________________________________________________________________________________________________________________________ |
| [ ] |
| Security Prohibitions and Exclusions (FAR 52.240-90): Offeror represents that it does use covered equipment/services or is subject to a FASCSA order. A written narrative disclosure addressing all elements of FAR 52.240-90(g) is attached. |
| [ ] |
| Foreign Entity Status (IRS Form W-14): Offeror is a foreign entity. Completed IRS Form W-14 is attached if applicable. |
G. CYBERSECURITY COMPLIANCE
| [ ] |
| NIST SP 800-171 Assessment: Confirm current DoD assessment (≤ 3 years) with scores is uploaded in SPRS |
| [ ] |
| CMMC Level 2 (Self): Confirm active Level 2 Self-Assessment is affirmed and uploaded in SPRS |
| [ ] |
| CMMC Unique Identifier (UID): Provide SPRS 10-character alpha code_____________________ |
PROPOSAL SUBMISSION CERTIFICATION
I certify that all items checked above have been completed and are included in this proposal submission. This proposal constitutes an offer that may be accepted by the Government and acknowledges our agreement to all contract terms, conditions, and Performance Work Statement (PWS) requirements.
| Company Name: |
| __________________________________________________ |
| Authorized Representative: |
| __________________________________________________ |
| Title: |
| __________________________________________________ |
| CAGE Code: |
| ______________________ |
| UEI: |
| ________________________ |
| Signature: |
| ______________________ |
| Date: |
| ________________________ |
PLEASE NOTE: Failure to complete all required items in this checklist may result in your proposal being deemed not acceptable in accordance with RFP FAR 52.212-2(a)(1). Proposals found non-compliant will be excluded from further evaluation or award consideration.
