Atch 5 Business Proposal Worksheet.pdf

1. The Offeror shall complete the Standard Form (SF) 1449, blocks 12, 17a, and 30a, b, and c. Block 17a should include the Commercial and Government Entity (CAGE) code. Signature by the Offeror on the SF 1449 constitutes an offer, which the Government may accept, and acknowledgement by the Offeror that they accede to the contract terms and conditions as written in the RFP, with attachments.

Block 17b of the SF 1449 shall be checked if the Offeror’s remittance address is different. The remittance address must be identified in the proposal and such address must be registered in the System for Award Management (SAM) database.

2. Any amendments to the solicitiation will be provided via the SF 30. If applicable, the Offeror shall complete blocks 15a, b, and c on each SF 30.

3. Provision 52.204-24, Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021).

4. Provision 52.209-7, Information Regarding Responsibility Matters (Oct 2018). The Offeror shall complete paragraph (b).

5. Provision 52.212-3, Offeror Representations and Certifications – Commercial Products and Commercial Services (Sep 2023) Alternate I (Oct 2014). The Offeror shall complete only paragraph

(b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov.

If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (v) of this provision.

Source Selection Information – See FAR 2.101 and 3.104 (When filled-in, this Document becomes CUI//SP-SSEL)

HTC71123RW003

Attachment 5

Business Proposal Worksheet

Company Name of Offeror:

Offerors are required to complete all items on this worksheet. A text field is provided below each item requiring a response. For items that do not require a narrative response, a drop down menu is included to acknowledge the necessary attachments/documentation and provision fill-ins/ certifications were provided. Please be aware that responses are limited to the text field provided.

**Restriction on disclosure and use of data applies per solicitation section III under FAR provision 52.212-1.

https://www.sam.gov/

Source Selection Information – See FAR 2.101 and 3.104 (When filled-in, this Document becomes CUI//SP-SSEL)

HTC71123RW003

** Use or disclosure of data contained on this sheet is subject to the restriction on page 1 of the Business Proposal Worksheet.

6. Provision 52.222-56, Certification Regarding Trafficking in Persons Compliance Plan (Oct 2020).

Provide a certification statement for compliance.

Offeror’s Response:

7. Provision 252.204-7019, Notice of NIST SP 800-171 DoD Assessment Requirements. In order to be considered for award, the Offeror shall have a current assessment (i.e., not more than 3 years old) for each covered contractor information system that is relevant to the offer, contract, task order, or delivery order.

8. Names, titles, telephone numbers, and email addresses of the individuals authorized to negotiate, on the Offeror's behalf, with the Government, in connection with this solicitation.

Offeror's Response:

9. Name, title, and signature of the individual(s) authorized to sign the proposal. Proposals signed by an agent shall be accompanied by evidence of agent’s authority, unless evidence has been previously furnished to the issuing office.

Offeror’s Response:

10. Standard Carrier Abbreviation Code (SCAC), Commercial And Government Entity (CAGE), and Unique Entity Identifier (UEI)

Offeror’s Response:

11. Company website (if applicable).

Offeror’s Response:

12. Statement acknowledging the requirement to remain a VISA Participant for the duration of the contract.

Offeror’s Response:

Attachment 5

Source Selection Information – See FAR 2.101 and 3.104 (When filled-in, this Document becomes CUI//SP-SSEL)

HTC71123RW003

Attachment 5

13. As required by FAR 9.5, the Government will ensure no organizational conflicts of interest are present. If any such conflict of interest is found to exist, the Contracting Officer may disqualify the Offeror or determine that it is otherwise in the best interests of the United States to contract with the Offeror and include the appropriate provisions to avoid, neutralize, mitigate, or waive such conflict in the contract awarded. The Offeror shall provide the Contracting Officer with complete information of any previous or ongoing work that is in any way associated with this acquisition, or related acquisitions. The Offeror shall submit a mitigation plan that addresses actual or perceived conflicts of interest related to the services required by this effort for Government review. The Government will conduct an independent assessment review of any submitted OCI Mitigation Plan to determine if any actual or perceived OCI exists and what further actions are necessary, if any. Additionally, the Government will monitor contract performance for emerging areas of conflict of interest and take action considered necessary to avoid, neutralize, or mitigate conflicts. If the Offeror believes there is no OCI, a statement as such shall be included.