Attachment 0005 - Certification Statement CUI.pdf

PDF 103 KB Posted

Attached to
Fielding Agile Supplies, Support, and Training (FASST)
Solicitation number
W56HZV-21-R-0133
Issued by

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This document contains a certification statement and information about a federal contract solicitation. The certification statement is to be filled out by an offeror certifying that any information provided about the offeror's small business size or socioeconomic status as part of its proposal in response to Army solicitation W56HZV-21-R-0133 is true, complete and accurate.

The related federal contract opportunity is for the Fielding Agile Supplies, Support, and Training (FASST) solicitation from the Department of the Army Materiel Command TACOM Life Cycle Management Command. While no detailed requirement or response information is provided, the solicitation number and agency are identified.

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Other files

File Type Posted
Attachment 0001 DD Form 254.pdf PDF
Attachment 0003 Small Business Participation Workbook.xlsx XLSX spreadsheet
Attachment 0004 - SBP-WorkbookInstructions.pdf PDF
Attachment 0006 -Additional Guidelines for Controlled Unclassified Information.pdf PDF
W56HZV21R0133.pdf PDF
Attachment 0002 -- GCS OPSEC Plan 2019.pdf PDF

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CUI

When Filled-In, This Document is:

SOURCE SELECTION INFORMATION

SEE FAR 2.101 AND 3.104

CUI

Controlled by: ACC-DTA Controlled by: CCTA-AHP-A

CUI Category: Procure Dissemination Control: FED ONLY

POC: Chris Havrilla Christopher.r.havrilla.civ@army.mil

CERTIFICATION STATEMENT

I certify that the provided information in the below firm’s proposal in response to Solicitation W56HZV-21-R-0133, Technical Factor Section L.4.2.3, which describes the below firm’s verification for small business size and socioeconomic status on proposed contract __________________ are true, complete, and accurate to the best of my knowledge and belief and are made in good faith. I understand that a knowing and willful false statement can be punished by fine or imprisonment or both (See U.S. Code, Title 18, Section 1001).

OFFEROR CERTIFICATION

This must be signed by a person authorized to sign proposals on behalf of the offeror in connection with this solicitation.

Signature Date

Name:

Title:

Phone Number:

On behalf of the Offeror:

Company Name: Cage Code:

Address:

CERTIFICATION STATEMENT
OFFEROR CERTIFICATION

File details come from the government source that posted it. Updated .