Attachment 2 - Contractor Information Form 2024.docx

Attachment 2

CONTRACTOR INFORMATION FORM

Event / Requirement Name: ____________________________________________________

Use this form to provide your company’s general information. Please respond to all questions as completely as possible.

SECTION 1. GENERAL UEI: __________________ CAGE Code: _____________

1. Business Name:

2. Business Address:

3. Responsible Point of Contact:

Name:

Telephone:

Email:

4. Do you want your Company’s name and Point of Contact publicized in Federal Business Opportunities (SAM.GOV) for possible teaming opportunities? |_| Yes |_| No

SECTION 2. TYPE OF BUSINESS: (Check all that apply)

|_| 8(a) Small Business |_| Service-Disabled Veteran-Owned Small Business

|_| Veteran-Owned Small Business |_| HUBZone Small Business

|_| Women-Owned Small Business |_| Small Disadvantaged Business

|_| Small Business |_| Other than Small Business

Number of Years in Business: _____________________________

NAICS Codes (Top Five (5)):____________________________________________________________

Is your firm: (Check all that apply)

|_| Services |_| Supply |_| General Construction |_| Specialized Construction |_| Manufacturing

|_| Research & Development |_| Prime Contractor |_| Subcontractor

|_| Other – explain___________________________________________________________________

SECTION 3. BONDING CAPACITY: |_| Not Applicable |_| Yes. If yes, provide the following:

Surety Name: (Insert Bonding Company Name)

Maximum bonding capacity per project: $____________________________

Aggregate maximum bonding capacity: $____________________________

SECTION 4. ACQUISITION INTEREST:

Is your firm interested in performing Classified Projects?

|_| Yes |_| No

SECTION 5. CONTRACTOR ARRANGEMENT

Is your firm a part of the Following Mentor Protégé Program(s)?

|_| 8(a) Small Business Administration (SBA) Mentor Protégé Program

|_| All Small SBA Mentor Protégé Program

|_| Department of Defense Mentor Protégé Program (i.e. Army, Navy, Air Force)

|_| Joint venture with (Insert busines name, business size, and cage code). (See FAR subpart 9.6 for Government policy on teaming arrangements, as well as 8(a) Program regulations described in 13 CFR 124.513, HUBZone Program regulations described in 13 CFR 126.616, and Service-Disabled Veteran-Owned Program regulations described in FAR 19.1403 (c) and 13 CFR 125.15(b). )

|_| Not Applicable

SECTION 6. CAPABILITY

1. Our firm’s accounting system |_| does / |_| does not contain the following characteristics:

· Proper segregation of direct costs from indirect costs.

· Identification and accumulation of direct costs by contract.

· Logical and consistent method for the allocation of indirect costs to contracts.

· Accumulation of costs under general ledger controls.

· Timekeeping system that identifies employees’ labor by contract.

· Exclusion of unallowable costs from costs charged to Government contracts.

· Does your firm have written accounting policies and procedures?

2. Our firm |_| has/ |_| does not have a Higher-Level Contract Quality certification(s).

If yes, please provide type(s) of Higher-Level Quality Certification below:

(For additional information look at DFARS Part 246.202-4, Higher-level contract quality requirements.): 246.202-4 Higher-level contract quality requirements. | Acquisition.GOV Higher-level contract quality requirements.)

SECTION 7. SECURITY CLASSIFICATION

1. Our firm |_| holds / |_| does not hold the following: (Check all that apply)

|_| An active Top Secret Facility in Clearance with Sensitive Compartment Information eligibility

|_| Active Top Secret Facility Clearance

|_| Active Secret Facility Clearance

2. Our firm owns or has access to a Sensitive Compartment Information Facility (SCIF)? |_| Yes |_| No

3. If yes, do you have multiple locations? |_| Yes |_| No

4. Where? ___________________________________________________________________

5. Is your company compliant with all security controls in National Institute of Standards and Technology (NIST) Special Publication (SP) 800-171? |_| Yes |_| No

(For additional information look at: 252.204-7008 Compliance with Safeguarding Covered Defense Information Controls. | Acquisition.GOV and SP 800-171 Rev. 2, Protecting Controlled Unclassified Information in Nonfederal Systems and Organizations | CSRC)

6. Our firm |_| has / |_| does not have a Statement of Affiliation with any Federal entity.

If yes, please provide a copy of the most current Federal Statement of Affiliation.