Attachment_2__Supplemental_Information_Form.pdf
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- Solicitation number
- USSOCOM_RFI_TE_25-1_Arctic_Technical_Experimentation
- Issued by
-
United States Special Operations Command
About this file
This document is a Supplemental Information Form for a federal contract opportunity related to United States Special Operations Command's (USSOCOM) Request for Information (RFI) TE 25-1: Arctic Technical Experimentation.
The form requires the respondent to provide details about their proposed experiment, including the experiment name, event number, company information, principal investigator details, and whether the experiment will involve unmanned aerial systems, live fire, lasers, vehicles, night operations, communication frequencies, power requirements, and remote site needs. The respondent must also indicate if they plan to publish the results of the experiment and if the technology involves International Traffic in Arms Regulations (ITAR) or Export Administration Regulations (EAR). Failure to complete the form in its entirety may result in non-consideration by the government for the event. The related federal contract opportunity is a Special Notice for USSOCOM's RFI TE 25-1: Arctic Technical Experimentation.
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TE25-1 Event Supplemental Information Sheet Submission If you have any questions or issues completing this form, please email: Tech_Exp@socom.mil
- All items with an asterisk “*” MUST BE COMPLETED. NOTE: There are TWO pages to this form!
- Failure to complete these items & submit this form with your Scout Card may result in non-selection for this event!
- Do NOT submit Tech Briefings or White Papers in lieu of this form as an attachment to your Scout Card in Vulcan!
*1. Experiment Name:
- Brief Experiment Name.
*2. Event Number:
*3. Company Name:
*4. Cage Code:
*5. DUNS Number:
*6. Are you a small business?:
*7. Principle Investigator/PI:
*8. PI Telephone Number:
*9. PI Email Address:
10. USSOCOM/SOF POC (If Applicable):
11. USSOCOM/SOF POC Telephone Number: (If Applicable)
12. USSOCOM/SOF POC Email Address: (If Applicable)
*14. Will you bring an Unmanned Aerial Systems/UAS:
15. Responsibilities: - Participant Names/Responsibilities.
16. Safety: - Other potential safety issues, e.g. explosives, pyrotechnics, hazardous chemical substances, or other occupational hazards.
14a. UAS Make, Model and Quantity
14b. Do you have a current Cyber Vulnerability Assessment?
14d. Is there a COA for your platform at the event site?
Version 20240617. All other forms are obsolete
14c. Is your platform a Program of Record (POR)?
14e. Do you hold a current AWR, IFC, or ASR for the event site?
*13. Do you prefer an inside and/or Outside Space: Please specify limiting environmental factors
*17: Live fire: -Does your experiment include live (Select One); fire/kinetic/energetic operations?
All respondents wishing to conduct experiments of a kinetic or energetic nature are responsible for ammunition and/or explosive shipments to include and Interim Hazard Classification (IHC) or final Hazard Classification (FHC) and coordination for receipt and storage at each venue. Initial the box to verify understanding.
17a - *Live fire type: - List caliber, quantity of rounds or type & quantity of explosives?
Caliber & Type
Qty of Rounds
Explosives Type
Qty of Explosives
*18. Laser: - Does your experiment involve the use of lasers, to include eye safe lasers?
18a:. Laser Class: 18b:. Has your laser/device received a military service verification/validation?
- Laser wavelength: (in nanometers)
- Output power in watts
- Mode of operation (continuous wave or pulsed)
- Beam diameter (FWHM) at the output
- Horizontal and vertical divergence, in degrees
*19. Vehicles: - Does your experiment require vehicles, ATVs, trucks, etc. as part of the actual experiment?
19a. - Vehicle Use: List vehicle type and use. (250 Character Limit)
*20. Night Operations: -Does your experiment require operating during the hours of darkness?
*NOTE: All efforts will be made to accommodate, however, resources for night ops may be limited.
mcgowat Cross-Out
23a. Please specify voltage and amperage draw:
-Total Voltage:
-Total Amps:
- All items with an asterisk “*” MUST BE COMPLETED
- Failure to complete this information sheet, in its ENTIRETY may result in non-consideration by the government for this event.
- Check form for accuracy before submission.
- Do NOT attach tech briefs or White Papers in lieu of this form!
Version 20240617. All other forms are obsolete
FCC ID#:
*21. Communication Frequency: - Are frequencies required:
21a. - Frequency Band:
- Antenna type:
- Power transmitted: (Specify watts or dBm)
*22. Size and Weight:
- What is the weight of your technology solution? Please specify units. If this is not applicable, type in N/A.
- What are the physical dimensions of your technology solution? - If this is not applicable, type in N/A.
*23. Power: - Is there a power requirement for your technology solution?
*27. International Traffic in Arms (ITAR) or Export Administration Regulations (EAR):
*24. Remote Site: - If a remote site is needed (e.g. experiment cannot take place at the main building), what support is required?
*25. Remote Power: - Is remote power required?
*25a.
- Do you anticipate publishing the results of your experiment?
- Any published information may require prior USSOCOM Public Affairs approval. Initial for agreement.
- Publish Location: (which publication?)
*26. Publish:
Untitled
| 21: |
| Inside and/or Outside Space: |
| Communication Frequency: [Select One] |
| 6: |
| Small Business: [Select One] |
| 1: |
| Brief Experiment Name: |
| 1b: |
| Brief Experiment Name: |
| 2: |
| Event Number: [TE25-1] |
| 3: |
| Company Name: |
| 4: |
| Cage Code: |
| 5: |
| DUNS Number: |
| 7: |
| Principle Investigator/PI: |
| 8: |
| PI Telephone Number: |
| 9: |
| PI Email Address: |
| 10: |
| USSOCOMSOF POC If Applicable: |
| 11: |
| USSOCOMSOF POC Telephone Number If Applicable: |
| 12: |
| USSOCOMSOF POC Email Address If Applicable: |
| 14: |
| UAS: [YES, Proceed to 14a] |
| g: [Select One] |
| h: [Select One] |
| i: [Select One] |
| j: [Select One] |
| 14a: |
| UAS Type: [] |
| 14b: |
| Quantity: [Select] |
| 14c: |
| UAS Type: [] |
| 14d: |
| Quantity: [Select] |
| 14e: |
| UAS Type: [] |
| 14f: |
| Quantity: [Select] |
| 15: |
| Responsibilities: |
| 16: |
| Safety: |
| 17: |
| Live Fire: [Select One] |
| 17b: |
| List Caliber: |
| 17c: |
| List Caliber: |
| 17d: |
| List Caliber: |
| 17e: |
| List Caliber: |
| 17f: |
| Qty of Rounds: |
| 17g: |
| Qty of Rounds: |
| 17h: |
| Qty of Rounds: |
| 17i: |
| Qty of Rounds: |
| 17j: |
| Explosive Type: |
| 17k: |
| Explosive Type: |
| 17l: |
| Explosive Type: |
| 17m: |
| Explosive Type: |
| 17n: |
| Explosive Type: |
| 17o: |
| Explosive Type: |
| 17p: |
| Explosive Type: |
| 17q: |
| Explosive Type: |
| 18: |
| Laser: [Select One] |
| f Beam Diameter: |
| g H-Divergence: |
| h H-Divergence: |
| 18a: |
| Laser Class: [Select One] |
| 18c: |
| Select One: [Select One] |
| 18b: |
| Laser wavelength in nanometers: |
| 18d: |
| Output Power: |
| 18e: |
| Mode of Operation: [Select One] |
| 19: |
| Vehicles: [Select One] |
| 19a: |
| Vehical Use: |
| 20: |
| Night Operations: [Select One] |
| 21a: |
| Frequency Band: |
| 21b: |
| Antenna Type: |
| 21c: |
| Power/ Watts or dbm: |
| 21d: |
| FCC ID#: |
| 22: |
| Weight: |
| 22a: |
| Dimensions: |
| 23: |
| Power: [Select One] |
| 23a: |
| Voltage Draw: |
| 23b: |
| Amperage Draw: |
| 24: |
| Remote Site: |
| 25: |
| remote Power: [Select One] |
| 25a: |
| Remote Power: |
| 27: |
| ITAR: [Select One] |
| 26b: |
| Publish Location: |
| 26a: |
| Publishing: [Select One] |
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File details come from the government source that posted it. Updated .