Attachment 4 - PWS Compliance Form.pdf

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Attached to
Up to 60-month lease of 5 MFDs for US Virgin Islands
Solicitation number
SP7000-25-Q-1060
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This document is a Performance Work Statement (PWS) Compliance Form for solicitation SP7000-25-Q-1060, dated September 23, 2025. The form requires a vendor to confirm compliance with all sections of the Performance Work Statement, with one specific exception noted for Section XV Supply Chain Risk Management. The vendor must submit the required documentation for the Supply Chain Risk Management section as part of their solicitation response, and agrees to adhere to all other PWS requirements without any caveats or deviations. The form is designed to be completed by the prospective vendor, with spaces provided for vendor name, address, signature, and point of contact information.

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SP7000-25-Q-1060 Attachment 4 – Performance Work Statement Compliance Form Page 1 of 1

Source Selection Information - See FAR 2.101 and 3.104.

Date: September 23, 2025

Performance Work Statement Compliance Form

_________________________ (Vendor) _________________________ (Vendor’s Address) _________________________ (Vendor’s Address)

Subject: Performance Work Statement Compliance

Reference: SP7000-25-Q-1060

_________________________ (Vendor) hereby agrees to comply with all sections set forth in the Performance Work Statement (PWS) without any caveats/deviations with the exception of PWS section XV Supply Chain Risk Management.

As part of our solicitation response, this document confirms the documentation required in PWS section XV Supply Chain Risk Management has been submitted.

_________________________ (Vendor Signature) _________________________ (Vendor POC/Title)

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