Attachment 5 - Additional Info 693JK325RA0001.docx
DOCX document 38 KB Posted
- Solicitation number
- 693JK325RA0001
About this file
This document is an Attachment 5 Additional Information form for a U.S. Department of Transportation (USDOT) Research Announcement (RA #693JK325RA0001) issued by the Pipeline and Hazardous Materials Safety Administration (PHMSA). The form requires potential contractors to provide detailed organizational information, including business type (with checkboxes for small business categories like 8(a), HUBZone, and Veteran-Owned), SAM registration status, and key personnel contact details for the program manager, financial administrator, and technical coordinator.
The form also includes a cost-share certification section requiring compliance with 2 CFR 200 guidelines, where the certifying individual must sign and date the document. This attachment appears to be part of a solicitation for pipeline safety research and development projects to be awarded as Other Transaction Agreements (OTAs), with proposals to be submitted through PHMSA's Pipeline Safety R&D Management Information System. Key submission deadline details include a question submission cutoff of 5:00 p.m. EST on October 14, 2025, with responses to be posted by October 18, 2025.
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Other files
| File | Type | Posted |
|---|---|---|
| Questions and Answers RFQ 693JK325RA0001_Amendment 01.pdf | ||
| Attachment 7 - Research Topics 693JK325RA0001.docx | DOCX document | |
| Attachment 1 - Team Project Activities 693JK325RA0001.docx | DOCX document | |
| Attachment 2 - Project Deliverables 693JK325RA0001.docx | DOCX document | |
| Attachment 8 - Terms and Conditions RA693JK325RA0001_Final.docx | DOCX document | |
| 693JK325RA0001 RA11 Notice_Final.docx | DOCX document | |
| Attachment 6 - Title VI Non Discrimination Assurances 693JK325RA0001.docx | DOCX document | |
| Attachment 3 - Deliverable-Milestone Schedule 693JK325RA0001.xlsx | XLSX spreadsheet | |
| Attachment 4 - Budget Summary 693JK325RA0001.pdf |
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Text version
| U.S. Department of Transportation (USDOT) | RA #693JK325RA0001 | |
| Pipeline and Hazardous Materials Safety Administration (PHMSA) | Attachment #5 |
ADDITIONAL INFORMATION
| Institution/Firm: |
| Proposal Title: |
| Type of Business (profit, non-profit): |
Size (check all that apply):
|_| Small Business |_| Small Disadvantaged Business |_| 8(a) Business |_| Woman Owned Business |_| HUBZone Business |_| Veteran Owned Business |_| SDVOB |_| Large Business
| UEI Number: |
| Taxpayer/Federal Identification Number: |
Contractor/Team Project Officials
Contractor/Team Program Manager / Principal Investigator
| Name: |
| Address: |
| E-Mail: |
| Telephone: |
| Fax: |
Contractor/Team Program Financial Administrator
| Name: |
| Address: |
| E-Mail: |
| Telephone: |
| Fax: |
Contractor/Team Technical Coordinator
| Name: |
| Address: |
| E-Mail: |
| Telephone: |
| Fax: |
System for Award Management (SAM)
Is your organization registered in www.SAM.gov? Yes |_| No |_|
| If you answered Yes above, please indicate the date of your latest SAM update: |
| / / |
Cost-Share Certification
Please certify that the proposed cost-share for this project is in accordance with 2 CFR 200 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Section 306, Cost Sharing or Matching.
| Name of Person Certifying: |
Signature:
| Date: |
| / / |
File details come from the government source that posted it. Updated .