Attachment 6- Contractor Personnel Qualifications Determination.pdf

Revised 4/2021

U .S. SECURITIES AND EXCHANGE COMMISSION

100 F Street, N.E., Washington, DC 20549

CONTRACTOR PERSONNEL QUALIFICATION

DETERMINATION – iPASS 2.0 Acceptance by the Contracting Officer’s Representative (COR) must be obtained prior to submission of security documents.

SECTION A: PRIME CONTRACTOR & SEC CONTRACT/SOLICITATION INFORMATION

1. Company Name 2. Representative Name and Title 3. Phone and Email Address

4. Contract/Solicitation Number 5. Task Order Number 6. SEC Division/Office Title

7. SEC Location 8. COR Name 9. COR Email Address

SECTION B: SUBCONTRACTOR INFORMATION (if applicable)

This section is only completed if the candidate is an employee of a subcontractor.

1. Company Name 2. DUNS Number 3. Representative Name and Title

4. Phone Number 5. Email Address

SECTION C: PROPOSED CONTRACTOR PERSONNEL INFORMATION

1. Candidate’s Name 2. Labor Category 3. Skill Level

4. Is certification required for this position? (If yes, please provide the title of the certification.)

5. Is the position considered Key Personnel? (If yes, a resume shall accompany this document.)

6. Is the candidate proposed as a Subject Matter Expert (SME)? (If yes, a Curriculum Vitae (CV) shall accompany this document.)

SECTION D: STATEMENT OF QUALIFICATION

The undersigned affirm that the candidate’s education and experience meets or exceeds the minimum qualifications required in the Contract/Task Order - Statement of Work (SOW), Performance Work Statement (PWS), or Statement of

Objectives (SOO).

Please provide examples of the candidate’s education and experience that support this affirmation:

Prime Contractor

Signature Date

Subcontractor (if applicable)

Signature Date

Revised 4/2021

SECTION E: COR TECHNICAL REVIEW AND ACCEPTANCE DETERMINATION

The proposed candidate’s technical qualifications for the position are

If the proposed candidate’s qualifications are technically unacceptable - please provide a factual statement, based on the requirements of the contract/solicitation, in support of this determination. Note: The contractor/ subcontractor may challenge this determination by providing additional information in Section F to be reviewed by the Contracting Officer for a final acceptance determination.

Contracting Officer’s Representative

Signature Date

SECTION F: ADDITIONAL INFORMATION CHALLENGING AN UNACCEPTABLE DETERMINATION (If applicable/optional)

If the COR has determined that the proposed candidate’s qualifications are technically unacceptable, the contractor/subcontractor may challenge that determination by providing a factual statement that clearly describes how the candidate meets or exceeds the minimum qualifications required in the Contract/Task Order - Statement of

Work (SOW), Performance Work Statement (PWS), or Statement of Objectives (SOO). Note: The Contracting Officer

(CO) will review the additional information provided and make a final acceptance determination.

SECTION G: CO TECHNICAL REVIEW AND FINAL ACCEPTANCE DETERMINATION (if applicable)

The proposed candidate’s technical qualifications for the position are

Contracting Officer

Signature Date

NOTE: Completed qualification determinations are filed in eFile COR Folder D.