Attachment I - Disclosure of Lobbying Activities.docx

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East Coast Towing & Salvage Vessel
Solicitation number
N3220521R4106
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This synopsis announces a solicitation for towing and salvage vessel services. The Military Sealift Command seeks a Jones Act-qualified anchor handling, towing, and supply vessel to support fleet towing, diving, salvage operations, submarine rescue, and training exercises. The contract period is one year with two optional one-year extensions. Interested parties must submit responses by April 26, 2021, and the agency anticipates awarding a contract on or about July 3, 2021. The solicitation will be available on beta.SAM.gov on March 25, 2021. The procurement is full and open competition following a market research determination not to set aside the requirement for small businesses.

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ATTACHMENT IX (I)

DISCLOSURE OF LOBBYING ACTIVITIES (SFLLL)

DISCLOSURE OF LOBBYING ACTIVITIES

Approved by OMB

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure.)

0348-0046

1. Type of Federal Action:
2. Status of Federal Action:
3. Report Type:

contract grant bid/offer/application initial award initial filing material change

c. cooperative agreement
c. post-award
For Material Change Only:

d. loan year _________ quarter _________ loan guarantee loan insurance date of last report ______________

4. Name and Address of Reporting Entity:
5. If Reporting Entity in No. 4 is a Sub awardee, Enter Name

Prime Sub awardee Tier ______, if known:

Congressional District, if known:

and Address of Prime:

Congressional District, if known:

6. Federal Department/Agency:
7. Federal Program Name/Description:

CFDA Number, if applicable: _____________

8. Federal Action Number, if known:
9. Award Amount, if known:
10. a. Name and Address of Lobbying Registrant (if individual, last name, first name, MI):
b. Individuals Performing Services (including address if different from No. 10a)

(last name, first name, MI):

11. 1352Information. This requested disclosure through this of lobbying activities form is authorized is a material by title representation 31 U.S.C. section of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Title: Signature:

Print Name:

Telephone No.: _______________________ Date:

Federal Use Only:
Authorized for Local Reproduction

Standard Form LLL (Rev. 7-97)

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