Attch 6- OCI Disclosure and Analysis Form.xlsx
XLSX spreadsheet 22 KB Posted
- Attached to
- HQ NORAD & NORTHCOM (N&NC) High-Altitude Electromagnetic Pulse (HEMP) Testing and Hardness Sustainment
- Solicitation number
- FA251825r0029
About this file
The document is an Organizational Conflict of Interest (OCI) Disclosure and Analysis Form for a federal contract opportunity related to High-Altitude Electromagnetic Pulse (HEMP) Testing and Hardness Sustainment for HQ NORAD & NORTHCOM. The form provides a structured template for contractors to self-disclose potential conflicts of interest across six key areas, including systems engineering, technical direction, specification preparation, technical evaluations, proprietary information access, and product provision.
The form is specifically designed for solicitation FA251825r0029 issued by the Department of the Air Force Space Command, focusing on verification/re-verification testing and hardness sustainment of NORAD and NORTHCOM HEMP systems at Peterson Space Force Base in Colorado Springs. Contractors are required to complete one form per functional area, identifying actual or potential organizational conflicts of interest, and if applicable, provide detailed mitigation strategies. The form must be submitted in Microsoft Excel format directly to the Contracting Officer, following specific naming conventions and navigation instructions.
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Other files
| File | Type | Posted |
|---|---|---|
| HEMP Requirement Q and A 13 August 2025.docx | DOCX document | |
| Attch 0 Combined Synopsis Solicitation_HEMP NNC_amnd 13Aug25.docx | DOCX document | |
| Attch 3- Provisions and Clauses.pdf | ||
| Attch 0-Combined Synopsis Solicitation_HEMP NNC_29Jul25.pdf | ||
| Attch 5-DD254 - NNC Testing Contract.pdf | ||
| Attch 2- Proposal Schedule.pdf | ||
| Attch 4- CLIN Pricing Sheet.xlsx | XLSX spreadsheet |
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| Instructions: Use the "Tab" key and /or mouse pointer to navigate this form. Upon completing this form save using the following name format: "OCI-Company Name or Abbreviation.xls". This form must be submitted in Microsoft Excel to the Contracting Officer. Reference solicitation for guidance on use and submittal of this form. | |
| NOTE: Submit one OCI Disclosure and Analysis Form for EACH functional area or sub-area requiring analysis and a Government OCI determination. | |
| Blocks 1 - 3: Self Explanatory | |
| Block 4(a-f): Place an "X" in the appropriate box for the types of work where you believe conflicts of interest, real or perceived, exist. Immediately to the right, list the AFSPC contract/subcontract numbers with titles needing analysis and a Contracting Officer determination. | |
| Block 4: Provide brief summaries of the work performed under the contract/subcontract(s) listed in Block 5. Include the period of performance and the total contract value. | |
| Block 6: Circle applicable statement if you believe an OCI exists - If neither is believed to exist, there is no need to submit this form. | |
| Block 7: If you circle either statement in Block 6, provide a description of the OCI and proposed mitigation actions to avoid or neutralize the conflict. (May be submitted as an attachment to this form.) | |
| 1. Solicitation/Contract Number: | 2. Program Title |
| 3. Your Company's Name, Address, and POC: | |||
| a. Company Name | |||
| b. Address | |||
| c. City | d. State | e. Zip Code | |
| f. POC Name | g. Phone | ||
| h. POC E-mail | |||
| 4. Areas of work that could cause a conflict for your company (complete only one area per form): | |||
| a. Providing Systems Engineering and Technical Direction | |||
| b. Preparing Specifications or Work Statements | |||
| c. Providing Technical Evaluation or Advisory & Assistance Services | |||
| d. Access to Proprietary Information of Others | |||
| e. Providing products, hardware, or software to AFSPC or another contractor for use within AFSPC | |||
| f. AFSPC Contracts/AFSPC Funded Contracts | |||
| 5. Summary/Description of work performed under contracts identified in Block 4: |
| 6. OCI Evaluation and Assessment: | |
| Actual OCI Exists | Potential for OCI exists |
| 7. Descriptive summary of each actual/potential OCI, including mitigation actions planned to avoid or neutralize the conflict: |
&"-,Bold"Attachment 3 - RFP FA2518-25-R-0029 OCI Disclosure & Analysis Form
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