DoW DRONE OTA CONSORTIUM APPLICATION FORM 29MAY26.pdf

DEPARTMENT OF WAR (DoW) DRONE MARKETPLACE OTHER TRANSACTION

AUTHORITY (OTA) CONSORTIUM

VENDOR MEMBERSHIP APPLICATION & AGREEMENT

This application is for entities seeking membership in the DoW Drone OTA Consortium.

To be considered for acceptance, applicants must fully complete this application and sign the below Consortium Vendor Agreement and submit to DMConsortium@army.mil.

PART I: VENDOR INFORMATION

Field Entry

Legal Business Name __________________________________________________

Doing Business As (DBA) __________________________________________________

Corporate Address __________________________________________________

City, State, Zip Code __________________________________________________

Primary Point of Contact (POC) __________________________________________________

POC Title __________________________________________________

POC Email & Phone __________________________________________________

Unique Entity Identifier (UEI) __________________________________________________

CAGE Code __________________________________________________

PART II: ELIGIBILITY & REGISTRATION CHECKLIST

Please indicate compliance by marking the applicable boxes to self-certify your organization's eligibility.

Requirement Yes / No / Details

Active SAM Registration: Entity is actively registered in SAM.gov

[ ] Yes [ ] No

Export Control Compliance: Entity complies with ITAR and

EAR

[ ] Yes [ ] No

Active JCP Certification? (Provide DD Form 2345 Number if Yes)

[ ] Yes (Number: ____________) [ ] No

Suspension and Debarment: Entity is NOT currently suspended/debarred

[ ] Yes [ ] No

Security Compliance: Prepared to comply with NIST SP 800-

171 & CUI

[ ] Yes [ ] No

PART III: BUSINESS CLASSIFICATION POOLS

Select all classifications that apply to your organization (Refer to Section IX of the Consortium Agreement).

Pool Designation Description Check if Applicable

Pool 1: Unrestricted Actions valued above $15M. Competed without small business set-asides.

Pool 2: Small Business Set- Aside

Actions valued at or under $15M may be set-aside for small business competition.

Pool 3: Non-Traditional Defense Contractor (NDC)

Dedicated pool for NDCs to satisfy statutory requirements and promote commercial technology transition.

PART IV: CONSORTIUM VENDOR AGREEMENT TERMS

By signing below, the Vendor agrees to the terms and conditions set forth in the overarching DoW DRONE OTA CONSORTIUM AGREEMENT, specifically acknowledging the following core provisions:

Term Agreement Acknowledgement

Scope of Participation

Vendor participation is limited to submitting responses to Requests for Whitepapers/Solutions released by the Government Steering Committee Acceptance into the Consortium does not guarantee any contract award.

SETA

Contractors/ FFRDCs

The Vendor understands and consents that the Government may share proprietary technical and administrative information with SETA advisory contractors and/or FFRDCs under strict Non-Disclosure Agreements.

Active Participation

If the Vendor fails to submit any whitepaper responses within a consecutive twelve (12) month period, the Government reserves the right to terminate their participation for inactivity.

Compliance & Security

Vendor agrees to comply with all security requirements (NIST SP 800-171, CUI protection), export controls (ITAR/EAR), and WAWF invoicing requirements prior to receiving an award.

Intellectual Property

Data rights will be negotiated on a project-by-project basis, with the Government generally seeking "Government Purpose Rights" for prototypes.

PART V: AUTHORIZED SIGNATURE

The undersigned certifies that they are an authorized representative of the Applicant and that all information provided in this application is true, accurate, and complete to the best of their knowledge.

Signature Block

Authorized Representative Name: _________________________________________________

Title: __________________________________________________

Signature: __________________________________________________

Date: __________________________________________________

FOR GOVERNMENT STEERING COMMITTEE USE ONLY

Approval Block

Status: [ ] Approved [ ] Disapproved

Signature of Agreements Officer

(AO):

Date: __________________________________________________