Atch_11_-_COI_Statements.docx
DOCX document 98 KB Posted
- Attached to
- Optimizing the Human Weapon System (OHWS) Services Federal contract opportunity
- Solicitation number
- FA4890-18-R-5035
About this file
This document contains a solicitation for Optimizing the Human Weapon System (OHWS) services. The solicitation is seeking proposals for a firm fixed price contract to provide prehabilitation services to decrease neck and back pain in aircrew over a five year period from March 2020 to September 2025. The contract will be awarded through full tradeoff evaluation as a 100% small business set aside with a NAICS code of 621340. Questions regarding the solicitation are due by August 23rd and proposals are due September 16th. The solicitation is being issued by the Department of the Air Force Air Combat Command. Offerors must be registered in SAM and use WAWF for invoicing and payment.
COI Statements
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Atch_5_-_18R5035_-_Price_Template.xlsx | XLSX spreadsheet | |
| Atch_4_-_18R5035_-_PWS.docx | DOCX document | |
| Atch_6_-_18R5035_-_App_A_PPI_Template.doc | DOC document | |
| Atch_3_-_CLAUSES.docx | DOCX document | |
| Atch_8_-_18R5035_-_App_B_PPQ_Cover_Letter.pdf | ||
| Atch_9_-_18R5035_-_Question_Matrix.xlsx | XLSX spreadsheet | |
| Atch_7_-_18R5035_-_App_C_PPQ_Template.doc | DOC document | |
| Atch_1_-_52_212-1_Addendum.doc | DOC document | |
| Atch_2_-_52_212-2_Addendum.doc | DOC document | |
| Atch_10_-_8R5035_-_App_D_SubKtr_Consent_Ltr.doc | DOC document |
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Text version
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS AIR COMBAT COMMAND
ACQUISITION MANAGEMENT AND INTEGRATION CENTER
JOINT BASE LANGLEY-EUSTIS VA
CONFLICT OF INTREST STATEMENT
COMBAT AIR FORCES (CAF)
OPTIMIZING THE HUMAN WEAPON SYSTEM (OHWS) SERVICES
FA4890-18-R-5035
Please review the list of prime contractors and their subcontractors who are offering proposals in response to the Request for Proposal (RFP) for the acquisition identified above. After reviewing the list, check the appropriate boxes, fill in the information requested, and sign:
I certify that neither I nor my immediate family, to the best of my knowledge, possess any financial interest whatsoever in any company, parent or subsidiary, which is proposing on the acquisition identified above now being considered by the Source Selection Evaluation Board (SSEB) of which I am a member or advisor. Should any company in which I or my immediate family has a financial interest submit a proposal to my source selection team, I will reveal immediately such interest to the SSEB Chairperson and the Contracting Officier. (Please note that ownership of a financial interest in a company described in this paragraph which interest is valued at less than $15,000 is not disqualifying and need not be reported on this form. The $15,000 value is additive among your spouse and minor children, if any.)
OR
I do possess a financial interest in a company that is proposing on or is in a way involved in the acquisition identified above now being considered by the SSEB of which I am a member or advisor. (If you have checked this box, please provide a description of your financial interests on the reverse side of this form.)
I further acknowledge my obligation to disclose any friendships; family or social relationships; past, present, or planned employment relationships, or any other type of relationship, such as housing or transportation arrangements, which might be perceived as compromising my independent judgment in connection with this Source Selection. (Please make any disclosures on the reverse of this form.)
Name (print):
Organization: Phone:
Signature:
Date:
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File details come from the government source that posted it. Updated .