US-Citizen-Verification_V3.pdf
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- Solicitation number
- FA875020R1000
About this file
This document contains a pre-solicitation notice and announcement for an industry day regarding a Counter-small Unmanned Aircraft Systems contract opportunity. The Air Force Research Laboratory is seeking proposals for a single-award indefinite-delivery, indefinite-quantity research and development contract with a period of performance of 72 months and maximum value of $490 million. The contract will support rapid development and evaluation of counter-sUAS capabilities to combat adversaries' use of commercial off-the-shelf sUAS technology. The North American Industry Classification System code is 541715 with a small business size standard of 1,500 employees. The solicitation will be issued on beta.sam.gov and is anticipated in the first quarter of 2020. An industry day will be held on December 16, 2019 at the Griffiss Institute in Rome, New York to provide an overview and allow for 20-minute private meetings with interested parties.
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VERIFICATION OF U.S. CITIZEN
(To be completed by Personnel or Security Official)
I, certify that
Is Citizen of the United States of America.
This document serves as a verification that a Personnel or Security Official from the organization below has certified the U.S. Citizen status of the meeting attendee. This verification shall remain valid through the duration of the requestors employment wit the organization listed below.
All fields below are required for a valid U.S. Citizen verification.
Organization and Cage Code:
Personnel/Security Official: Meeting Attendee:
Printed Name: Printed Name:
Phone Number: Phone Number:
Email: Email:
Signature*
Date:
*Hand written signature or valid digital certificate accepted
Please note if you are a U.S. Citizen and a Personnel or Security Officer is unable to verify this, a copy of your U.S. passport will be required.
| Title13_es_:title: |
| Title14_es_:title: |
| Company15_es_:company: |
| Title16_es_:signer:title: |
| Title17_es_:title: |
| EMail20_es_:signer:email: |
| EMail21_es_:email: |
| Signature22_es_:signer:signature: |
| Date23_es_:signer:date: |
| Phone Number1: |
| Phone Number2: |
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