Fillable Form and attachments.pdf

Attachment Page

8. ATTACHMENTS

Attachment A - Data Waiver Form (to be completed and submitted with quote) Attachment B - Non-Disclosure Form for Use of Government Network Systems Attachment C - Contractor Information Template (to be completed and submitted wit quote) /PAST PERFORMANCE

ATTACHMENT A

NOAA/NMFS/NEFSC

COOPERATIVE RESEARCH BRANCH

Contractor:

Data Waiver

I agree to the release of all data collected while performing work under the above-referenced contract, including:

1) All trip, effort, catch (kept and discard information), landings, and apportionment data

2) GPS data including position, speed, and track angle collected during project activities

3) Operations data collected during project activities

4) Vessel-related significant events

5) Gear specifications

6) Additional environmental data (optionally collected) including, but not limited to:

- Temperature and depth data

- Net mensuration data

- Weather data

Data collected under this contract is submitted directly to and is maintained by the Northeast Fisheries Science Center. Only subtrip level data that is collected to meet federal reporting requirements is submitted to the Greater Atlantic Regional Fisheries Office.

This contract supports current research topics relating to enhanced stock monitoring through the use of electronic reporting technology and testing, tracking the use of more selective fishing gears and practices, linking oceanographic and socioeconomic factors to fishery models, and real-time data transmission.

Vessel Owner Signature Date

ATTACHMENT B

NONDISCLOSURE AGREEMENT AND STATEMENT OF FINANCIAL

INTEREST NORTHEAST FISHERIES SCIENCE CENTER (NEFSC)

ACQUISITION FOR RFQ

I understand that in connection with my participation in the NOAA NMFS/Study Fleet Services Acquisition, I may acquire or have access to information relating to any aspect of that acquisition. I hereby agree that I will not discuss with or reveal to any representative of any governmental entity, business organization, other entity, or any individual person (except persons specifically authorized by the Contracting Officer (KO)), either within or outside the U.S. Government, any aspect of the NOAA NMFS/Study Fleet Services acquisition. The term “any aspect of the NOAA NMFS/ Study Fleet Services acquisition” includes, but is not limited to, information contained (or to be contained) in any acquisition documentation created by the U.S. Department of Commerce, National Oceanic and Atmospheric Administration pursuant to FAR Subpart 7.1, requests for quotations, source selection information (as that term is defined in FAR § 2.101), trade secrets and other proprietary information (18 U.S.C. § 1832, §1905), the number and identity of Government personnel involved, and the schedule of key technical and acquisition events in the acquisition process. Except as specifically authorized by the KO, release of such information is not authorized. I agree that this obligation shall continue both during the period of my current participation and thereafter.

I recognize that a significant factor in the successful and proper completion of the NOAA NMFS/ Study Fleet Services acquisition is the strict confidentiality observed by all participants in the various evaluation, review, and discussion groups concerning all of the activities and procedures involved in acquisition development, and that failure to comply with these requirements may compromise the award decision. I acknowledge that the unauthorized release of acquisition information may result in the termination of my participation in this acquisition. Furthermore, I am aware that the unauthorized release of such information may subject me to criminal and civil penalties and adverse personnel actions.

In the event that I release any information described above or become aware that someone else has released such information, I agree to so advise the Contracting Officer. When advising the Contracting Officer, I will provide him/her with the following information: (1) the business organization or other entity, or individual person, to whom the information in question was divulged, (2) the identity of the person that disclosed the information, and (3) the content of the information.

I further affirm that if I am notified of the identity of Quotes, their subcontractors, joint venture partners, and team members by whatever means, I will:

(1) disclose to the Contracting Officer and to DOC Office of Counsel, Contract Law Division and Ethics Division whether I or any member of my immediate family* have any holdings or interest whatsoever in any Quote, their subcontractors, joint venture partners, or team members, and (2) if I or a member of my immediate family1* acquire

1 *The interest of a spouse, minor child, or other member of the employee’s immediate household is reported in the same manner as an interest of the employee.

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

NONDISCLOSURE AGREEMENT AND STATEMENT OF FINANCIAL

INTEREST NORTHEAST FISHERIES SCIENCE CENTER (NEFSC)

ACQUISITION FOR

holdings or interest in any Quote, their subcontractors, joint venture partners, or team members, notify the Contracting Officer and will not participate in any aspect of the NOAA NMFS/ Study Fleet Services unless authorized to do so by the Contracting Officer and DOC Office of General Counsel Contract Law Division and Ethics Division.

If I am a DOC or DOC/NOAA employee and have been required by the Contracting Officer to complete the OGE Form 450, OGE Form 450-A or SF 278, a copy of my most recent OGE Form 450 or SF 278 is on file or is to be submitted prior to my participation in the NOAA NMFS/ Study Fleet Services acquisition.

Signature and Date Contractor

Printed Name Phone Number

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3

Attachment C - Study Fleet Contractor Information Template

VESSEL DETAILS

Vessel Name:

Home Port/State:

Vessel: Permit #: Hull ID:

USCG Insp. Sticker: Mo: Yr: Life raft capacity:

EPIRB: Y N Location:

Construction: Year: Shipyard:

Measurements: Length: Beam: Draft:

Tonnage: Gross: Net:

Engine: mk/model: Year: HP:

Accommodations: Head: Y N # of Bunks:

Vessel Email: Satellite Phone:

Owner/Company:

Company Contact: email:

Address:

Office Phone:

Cell Phone:

Fax Number:

Company Duns No.

CAPTAIN DETAILS

Primary Captain: email:

Operator #:

Yrs. as Captain:

Cooperative Research Experience:

Secondary Captain: email:

Operator #:

Yrs. as Captain:

Cooperative Research Experience:

VESSEL ELECTRONICS

Primary GPS: Make: Model: Software version:

Depth Sounder: Make: Model:

VMS: Y N Brand: MCT/Serial:

Net/Gear Sensors:

Other Electronics:

Electronic Tech: City, ST: Phone:

FISHING ACTIVITIES

Permit(s) Held:

(include length of time in each fishery)

Type of Gears Used:

Areas Fished:

Avg # Days Fished Per Year Crew Size:

Max. Trip Length: # Days: Trip limitation: fuel H2O provisions stability crew

Catch Storage: # Freezers: Ref. Seawater: Y N Ice: Y N Conveyor: Y N

VESSEL INSURANCE

Insurance Carrier:

Address: State: Zip:

Contact:

Phone:

Include Photocopies of:

• Vessel Fishing Permits

• Licenses held by Captain and Crew

• Stability Letter/Insurance Carrier Inspection

• Current Insurance Policy

List below, similar jobs, which you have successfully performed in the past, for the U.S. Government and other Companies.

PAST PERFORMANCE INFORMATION

Point of Contact/Phone/E-mail Address Year Contract

Amount Government Agency

Contract Number

Dollar Amount

Additional Applicant Comments: