FMT RFP Attachment 02 Security Self Vetting Form.pdf

PDF 464 KB Posted

Attached to
Family of Maintenance Trainers RFP
Solicitation number
W900KK25RA003
Issued by

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The document is a Security Self-Vetting Form for contractors associated with Solicitation #W900KK25RA003, designed to facilitate security vetting procedures for federal contract participation. The form requires potential contractors to provide detailed organizational information, including organization name, CAGE code, System for Award Management (SAM) registration status, Facilities Clearance (FCL) details, and potential foreign ownership or control status. Contractors must disclose whether their organization or subcontractors are foreign-owned, under Foreign Owned, Controlled, or Influenced (FOCI) status, or currently in merger or purchasing discussions with foreign entities. The form concludes with a certification section where the authorized representative must sign, affirming the accuracy and currency of the provided information.

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Attachment 02 Solicitation #: W900KK25RA003

Security Self-Vetting Form Page 1 of 1

Source Selection Sensitive – See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

SECURITY SELF-VETTING FOR CONTRACTORS

To facilitate the security vetting procedures required to support your participation on FAR based contracts, please provide the following information and certify (sign) and date your responses.

1. Full Organization Name:

2. Organization Cage Code:

3. Is your organization registered in the System for Award Management (SAM) database (Yes or No)?

4. If you answered “No” to question #3, please provide information regarding any previous contracts or government work your organization has performed.

5. Does your organization have an active Facilities Clearance (FCL) (Yes or No)? If you answer “Yes,” what is the nature of the FCL (security level, possessing or non-possessing)?

6. Is your organization (or your subcontractors) foreign owned or under USA Foreign Owned, Controlled, or Influenced (FOCI) status (Yes or No)?

7. Is your organization in merger and/or purchasing discussions with a foreign company or a USA FOCI company (Yes or No)? No

8. If you answered “Yes” to question #6 or #7, please provide the following information on each foreign owned or under USA FOCI company.

a. Full Company Name:

b. Cage Code:

c. Identify Country or Origin:

I certify the information I have provided on behalf of my organization is accurate and up to date.

Printed Name Signature Date

File details come from the government source that posted it. Updated .