Atch 6 - OCI Disclosure Form.docx
DOCX document 26 KB Posted
- Attached to
- H9240021R0007 Technical Collection and Communication (TCC-FSR) Federal contract opportunity
- Solicitation number
- FY2022TCC-FSR
- Issued by
- United States Special Operations Command
About this file
This document provides information regarding a forthcoming solicitation from the United States Special Operations Command for technical collection and communication field service representative and training services. The solicitation seeks to acquire follow-on services for Hostile Forces - Tagging, Tracking, and Locating and Tactical Video System/Remote Surveillance Target Acquisition field service representatives, operational planners, and new equipment training to USSOCOM forces. Interested vendors must register in the System for Award Management and provide their Commercial and Government Entity code, facility clearance information, primary address, and point of contact by the stated due date to receive subsequent draft solicitation and question responses and be eligible to respond once the formal solicitation is released on September 14, 2021. The place of performance will be MacDill Air Force Base in Florida.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Atch 10 - Client Authorization.docx | DOCX document | |
| Atch 4 - TCC DD Form 254 - as of 28 Jul.pdf | ||
| Atch 7 - Past Performance Information Sheet Final.docx | DOCX document | |
| Atch 13 - Preparing-Packaging-Transmitting Classified.docx | DOCX document | |
| Atch 5 -CDRL A001 - A007 Combined.pdf | ||
| Atch 8 - SF1408-14.pdf | ||
| Atch 12 - Pricing Template.xlsx | XLSX spreadsheet | |
| Atch 14 - QnA Template.XLSX | XLSX spreadsheet | |
| Atch 9 - Sub-contractor Consent.docx | DOCX document | |
| Atch 15 - QASP Package.pdf | ||
| H9240021R0007 20 Aug 21 DRAFT.pdf |
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Text version
TCC/FSR H9240021R0007 OCI Disclosure Form
TCC/FSR Offeror (Prime Contractor or Proposed Subcontractor):
1. Name of Company:
2. Address:
3. Point of Contact and Telephone:
4. E-mail:
5. Size Status: Small ( ) Large ( )
6. List Affiliates:
Attachment 6 27 July 2021
OCI DISCLOSURE ATTACHMENT
INSTRUCTIONS FOR COMPLETING
NOTE: One Attachment to the OCI Disclosure Form shall be submitted for each USSOCOM contract or subcontract currently being performed. Place an "X" inside the appropriate parenthesis to indicate your responses.
Fill in the number and the short, official title by which the contract or subcontract requiring analysis and determination is formally known. This is work that has already been awarded, is being performed by your company, and requires a comparison with that work identified in Paragraph 6 of OCI Disclosure Form.
Please identify below the contract or subcontract held by your firm or affiliate and which may create an actual or potential OCI:
a. Contractor, Subcontractor or Affiliate’s Name:
b. Contract or Program Title:
c. Contracting Agency or Customer:
1. Your performance in the above contract is as a: Prime (__) or Subcontractor (__) Contract Number: _________________________ Task Order Number (if applicable):
2. If Subcontractor under 1, what is magnitude of work compared to overall contract value? Percentage (%): Dollar Value: Number of MYEs:
3. If you performed as a Sub, provide Prime Contractor’s name: ________________________________
4. Describe below the scope of the contract or subcontract in sufficient detail to understand the breadth of the work, the period of performance and the value, as it relates to:
| ( | ) Providing Systems Engineering and Technical Direction (FAR 9.505-1) |
| ( | ) Preparing Specifications or Work Statements (FAR 9.505-2) |
| ( | ) Providing Technical Evaluation of Offers for Products or Services (FAR 9.505-3) |
| ( | ) Obtaining Access to Proprietary Information (FAR 9.505-4) |
| ( | ) Providing products, hardware or software to USSOCOM |
Scope (continue on additional pages if more space is necessary):
5. Does the scope of work for this contract or subcontract create an actual or potential conflict of interest with the work you wish to perform under the HF-TTL contract? If so, describe the actual or potential conflict.
File details come from the government source that posted it. Updated .