DNDO SBIR 12 Cover Sheet.docx

DOCX document 25 KB Posted May 23, 2012

Attached to: DNDO SBIR 12. 1 Federal contract opportunity
Solicitation number: HSHQDC-12-R-00052
Issued by: Department of Homeland Security Office of Procurement Operations

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Fillable Cover Sheet in Word format

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Other files for this federal contract opportunity

Other files attached to DNDO SBIR 12. 1, newest first.
File	Type	Posted
DNDOSBIR QA Post 5_25_12.pdf	PDF	May 25, 2012
FY12 1 SBIR Solicitation 20120523 amendmt 1.pdf	PDF	May 23, 2012
DNDO SBIR 12 Cost Proposal Form.docx	DOCX document	May 23, 2012
FY12 1 SBIR Solicitation 20120515 for FBO.pdf	PDF	May 15, 2012

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DNDO SBIR FY 12.1 Full Proposal Cover Sheet Proposal |_|Contains |_| Does Not Contain Proprietary Information

Proposal ID:

DNDOSBIR12-

Solicitation: HSHQDC-12-00052

Topic Area (section 8.0):

Proposed Amount: $ .

Proposed Duration (in months):

Anticipated Start Date: / /20

Proposal Title:

Abstract (500 words)

Organization Information

Organization Name:

Organization Address 1:

Organization Address 2:

Organization City/Province:

Organization State (2 letter designation):

Organization ZIP + Four:

Country:

Principal Investigator (PI)/Project Leader Information

PI First Name:

PI Middle Initial:

PI Last Name:

PI Address 1:

PI Address 2:

PI City/Province:

PI State (2 letter designation):

PI ZIP + Four: -

PI Phone (include area code): - -

PI Fax (include area code): - -

PI E-mail:

President/Company Officer/Technical Representative (For Business and Financial Matters)

First Name:

Middle Initial:

Last Name:

Address 1:

Address 2:

City/Province:

State (2 letter designation):

ZIP + Four: -

Phone (including area code):

Fax (including area code):

E-mail:

DUNS:

TIN/EIN:

Small Business Matters

Is your company Woman Owned? YES/NO

Is your company Minority Owned? YES/NO

Is your company located within a HubZone? YES/NO

In what year was your company founded?

Does your company qualify as a socially and economically disadvantaged business? (This information is being collected for statistical purposes only.)YES/NO

Does your company comply with the provisions of the Civil Rights Act of 1964 (P.L. 88-352) and the regulations pursuant thereto? YES/NO

How many employees are in your company?

Has this proposal been submitted to other US Government Agencies or their components?

YES/NO (If yes, list the name(s) of the agency or component and topic number) Agency: Topic Number:

Is this project “Manufacturing-Related”? (Meaning related to: (i) manufacturing processes, equipment and systems’ or (ii) manufacturing workforce skills and protection as defined in Executive Order 13329.)

YES/NO

Are you working with a subcontractor? YES/NO (If yes, please list organization)

Is your company a small business as defined in the current Solicitation? YES/NO

Will any foreign nationals, as defined in the solicitation, be involved on this project? YES/NO

Will the Principal Investigator (PI) proposed in your proposal be employed by your company at the time of award during the conduct of research? YES/NO

If your proposal does not result in an award, will your company permit the government to disclose the title and technical abstract page, plus the contact information of your company's point of contact, to third parties who may be interested in contacting your company for further information or possible investment? YES/NO

File details come from the government source that posted it. Updated Nov 14, 2017.