HT001125R0001 Atch C Disclosure of Contracts.xlsx

This is a disclosure template attachment (Attachment C) that requires offerors to report information about their existing contracts to identify potential Organizational Conflicts of Interest (OCI). The template includes fields for contract names/numbers, principal customers, contractor roles (prime/sub), periods of performance, contract values, and descriptions of requirements. Offerors must specifically indicate whether each contract has associated OCIs or Limitation of Future Contracting clauses, and identify applicable OCI categories including Biased Ground Rules, Impaired Objectivity, or Unequal Access.

The template supports a Defense Health Agency solicitation (HT001125R0001) for Health Care Operations and Program Management Support services, which is a small business set-aside for a 33-month firm-fixed-price contract with options. The disclosure requirement helps DHA evaluate potential conflicts related to support for TRICARE Health Plan programs, purchased healthcare services, human resources, acquisitions, and other healthcare operations at facilities in Falls Church, VA, Aurora, CO, and San Antonio, TX.