Atch 4 - Business Compliance Checklist Coversheet.docx

Source Selection Information – See FAR 2.101 and 3.104 (When filled-in, this Document becomes CUI//SP-SSEL)

HTC71126RE137 POINT MUGU RANGE AIR TRANSPORTATION SERVICES (PMRATS)

Business Compliance Checklist Coversheet Offeror Name:

Complete all requirements listed below and check the corresponding boxes (☐) to confirm compliance. Submission of this checklist as the cover sheet for your Business Compliance submission is mandatory.

I. BUSINESS COMPLIANCE SUBMISSION REQUIREMENTS

A. SOLICITATION & CONTRACT DOCUMENTATION

☐ SF 33 - Complete all required blocks (12 through 18) ☐ CAGE Code - Include in Block 15a ☐ SAM Registration - Active status at time of proposal submission ☐ Atch 9 - DD 254 – Fill-in box 6. Fill-in box 7 if applicable.

☐ SF 30 Amendment Acknowledgment - Return one signed copy of each amendment received

B. PAYMENT & REMITTANCE INFORMATION

☐ Remittance Details - Provide complete address (if different from business) ☐ SAM Alignment - Confirm remittance address matches SAM.gov registration C. ENTITY INFORMATION & ELIGIBILITY REQUIREMENTS - Prime Contractor Information and Principal Subcontractor(s) Information (if applicable):

☐ Complete Attachment 8 – Entity Information & Eligibility form ☐ Company/Division name and street address ☐ Company POC authorized to negotiate on behalf of company ☐ Unique Entity Identifier (UEI) ☐ CAGE code ☐ For each subcontractor, submit statement of intent, subcontract, or similar, signed by both parties, outlining the business arrangement between both parties ☐ Air Carrier Certification- Provide FAA/CAA Air Operator’s Certificate and Operations Specification (OpSpecs) or foreign equivalent for aircraft & services offered ☐ DoW CARB Status- Submit DoW Commercial Air Transportation Quality and Safety Review Program documentation of approval into program

D. REPRESENTATIONS & CERTIFICATIONS

☐ SAM.gov Submission - Submit representations and certifications online at sam.gov Alternative Submission – Submit filled-in representations and certifications included in the solicitation that are not available on sam.gov (check as applies):

☐ FAR 52.209-7 - Information Regarding Responsibility Matters (Oct 2018) ☐ FAR 52.229-11 - Tax on Foreign Procurements Representation (Jun 2020) ☐ IRS Form W-14 - Submit if representing as "foreign person" ☐ DFARS 252.204-7017 - Covered Defense Telecommunications Equipment Prohibition (May 2021)

E. CYBERSECURITY COMPLIANCE

☐ NIST SP 800-171 Assessment - Current DoD assessment (≤3 years) with scores in SPRS ☐ CMMC Level 2 (Self) - Complete and uploaded to SPRS module in PIEE

II. PROPOSAL SUBMISSION CERTIFICATION

I certify that all items checked above have been completed and are included in this proposal submission. This proposal constitutes an offer that may be accepted by the Government and acknowledges our agreement to all contract terms, conditions, and Performance Work Statement (PWS) requirements.

Company Name: _________________________________ Authorized Representative: _________________________________ Title: _________________________________ CAGE Code: ____________ UEI: _________________________________

Signature: ________________________________ Date: _____________

PLEASE NOTE

Failure to complete all required items in the Business Compliance checklist may result in your proposal being rejected as incomplete. in accordance with RFP Addendum to FAR 52.215-1(c)(2)(i)(C). Proposals found non-compliant and rated Unacceptable in the Business Compliance evaluation will be excluded from further evaluation or award consideration. Offerors are responsible for ensuring that their proposals are complete, accurate, and fully compliant with the solicitation requirements.