Atch 8 - Entity Information and Eligibility Sheet.docx
DOCX document 28 KB Posted
- Solicitation number
- HTC71126RE137
About this file
This is an Entity Information and Eligibility Sheet for offerors responding to solicitation HTC71126RE137 for Point Mugu Range Air Transportation Services (PMRATS). The form requires offerors to provide their entity name, address, UEI/CAGE code, and identify authorized negotiators and signatories. Offerors must declare whether they are U.S.-Flag or Foreign-Flag Air Carriers and confirm whether they will own and operate all proposed aircraft or if subcontractors will perform aircraft operations.
For any principal subcontractors performing air transportation services, offerors must provide the subcontractor's name, address, UEI/CAGE code, and carrier flag designation, along with a signed statement of intent outlining the business arrangement between prime and subcontractor. Additionally, offerors must certify that all proposed aircraft are listed on FAA-issued Operations Specifications (OpSpec) paragraph D085 or equivalent Civil Aviation Authority documentation, with identification of each aircraft model, tail number, and the entity under whose OpSpec it operates. The form also requires certification that the offeror and all proposed subcontractors operating aircraft transporting Department of War personnel or cargo have obtained approval from the DoW Commercial Airlift Review Board (CARB) to participate in the DoW Commercial Air Transportation Quality and Safety Program. All information requiring substantiating documentation is marked with SD notation per FAR 52.215-1(c)(2)(ii)(D).
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Text version
Source Selection Information – See FAR 2.101 and 3.104 (When filled-in, this Document becomes CUI//SP-SSEL)
HTC71126RE137 PMRATS
Attachment 8
Entity Information & Eligibility Sheet
Complete the following entity and eligibility information.
NOTE: Information provided below that require the submission of substantiating documentation in accordance with solicitation provision Addendum to FAR 52.215-1(c)(2)(ii)(D) are marked **SD**.
1. Offeror’s Name & Address:
2. Offeror’s UEI / CAGE Code: __________________________________________________
3. **SD** Is the Offeror a U.S.-Flag Air Carrier or Foreign-Flag Air Carrier?
☐ U.S. ☐ Foreign
4. Individual(s) authorized to negotiate and sign on behalf of the Offeror.
| POC Name & Title |
| Phone Number |
5. Is the Offeror the entity that will own & operate all proposed aircraft? ☐ Yes ☐ No
a. If no, please explain and cross-reference to owner/operator identified in #6 below:
6. **SD** For all aircraft to be operated by an entity who is not the Offeror (ref. #5), provide principal subcontractor (any entity other than the offeror proposed to perform an air transportation requirement under PWS 1.3.1) information below; and duplicate 6.a.i, ii, & iii for each proposed principal subcontractor:
a. Principal Subcontractor Name & Address (input “N/A” if not applicable):
i. Principal Subcontractor UEI / CAGE code: _____________________________________
ii. **SD** Is this subcontractor a U.S.-Flag Air Carrier or Foreign-Flag Air Carrier?
☐ U.S. ☐ Foreign
iii. **SD** Has statement of intent, or similar, outlining business arrangement between prime and subcontractor, signed by both parties, been provided in accordance with Addendum to FAR 52.215-1(c)(2)(ii)(D)(5)? ☐ Yes ☐ No
7. **SD** Are all proposed aircraft listed on the Offeror’s, or where applicable the proposed subcontractor’s, FAA-issued Operations Specifications (OpSpec), paragraph D085, or Civil Aviation Authority equivalent?
☐ Yes ☐ No
a. **SD** Identify each proposed aircraft (model, tail number) and the entity to under whose OpSpec the aircraft is listed. To note, any aircraft not listed on the Offeror’s or a proposed subcontractor’s OpSpec will not be considered for award:
8. **SD** Does the Offeror and all proposed subcontractors who will operate aircraft transporting Department of War (DoW) personnel or cargo have approval from the DoW Commercial Airlift Review Board (CARB) to participate in the DoW Commercial Air Transportation Quality and Safety Program? ☐ Yes ☐ No
AFFIRMED BY:
SIGNATURE OF OFFEROR REPRESENTATIVE DATE SIGNED
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