J.23 FCL Application Supporting Documentation.docx
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UNCLASSIFIED
CLOVER, HM0476-21-R-0023
Attachment J-23 FCL Application Supporting Documentation
(U) HM0476-21-R-0023
(U) Section J Attachment 23
(U) National Geospatial-Intelligence Agency (NGA)
CLOVER
(EMERALD FOLLOW-ON)
(U) FCL Application Supporting Documentation
(U) July 26, 2021
(U) Version 2
1. In the case of an Offeror not holding a current FCL, the Offeror must submit the following documentation.
2. All forms are accessible via www.DCSA.mil.
3. Instructions for filling out all required forms is outlined in Section J attachment 22, and on the above website.
NOTE: Submitting this documentation with an Offerors Proposal does not start the FCL Application Process.
Business Structure Required Documents – Submit only the documents listed under your proposed business structure.
Business Structure Required Documents
| Business Structure |
| Business Records Required |
| Sole Proprietorship |
| Business License |
Fictitious Name Certificate
Recent changes
| General Partnership |
| Business License |
Fictitious Name Certificate
Partnership Agreement
Legal Organization Chart
Board/Company Meeting Minutes
Recent changes to company Structure
FSO/ITPSO Appointment Letter
Signed undated DD Form 441
Signed SF 328
| Limited Partnership |
| Business License |
Fictitious Name Certificate
Partnership Agreement
Certificate of Limited Partnership
Legal Organization Chart
Board/Company Meeting Minutes
Recent changes to company structure
FSO/ITPSO Appointment Letter
Signed undated DD Form 441
Signed SF 328
| Joint Venture (JV) |
| Business License |
Fictitious Name Certificate
JV Agreement
Legal Organization Chart
Board/Company Meeting Minutes
Recent changes to company structure
FSO/ITPSO Appointment Letter
Signed undated DD Form 441
Signed SF 328
| Privately Held Corporation |
| Business License |
Fictitious Name Certificate
Articles of Incorporation
By-Laws
Stock Ledger
Legal Organization Chart
Board/Company Meeting Minutes
Recent changes to company structure
FSO/ITPSO Appointment Letter
Signed undated DD Form 441
Signed SF 328
| Publicly Held Corporation |
| Business License |
Fictitious Name Certificate
Articles of Incorporation
By-Laws
Stock Ledger
Most recent SEC filings
Legal Organization Chart
Board/Company Meeting Minutes
Recent changes to company structure
FSO/ITPSO Appointment Letter
Signed undated DD Form 441
Signed SF 328
| Limited Liability Company |
| Business License |
Fictitious Name Certificate
Certificate of Formation or
Articles of Organization
Legal Organization Chart
Operating Agreement
LLC Meeting Minutes
Recent changes to company structure
FSO/ITPSO Appointment Letter
Signed undated
Required Forms
| Required Forms |
| Included on Forms |
| SF 328; Certificate Pertaining to |
| SF 328 |
| Foreign Interests |
| Certificate pertaining to a company’s foreign interests |
SF 328 must be signed by an employee or representative of the company who has actual authority to execute agreements with the US Government on behalf of the company
U.S. Government on behalf of the company, such as the SMO
One witness signature is required
Provide all supplemental answers to affirmative SF328 questions
| Key Management Personnel |
| Spell out entire KMP names |
| (KMP) Form - NISS |
| Social Security Number not required |
KMPs must match the Articles of Organization, by-laws or amendments
| DD Form 441 |
| DD 441 must be signed by an employee or representative of the |
company who has actual authority to execute agreements with the
U.S. Government on behalf of the company, such as the SMO.
One witness signature is required
| DD Form 441-1 |
| Attachment to the DD Form 441 listing cleared divisions or branch |
| If applicable |
| offices that are included in and covered by the provisions of the |
organization's Security Agreement and Certificate Pertaining to
Foreign Interest.
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