J.P-1 A3 Contractor Teaming Arrangement Template.pdf

Alliant 3 Unrestricted GWAC Solicitation No.: 47QTCB24R0009

J.P-1 Contractor Teaming Arrangement (CTA)Template

ATTACHMENT J.P-1

CONTRACTOR TEAMING ARRANGEMENT (CTA) TEMPLATE

(An existing Joint Venture for an Other than Small Business CTA or a Small Business CTA)

General: This form is to be used under certain conditions when the Offeror's project was completed as a member of an existing or previous Contractor Team Arrangement (CTA) to validate the Offeror's performance under a project awarded to the CTA. This form must be signed by one of the CTA members, excluding the Offeror. The Government will use this information solely for source selection purposes under the Alliant 3 Unrestricted GWAC Solicitation No.: 47QTCB24R0009.

CTA Member: The Offeror cited in Part I claims the project experience identified in Part II as a member of an existing or previous CTA. The Offeror is using the project as relevant experience for its Alliant 3 Unrestricted GWAC proposal in response to Solicitation No.: 47QTCB24R0009. The Offeror may have performed on this project as either (1) an other-than-small business existing or previous Joint Venture proposal, or (2) an existing or previous small business CTA (Small Business Joint Venture, Small Business with Subcontracting, or Small Business Mentor Protege).

By signing this form in Part IV you are certifying that the Offeror was the only CTA member that performed the project work detailed in Part II and Part III of this form and that no other CTA member, or the CTA, may claim credit for this project or the portion of the project being claimed. By completing this form, you are not required to make changes to any existing documents or systems related to the project awarded to your CTA.

Offeror: Part I, II, and III must be completed by the Offeror. To complete this form, place the cursor in the highlighted area and begin typing. All responses in Part II, III and IV must match what is entered into the corresponding Attachment J.P-2 (A3 Primary NAICS Code Relevant Experience Project Template) or J.P-3 (A3 Emerging Technology Relevant Experience Project Template). After completing Parts I, II, and III, the Offeror must send this form to the CTA members and return the form signed by all members, excluding the Offeror. After receiving the completed form, you must save this document to your computer as a pdf file and name this file in accordance with Section L.4.1, Proposal Format.

PART I: RELEVANT EXPERIENCE OFFEROR AND CTA INFORMATION

OFFEROR NAME:

OFFEROR UEI:

CONTRACTOR TEAMING ARRANGEMENT NAME:

(INCLUDE CTA TYPE)

CONTRACTOR TEAMING ARRANGEMENT UEI:

NUMBER OF CTA MEMBERS:

J.P-1 Contractor Teaming Arrangement (CTA)Template

PART II: PROJECT IDENTIFICATION

CONTRACT NUMBER:

ORDER NUMBER (if applicable):

PROJECT TITLE:

AGENCY OR CUSTOMER:

TOTAL PERIOD OF PERFORMANCE, INCLUDING OPTIONS: (MM/YYYY - MM/YYYY or MM/YYYY – Present)

FUNDING AGENCY ID (if applicable):

COST-REIMBURSEMENT: CTA Member experience was with cost-reimbursement. This form element is only applicable to Classified Federal Projects with no FPDS record as specified in Section L.5.2.3.5.

Yes No FOREIGN LOCATIONS: CTA Member’s Project work in a foreign location must be the primary place of performance as defined in Section L.5.2.3.6. Yes No

NAICS GROUP PROJECT IDENTIFIER::

EMERGING TECHNOLOGY PROJECT IDENTIFIER:

PART III: PROJECT NARRATIVE

Narrative statement clearly explaining the CTA member’s detailed experience on this project.

Limit response to 5000 characters to include spaces. (See Section L.5.1.4.1 and L.5.1.4.4-Alt.)

J.P-1 Contractor Teaming Arrangement (CTA)Template

PART IV: OFFEROR CERTIFICATION

This signature hereby attests that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.

NAME:

TITLE:

EMAIL:

PHONE NUMBER:

DATE: SIGNATURE:

PART V: CTA MEMBER CERTIFICATION

The CTA member shall have a Corporate Officer certify by signing below that they are a member of the CTA identified in Part I, and that the Offeror stated in Part I is the only CTA member allowed to claim the project experience identified in Part II and III. The CTA member will fill out the CTA member box, sign, date and send back to the Offeror.

CTA MEMBER COMPANY NAME:

CTA MEMBER UEI:

I certify that the Offeror identified in Part I was the CTA member that performed the project identified above.

This signature hereby attests that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.

NAME:

TITLE:

EMAIL:

PHONE NUMBER:

DATE: SIGNATURE: