J.P-1_CTA_JV_Template-A3.pdf

Alliant 3 Unrestricted GWAC Solicitation No.:

J.P-x Contractor Teaming Arrangement Template

ATTACHMENT J.P-1

CONTRACTOR TEAMING ARRANGEMENT (CTA) TEMPLATE

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

General: This form is to be sent to the members of the Offeror's existing or previous Contractor Team Arrangement (CTA) to validate the Offeror's performance under a project awarded to the CTA. This form shall be signed by a majority of members in the CTA, excluding the offeror. The Government will use this information solely for source selection purposes under the Alliant 3 Unrestricted RFP.

CTA Members: You are receiving this form because the Offeror cited in Part I claims that they performed the project identified in Part II as a member of your CTA and is using the project as relevant experience for its Alliant 3 Unrestricted GWAC as either (a) an other-than-small business existing Joint Venture or Partnership proposal, or (b) a Small Business CTA proposal.

By signing this form in Part IV you are certifying that the Offeror was the only CTA member that performed the project and that no other CTA member, or the CTA, shall claim credit for this project. 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 shall 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 shall match what is entered into the corresponding Attachment J.P-2 (Relevant Experience (PSC Group) Project Template) or J.P3 (Relevant Experience (Leading Edge Technology) Project Template). After completing Parts I, II, and III, the Offeror shall send this form to the CTA members and shall be 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.

PART I: OFFEROR AND CTA INFORMATION

OFFEROR NAME:

OFFEROR UEI:

CONTRACTOR TEAMING ARRANGEMENT NAME:

CONTRACTOR TEAMING ARRANGEMENT UEI:

NUMBER OF CTA MEMBERS:

J.P-x Contractor Teaming Arrangement 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 cost-reimbursement, including any of the cost type definitions under FAR Subpart 16.3: Yes No FOREIGN LOCATIONS: CTA Member’s Work Project involved work in a foreign location as defined in Section Section L.5.2.2.6 Location: Yes No

PART III: PROJECT NARRATIVE

Narrative statement clearly explaining the CTA/JV member’s detailed experience on this project. Limit response to 1500 characters.

J.P-x Contractor Teaming Arrangement 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

Each 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 was the only CTA member that performed the project and that no other CTA member, or the CTA, shall claim credit for this project identified in Section II. Each CTA Member that chooses to sign this form will fill out one of the CTA Member boxes, sign and date and send back to the Offeror.

CTA Member #1:

CTA MEMBER 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:

CTA Member #2:

CTA MEMBER 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:

J.P-x Contractor Teaming Arrangement Template

CTA Member #3:

CTA MEMBER 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:

CTA Member #4:

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:

CTA Member #5:

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: