J.P-5 A3 Small Business Engagement Template.pdf

Alliant 3 Unrestricted GWAC Solicitation No.: 47QTCB24R0009

J.P-5 A3 Small Business Engagement Template

ATTACHMENT J.P-5

A3 Small Business Engagement Template

PART I: PROJECT IDENTIFICATION

OFFEROR CONTRACTOR NAME:

OFFEROR CONTRACTOR UEI:

SMALL BUSINESS CONTRACTOR NAME:

SMALL BUSINESS CONTRACTOR UEI:

ENGAGEMENT IS WITH SMALL BUSINESS UNDER THIS NAICS CODE:

ENGAGEMENT DATE:

EMERGING TECHNOLOGY DEMONSTRATED:

PART II: PROJECT REFERENCE INFORMATION

Cognizant Project Official (For Federal or Commercial Projects)

NAME:

TITLE:

SMALL BUSINESS CONTRACTOR NAME:

PHONE:

E-MAIL:

CUSTOMER NAME:

TOTAL PERIOD OF PERFORMANCE, INCLUDING OPTIONS:

(MM/YYYY - MM/YYYY or MM/YYYY – Present)

TOTAL PROJECT VALUE:

Alliant 3 Unrestricted GWAC Solicitation No.: 47QTCB24R0009

J.P-5 Small Business Engagement Template Page 2 PART III: PROJECT DESCRIPTION

Narrative statement clearly explaining the small business detailed experience on this project as specified in Section L.5.2.4.4. The Offeror is required to pinpoint specific sections within the document(s) through Symphony Tagging that substantiate the claim. The response must not exceed 5,000 characters, spaces included. Note that the character limit does not encompass the required Index, which is to be presented separately and is not a part of this narrative section.

PART IV: SMALL BUSINESS CONTRACTOR ATTESTATION

From the Prime Contractor Representative identified in Part II 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:

DATE:

SIGNATURE: