DD_Form_2345.pdf
PDF 58 KB Posted
- Attached to
- Targets Operations & Maintenance Federal contract opportunity
- Solicitation number
- N68936-16-R-0024
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Form DD2345
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| File | Type | Posted |
|---|---|---|
| N68936-16-R-0024_12-22-17_-_thru_J.docx | DOCX document |
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DD Form 2345
MILITARILY CRITICAL TECHNICAL DATA AGREEMENT
(Specific Instructions for filling out form)
FAILURE to provide accurate and complete information will result in your request being returned or rejected.
NOTE: If you are a U.S. company, do not submit a DD Form 2345 unless your company has a valid DUNS number, is currently registered in the System for Award Management System (SAM), and you have an active CAGE/NCAGE. Refer to the links in Block 2d for assistance with these agencies.
BLOCK 1 - TYPE OF SUBMISSION (CHECK ONLY ONE BOX)
• INITIAL SUBMISSION: Check if this is the first request for certification under the JCP.
• REVISION: Check if you are revising any information on an active previously approved application, to show revised information, such as:
- Name of the company (Block 2a) - Address (Block 2b)
- CAGE/NCAGE Code (Block 2d) - Data Custodian (Block 3a)
- Phone (Block 3b) - Email (Block 3d)
- Business Description. - Contractor Certification (Blocks 6a-6d)
- Any changes to your entity's status or data during the certification period, you must notify the JCO, by submitting a REVISION to your DD Form 2345, along with supporting documentation.
• 5-YEAR RENEWAL: Check this box only if the company’s 5-year certification is going to expire or has expired.
- Renewal requests may be submitted up to 120 days prior to certification expiration.
BLOCK 2 – ENTERPRISE OR INDIVIDUAL DATA
• Block 2a [NAME] (MANDATORY) This must exactly match as recorded in the CAGE/NCAGE database, and on the supporting documentation you will be providing with your completed form. CAGE verification may be done at https://cage.dla.mil and NCAGE (for Canadian companies) may be done at:
https://eportal.nspa.nato.int/AC135Public/scage/CageList.aspx
- For companies: enter the full legal business name or institution.
- For an individual: enter your full name as it appears on your documentation.
• Block 2b [ADDRESS] (MANDATORY)
- Enter the physical mailing address and ZIP Code of the company or individual applying for the certification in Block 2d.
- The address must exactly match your company’s address as recorded in
CAGE/NCAGE database (See links above).
- If a P.O. Box is used (for mailing purposes), enter the mailing address separately, in Block 2b.
- Submit only one DD Form 2345 per physical address.
https://cage.dla.mil/ https://eportal.nspa.nato.int/AC135Public/scage/CageList.aspx
• Block 2c. Leave blank unless a.) you are a company which is operating under a different name than your legal business name (e.g. ‘doing business as’) or b.) you are a university, college or higher learning institution applying for certification. You must enter “Office of Research and Grants” or the name of the office that is it’s equivalent.
• Block 2d. [CAGE CODE] (MANDATORY) Enter your company’s CAGE / NCAGE Code as recorded in the CAGE/NCAGE database for your location. The JCP Certification covers all employees working under that CAGE Code at that location
- DUNS Link: https://www.dandb.com/product/companyupdate/companyupdateLogin?execution=e1s1
- SAM Link: U.S. companies must be registered in System for Award Management (SAM) prior to submitting a DD Form 2345. For information on SAM, visit: https://www.sam.gov
- CAGE Link (for U.S. companies): https://cage.dla.mil
- NCAGE Link (for Canadian companies):
BLOCK 3 – DATA CUSTODIAN
Companies or individuals applying for certification must designate a single person by name to act as the Data Custodian for the facility. There can be only one Data Custodian per location per CAGE Code.
- This person will be responsible for receiving and disseminating any technical data transferred to the certified contractor under the provisions of the JCP.
• Block 3a [NAME] (MANDATORY)
• Block 3b [TELEPHONE NUMBER] (MANDATORY)
- Business landline, telephone number (including area code) of the company
• Block 3c [TITLE] (MANDATORY)
- Title of the individual
• Block 3d [EMAIL] (MANDATORY) - The email address of the individual in Block 3a where the
Data Custodian will receive DOD unclassified controlled technical data and will be responsible for it’s further dissemination.
https://www.dandb.com/product/companyupdate/companyupdateLogin?execution=e1s1 https://www.sam.gov/ https://cage.dla.mil/
BLOCK 4 - DESCRIPTION OF RELEVANT BUSINESS ACTIVITY (MANDATORY)
Specifically address the following areas
a) Describe the product(s) or service(s) your company manufactures, sells or provides. It could be relevant to multiple product lines but specific to applications or technologies.
Examples:
- We design and construct high-pressure, high volume hydraulic pumps to military engineered specifications for use in connection with aircraft control surfaces.
- Our company is developing a communications planning tool with interfaces to radio devices, using simulation and training software, and integrating with military command and control systems.
- We provide engineering services to a manufacturer of military vehicles suspension systems and related components.
b) State why you require certification and how you intend to utilize DOD unclassified controlled technical data. If applicable, provide references to existing contracts or links to on-going work with the U.S or Canadian Government.
Examples:
- We require access to the technical data package to prepare a bid submission for the MRAP Fighting Vehicle.
- Our company has been invited by (name of DOD component/installation/Program) to brief, demonstrate and evaluate our latest soldier system prototype equipment.
- We need to obtain specific technical manuals and drawings for high-pressure air flasks used on USN support ships.
c) If available, please provide:
The DoD agency or office requiring certification and their contact information.
NOTE: Proprietary, Personal or other Company Sensitive information shall not be included in this statement.
NOTE: This is the most critical part of your request.
‘Provide a concise and detailed description of Entity’s business activity listed in Block 2a. This will assist the
Canadian or U.S. Government agency controlling the data in determining whether the DOD unclassified controlled technical data that you might request is reasonably related to your stated business activity.
BLOCK 5 - CITIZENSHIP/RESIDENCY STATUS: AS A CONDITION OF RECEIVING
DEPARTMENT OF NATIONAL DEFENSE (DND) OR DEPARTMENT OF DEFENSE (DoD)
UNCLASSIFIED CONTROLLED TECHNICAL DATA, THE ENTITY CERTIFIES THAT:
• Block 5a - (MANDATORY) MARK EITHER: (1) UNITED STATES or (2) CANADA The individual named in Block 3a, may be either a Canadian or a U.S. citizen or a person admitted lawfully for permanent residence into Canada. If the location of the entity is in the U.S., the individual named in Block 3 must be a U.S. citizen or a person admitted lawfully for permanent residence if the facility is located in the U.S.
U.S.
• Block 5b - The contractor agrees to use the data only in ways mandated by DoD Directive 5230.25 or the Technical Data Control Regulations (TDCR). The contractor must certify that it needs the technical data to bid on or perform a contract with an agency of the U.S. or Canadian Government or for other legitimate business purposes.
• Block 5c - They acknowledge their responsibility under all applicable export control laws and regulations both in Canada and in the U.S. and will not violate said laws or regulations. If a contractor violates the provisions of the agreement, the contractor's eligibility for access to DOD unclassified controlled technical data could be revoked. If a contractor exports the technical data without the benefit of license or other authorization, it may be in violation of export control laws and subject to severe criminal penalties. A contractor violating the provisions of the agreement may be subject to prosecution by the contracting authority.
• Block 5d - Access to DoD unclassified controlled technical data will only be provided to their employees or eligible persons. The contractor must agree not to publicly disclose any unclassified technical data it receives under the agreement, unless specifically authorized by the controlling office, and to limit access to the data to individuals employed at its facility that meeting the following citizenship requirements:
• Block 5e - They must ensure that no employees or eligible persons with access to the DoD unclassified controlled technical data have been debarred, suspended or are otherwise ineligible to perform on Canadian or U.S. government contracts or have violated Canadian or U.S. export control laws and regulations.
• Block 5f - They are also certifying that their organization is not presently or has not in the past, been debarred, suspended or otherwise ineligible from performing on Canadian or U.S. Government contracts or that they have not violated or contravened any Canadian or U.S. export control laws or regulations.
BLOCK 6 - CONTRACTOR CERTIFICATION (MANDATORY)
• Block 6a - (TYPED NAME) (MANDATORY) Type or print the individual’s name who can legally obligate the enterprise to a contract,
• Block 6b (TITLE) (MANDATORY) Type or print the individual’s title identified in Block 6a.
For Universities, this title must clearly show this individual's relationship to the Office of Research and Grants, or equivalent organization on campus.
• Block 6c (SIGNATURE) (MANDATORY) The legal handwritten signature of the individual indicated in Block 6a. who can legally obligate the enterprise to a contract must sign. Stamped or Digital signatures are currently NOT acceptable. This individual is legally bound to abide by all terms and conditions listed in Blocks 5a-5f.
• Block 6d (DATE) (MANDATORY) Type or print the date the form was signed.
BLOCK 7 - CERTIFICATION ACTION
• Block 7a For Joint Certification Office (JCO) use only.
• Block 7b Complete ONLY if they have a previously assigned JCP certification number.
• Block 7c For Joint Certification Office (JCO) use only.
BLOCK 8 - DOD OFFICIAL
For Joint Certification Office (JCO) use only.
BLOCK 9 - CANADIAN OFFICIAL
For Joint Certification Office (JCO) use only.
SUPPORTING DOCUMENTATION (MANDATORY)
• Finally, a copy of your supporting documentation from a government agency must be enclosed with your completed DD Form 2345
• Acceptable documentation is one of the following:
- Certificate of Incorporation
- Filed Articles of Incorporation
- Sales tax Identification
- State or Provincial Business License or documentation from a government agency bearing the company's or individual's legal name.
- W-9s are not accepted
SUBMITTING THE DD FORM 2345
• Mail the original signed, completed form and your company’s supporting documentation to:
U.S/Canada Joint Certification Office DLA Logistics Information Services HDI Federal Center, 74 Washington Ave, North Battle Creek, Michigan USA 49037-3084
• For questions or inquiries, please contact the Joint Certification Office (JCO) at JCP-ADMIN@DLA.MIL .
ONCE APPROVED
• The person listed as the Data Custodian will receive the electronic copy of your form signed by the Canadian and U.S. representatives and bearing your certification number. Unless specifically annotated, certification is typically valid for a period of five years.
mailto:JCP-ADMIN@DLA.MIL
| - Any changes to your entity's status or data during the certification period, you must notify the JCO, by submitting a REVISION to your DD Form 2345, along with supporting documentation. |
| Specifically address the following areas |
| a) Describe the product(s) or service(s) your company manufactures, sells or provides. It could be relevant to multiple product lines but specific to applications or technologies. |
| b) State why you require certification and how you intend to utilize DOD unclassified controlled technical data. If applicable, provide references to existing contracts or links to on-going work with the U.S or Canadian Government. |
| • Block 5a - (MANDATORY) MARK EITHER: (1) UNITED STATES or (2) CANADA |
| U.S. |
| BLOCK 6 - CONTRACTOR CERTIFICATION (MANDATORY) |
| BLOCK 7 - CERTIFICATION ACTION |
| BLOCK 8 - DOD OFFICIAL |
| - Certificate of Incorporation |
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