SOW DT-B-WHM EX24027 JORDAN__DT-B-WQE EX24032 GHANA__DT-B-WEQ EX24049 NIGERIA ARGIS 8 AUG 2024_.pdf

BUILDING PARTNER CAPACITY CASE

STATEMENT OF WORK

CASE ARP COUNTRY DESCRIPTION

DT-B-WHM EX24027 JORDAN RJAF ISR ENHANCEMENT

DT-B-WQE EX24032 GHANA BORDER SECURITY

DT-B-WEQ EX24049 NIGERIA INTEL CORPS

ARCGIS LICENSES

5 AUGUST 2024

Prepared by:

The Security Assistance Management Directorate (SAMD), AMEL-LCS-MI

Aberdeen Proving Ground, MD

Controlled by: Army

Controlled by: ACC-APG Category: General Procurement and Acquisition

Distribution/Limited Dissemination Control: FEDCON

1.0 INTRODUCTION AND SCOPE

1.1 INTRODUCTION A Firm Fixed Price contract for ArcGIS Advanced User and Enterprise Licenses for ArcGIS Software Licenses in accordance with the Statement of Work (SOW) in support of BUILDING PARTNER CAPACITY (BPC) Letter Of Offer and Acceptance (LOA).

1.2 SCOPE This Statement Of Work (SOW) defines the efforts intended to support Military purposes and maximize the benefit of U.S. provided equipment and services for this BPC case. The word Government in this document refers to the United States Government. The word Country in this document refers to the BPC Customer.

1.3 This contract will be a Firm Fixed Price (FFP) contract.

2.0 APPLICABLE DOCUMENTS The following documents are applicable to the extent cited.

2.1. STATEMENT OF WORK contained therein.

2.2 GOVERNMENT DOCUMENTS.

• MIL-STD-130N (1) Identification and Marking of U.S. Military Property

• MIL-STD-129R Military Marking for Shipment and Storage

• MIL-STD-882E Standard Practice for System Safety

• AR 25-2 Army Cybersecurity

• AR 25-55 Army Freedom of Information Act (FOIA) Program

• AR 190-13 Army Physical Security Program

• AR 380-5 Army Information Security Program

• AR 380-10 Foreign Disclosure and Contacts with Foreign

Representatives

• AR 380-40 Safeguarding and Controlling Communications Security

Material

• AR 380-67 Personnel Security Program

• AR 381-12 Threat Awareness and Reporting Program (TARP)

• AR 525-13 Antiterrorism (AT)

• AR 530-1 Operations Security (OPSEC)

2.5 COMMERCIAL DOCUMENTS.

• ISPM 15 Guidelines for Regulating Wood Packaging Material in International Trade

• ASTM-D 3951-10 Standard Practice for Commercial Packaging

3.0. REQUIREMENTS The Contractor shall provide the items indicated in the

SOW. The SOW shall be based on all the items listed in Appendix A.

Additional items may be added to this list if they fall within the scope of this SOW. Items shall be presented as new or updated and shall meet the criteria as specified in the manufacturer’s drawings and specifications for the items on the list. The Contractor shall also provide data and other services as described in the following paragraphs of the SOW.

3.1. HARDWARE / SOFTWARE REQUIREMENTS: The contractor shall

provide Hardware / Software described. Items shall be provided in accordance with and shall meet the specifications and performance criteria stated in this SOW according to the models, descriptions, and quantities listed.

3.1.1. GENERAL PURPOSE ADP EQUIPMENT, SOFTWARE, SUPPLIES &

SUPPORT EQUIPMENT

3.1.1.1. DT-B-WHM EX24027 JORDAN

(LINE ITEM 001a)

3.1.1.1.1. Contractor provides for fourteen (14) EA ArcGIS Enterprise GIS

Professional Advanced User Type Perpetual Licenses to support country of Jordan

(LINE ITEM 001b)

3.1.1.1.2. Contractor provides for one (1) EA ArcGIS Enterprise Standard Up to Four

Cores Perpetual License to support country of Jordan

3.1.1.2. DT-B-WQE EX24032 GHANA

(LINE ITEM 006a).

3.1.1.2.1. Contractor provides five (5) EA, ArcGIS Online GIS Professional Advanced

User Type Annual Subscription License to support country of Ghana

(LINE ITEM 006b)

3.1.1.2.2. Contractor provides five (5) EA, ArcGIS 10.6 with extensions to support country of Ghana:

3.1.1.3. DT-B-WEQ EX24049 NIGERIA

(LINE ITEM 005b)

3.1.1.3.1. Contractor provides thirty (30) EA, Desktop advanced annual subscription

– single use License to support country of Nigeria

(LINE ITEM 005c)

3.1.1.3.2. Contractor provides thirty (30) EA, Desktop extension annual subscription

– single use License to support country of Nigeria

(LINE ITEM 005d)

3.1.1.3.3. Contractor provides one (1) EA, Enterprise advanced annual subscription –

Up to four cores License to support country of Nigeria

3.1.2. SERVICES / TRAINING REQUIREMENTS There are no Service / Training

Requirements.

3.2. OTHER REQUIREMENTS

3.2.1. OTHER REQUIREMENTS. The contractor shall meet requirements for

Hardware, IUID, Procurement New Production, Packaging, Quality Assurance, Manuals, Warranty, Safety Engineering, and Delivery in accordance with this SOW. The contractor shall meet requirements of Contract Services including SOW paragraphs 3.0 to include, Contractors Progress, Status and Management Report, Minutes of Meeting Report, and Security Requirements apply as follows

3.2.2. SERVICES. Contractor shall provide services in accordance with, and shall meet the specifications criteria stated in this SOW.

3.2.3. REQUIREMENTS FOR PACKAGING. Preservation, packaging, and marking shall be in accordance with (IAW) Section ‘D’ of the Contract.

Preservation and Packing for shall be commercial packaging in accordance with Standard Practice For Commercial Packaging (ASTM D 3951-98) with Level Of Protection (LOP)= Commercial, Level Of Pack (LPK)=Commercial, Quantity Unit Pack (QUP)= 001. Any wood used in packaging shall meet the requirements of ISPM 15 Regulation of Wood Packaging Material in International Trade (2009)

3.2.4. HANDLING, STORAGE, PRESERVATION, PACKAGING AND SHIPPING.

The Contractor shall establish, maintain, control and be responsible for the handling, storage, preservation, packaging and shipping to protect the quality of the materials and to prevent damage from loss, deterioration, degradation, or substitution of products for the materials listed in this solicitation.

3.2.5. INSPECTION AND TESTING. The contractor shall assure that all necessary inspections and tests are performed on completed products, and this shall include all inspections and tests which are normally performed for the equipment on order. The contractor shall as a minimum perform any inspections and tests, including visual/mechanical inspections and functional tests, required to satisfy the requirements of the contract. The item requirements are defined by the contractor’s drawings and literature, specification sheets, brochures, technical manuals, and test procedures.

3.2.6. IUID MARKING. Applicable only to items with an individual cost of $5000 or more.

3.2.6.1. New items: The contractor shall provide IUID, or DoD recognized equivalent, for all items delivered with an acquisition unit cost of $5000 or more. For long term contracts, any items that have range quantity prices established that will exceed the $5000 unit price shall have IUID markings from the beginning of the contract. IUID markings shall be IAW MIL-STD- 130N.

3.2.6.2. Repair items: The contractor shall mark those items as identified by the

Government. Items received for repair shall be inspected for IUID markings.

Those items where the marking is damaged or missing the contractor shall mark the equipment. When marking requirements are not clearly specified then the contractor shall advise the PCO. For previously acquired items where the IUID markings were not required the contractor shall follow the procedures as if the item was a new item.

3.2.6.3. Commercial Markings. All other items shall have acceptable commercial markings that meet the guidelines in Department of Defense (DoD) Guide to Uniquely Identifying Items:

http://www.acq.osd.mil/dpap/pdi/uid/index.html.

3.2.6.4. Permanency and Legibility. The IUID marking and identification plates, tags, etching, or labels when used on equipment, parts, assemblies, subassemblies, units, sets, groups, or kits shall be as permanent as the normal life expectancy of the item and be capable of withstanding the environment, test, cleaning, repair, and rebuild procedures specified for the item. Legibility shall be as required and verified for ready readability per

MIL-STD-130N.

3.2.6.5. Deleterious Effect. Marking of items shall be accomplished in a manner that will not adversely affect the life and utility of the item. Marking materials creating hazardous conditions shall not be used. Placement and choice of the marking shall not create hazardous conditions.

3.2.7. IUID CODING. IUID markings and readability requirements shall comply with MIL-STD-130N.

3.2.7.1. Symbology markings and the order of priority for marking the hardware shall be in accordance with MIL-STD-130N. First priority is the 2D data matrix symbol (machine readable) IUID is the minimum requirement when there are severe space limitations. The second priority is the human readable characters. The third priority is the Linear Bar Code.

3.2.7.1.1. The vendor who is supporting an BPC purchase shall adhere to MIL-STD-

130N during the application of serial numbers on all systems. The system serial numbers shall be provided to CECOM SAMD points of contact in electronic format prior to delivery of all hardware items to country or country freight forwarder.

3.2.7.2. If the technical data has not specified the marking location, markings shall be located such that they are visible during item use, provided that sufficient space is available, and does not interfere with equipment operations.

3.2.7.3. The contractor shall maintain an accurate, current list of IUIDs for all manufactured items on this contract. Dates of manufacture, substitutions, shop changes, etc. shall be included on this list. The list shall be available for inspection by the PCO or other Government representative at any time during the life of this contract. The contractor shall provide this list to the government at the end of the contract.

3.2.8. CORRECTION OF NONCOMPLIANT EQUIPMENT AND TECHNICAL

DATA.

3.2.8.1. If this contract contains configuration control requirements, the contractor shall initiate the appropriate configuration control document to correct all affected drawings/specifications which conflict with or omit the marking requirements stipulated above.

3.2.8.2. If the item on order is defined by existing Government technical documentation and such documentation is in conflict with the requirements of this SOW, production of equipment with revised markings shall not proceed until Government approval is received.

3.2.9. PRICING OF IUID REQUIREMENTS. All efforts required by this SOW and contract, including, but not limited to, the preparation of ECPs or notification of marking deficiencies, PIPC reporting, serial number data reporting at end of contract and the actual marking of hardware, will be included in the base contract price.

3.2.10. CONTRACTOR'S PROGRESS, STATUS, AND MANAGEMENT REPORT.

The Contractor shall collect, prepare, and maintain current data on progress of the contract. The data will be used to measure and control progress of the contract. The Contractor shall submit a quarterly report IAW the guidelines of CDRL A001 Contractors Progress, Status and Management Report and the other sections of this SOW for each active contract item.

The Contractor shall report on any and all material and services provided as per the contract and this SOW. Field Service Representative (FSR) and Site Survey reports shall adhere to the format and content guidelines contained in this paragraph. Reports shall be for the life of each individual contract item. As a minimum, the Contractor shall provide the following:

a. Contract number

b. Contract item number

c. Contract CLIN

d. BPC case designator

e. Report date

f. Name, phone, email address of the report preparer

The Contractor shall present data for all hardware delivered and services performed under the contract(s) placed against this case requirementS as delineated below (this is not a complete list of that might be provided):

3.2.10.1. The contractor shall prepare Contract Status Reports IAW the SOW and DI-

MGMT-80227 guidelines

3.2.10.2. The contractor shall submit the initial report within 120 DAYS after contract award

3.2.10.3. All submittals shall be by electronic transmittal (e-mail). All submittals shall be delivered electronically to the addressees identified by the Contracting Officer.

3.2.10.4. The Government will review the report and provide comments, if any, within

30 calendar days of receipt.

3.3. OPERATIONS SECURITY

3.3.1. ANTITERRORISM / IWATCH

3.3.1.1. AT Level I Training: This standard language is for contractor employees with an area of performance within a controlled installation, facility, or area:

All contractor employees, to include subcontractor employees, requiring access to controlled installations, facilities and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 60 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: https://jko.jten.mil (course number “-

US007”). (CDRL A002)

https://jko.jten.mil/

3.3.1.2. AT Awareness Training for Official and Unofficial Contractor Personnel Traveling Overseas: AT AWARENESS TRAINING NOT REQUIRED.

3.3.1.3. iWATCH Training. This standard language is for contractor employees with an area of performance within a controlled installation, facility, or area: The contractor and all associated subcontractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance with the results reported to the COR NLT 60 calendar days after contract award. https://www.dhs.gov/see-something-say-something (CDRL A003)

3.3.2. OPERATIONS SECURITY (OPSEC)

3.3.2.1. For contracts that require a formal OPSEC program. The contractor shall develop an OPSEC Standing Operating Procedure (SOP)/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer. This plan shall include a process to identify critical information, where it is located, who is responsible for it, how to protect it and why it needs to be protected. The contractor shall implement OPSEC measures as ordered by the commander. In addition, the contractor shall have an identified certified Level II OPSEC coordinator per AR 530-1. (CDRL A004)

3.3.2.2. For contracts that require OPSEC Training. Per AR 530‐1, Operations

Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter. (CDRL A005)

3.3.3. PERSONNEL SECURITY (PERSEC)

3.3.3.1. Security Training. Several training requirements exist for contractor personnel per DoD and Army regulation/ directives. On-site contractors may receive training briefs from the government appointed Security Manager;

however, contracting companies will be required to provide training to off-site contractor employees. Training is tailored to the organization’s requirements as well as local policy. Some examples of Security training provided to integrated/embedded contractors may include, but is not limited to, the following:

3.3.3.1.1. Threat Awareness Reporting Program (required for all contractors with security clearances) - Per AR 381-12 Threat Awareness and Reporting https://www.dhs.gov/see-something-say-something https://www.dhs.gov/see-something-say-something

Program (TARP), cleared contractor employees must receive annual TARP training by a CI agent or other trainer as specified in 2- 4b.

3.3.3.1.2. Initial Security Orientation: Online training available on the Army Learning Management System (ALMS) site, reference ALARACT207- 2103 - Initial training

3.3.3.1.3. Annual Security Orientation: Online training available on the Army Learning Management System (ALMS) site, reference ALARACT 207- 2103 - Annual training requirement

3.3.3.1.4. Derivative Classification Training: Online training available via CDSE STEP, DoD 5200.01 and memo for Chief Management Officer of the Department of Defense dated 31 January 2019 - annual requirement reference.

3.3.3.1.5. DA, AMC, and/or commander directed security stand-downs, e.g., ad-hoc refresher training.

3.3.3.2. For contract requiring performance or delivery in a foreign country, DFARS

Clause 252.225‐7043, Antiterrorism/Force Protection for Defense Contractors Outside the US. The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingencies and non‐contingency support. The key AT requirement is for non‐local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor’s compliance with combatant commander and subordinate task force commander policies and directives.

3.4. CONTRACTORS REPORT, RECORD OF MEETING/MINUTES

3.5.1. INTEGRATED PROCESS AND PRODUCT TEAM (IPPT) MEETINGS

3.4.1.1. The Contractor shall participate in Integrated Process and Product Team

(IPPT) meetings as coordinated by the Contracting Officer and CECOM SAMD. IPPT meetings shall include discussion of DMSMS issues with the goal of aligning Contractor management of these issues with CECOM SAMD BPC requirements. The Contractor shall provide meeting minutes IAW CDRL B001 "Report, Record of Meeting/ Minutes”.

3.4.1.2. The contractor shall prepare meeting minutes IAW DI-ADMN-81505 guidelines

3.4.1.3. The contractor shall submit meeting minutes as required, but NLT Ten (10) working days after completion of each meeting.

3.4.1.4. The Government will review the Meeting Minutes and provide comments within 30 calendar days of receipt

3.4.1.5. All deliveries shall be in digital format. All digital files shall be provided by electronic submission (e.g. email, FTP, etc.) as arranged in coordination with requiring office. Electronic submissions shall be readable by computers running Microsoft Office suite of applications (MS Word, Excel, PowerPoint, and Project, etc). Alternative delivery media may be discussed with contract Officer prior to delivery.

3.5. PROGRAM MANAGEMENT REVIEWS.

3.5.1. PROGRAM MANAGEMENT REVIEWS AFTER ISSUANCE OF INITIAL

CONTRACT ORDER

3.5.1.1. The Contractor shall (upon request by the Government or the Contractor) conduct program management reviews. The reviews may be held as frequently as quarterly, by telephone unless otherwise agreed upon to use another venue, whether it be Government or Contractors facilities. The reviews shall address present status of all contract deliveries and tasks, including equipment, training, documentation, any and all services, scheduling; problem areas with potential solutions; future plans; and any other areas deemed significant by the Government or Contractor. The Contractor shall comply with all requests for discussion issued from the Government either by notice prior to the review or during the review. The Contractor shall prepare the agenda. All prospective attendees shall be provided a copy of the agenda 10 working days prior to the meeting and shall be given the opportunity to add items to the agenda. The Contractor shall prepare the minutes and provide them to the Government within 10 days of completion of the meeting IAW Program Management. If all contract items are closed then no meeting is required. (CDRL B002)

3.5.1.2. Primary Point of Contact. The contractor shall use the identified (COR) as the primary point of contact for oversight and provide a Minutes of Meeting for any meeting with the COR in accordance with DI-ADMN-81505.

3.6. Scientific And Technical Reports

3.6.1. Certificate of Completion The Contractor shall attach a completed Certificate of

Completion to each DD Form 250 submitted for Contract items in Services / Training in the WAWF system in accordance with CDRL C001 Scientific and Technical Reports and this SOW. At a minimum, the Contractor shall provide the following to include but not limited to (see attached template in Attachments Section):

3.6.1.1. a. Contract number

3.6.1.2. b. Delivery Order Number

3.6.1.3. c. Contract CLIN

3.6.1.4. d. BPC Case designator 3.6.1.5, e. Period/service being invoiced

3.6.1.6. f. Contractor Point of contact for certificate of completion to include, printed name, position/title/rank, phone number, email and signature certifying completion.

3.6.1.7. g. Class Roster when training is provided

3.6.1.8. h. Software License Keys

3.6.1.9. i. Field Service Representative – requests of support at quarterly intervals, or as determined by COR, with ticket number, description of service requests, and date started and completed

3.6.1.10. j. Service / Installation items when completed as per descriptions in Appendix A

3.6.1.11. k. Certifying persons information that can verify the Software Licenses have been received to include but not limited to Countries/Customers/US Government Personnel, point of contact for certificate of completion to include, printed name, position/title/rank, phone number, email address and signature verifying completion. Failure to provide all the information as indicated in this paragraph could result in payment delays.

1. Prepare IAW this CDRL and the SOW

2. Submit Certificate of Completion - Software Licenses along with the DD 250 as the CDRL requirement is completed

3. SUBMIT FINAL

a. The contractor shall provide a completed Certificate of Completion with each DD Form 250 for ALL Software Licenses included in this SOW.

b. The information shall present data as described below:

c. As a minimum, the Contractor shall provide the following (see attached template in Attachment):

d. Contractor Information. Contract information, to include but not limited to:

i. Contract number

ii. Delivery Order Number

iii. Contract CLIN

iv. BPC Case designator

v. Period/service being invoiced

vi. Contractor Point of contact for certificate of completion to include, printed name, position/title/rank, phone number, email and signature certifying completion.

4.0. CONTRACTOR SUPPORT ACTIVITIES (IF APPLICABLE)

4.1. Program and Product Support.

4.1.1. Support Activities.

The Contractor shall provide program and product support activities, the price of which is included in the unit price. These activities shall include the following (this is not an all-inclusive list):

• Manage allocation of product build to requirement.

• Manage compliance to SOW and Specification.

• Manage product configuration control.

• Review and advise on integrity of system configuration.

• Manage product obsolescence. Notify the COR of planned obsolescence at least two (2) years in advance with proposed solutions/substitutions one (1) year in advance. Inform the COR of unplanned obsolescence within 30 days of awareness with proposed solutions/substitutions as soon as possible.

• Program status reporting.

• Monitor compliance to sub-contract plan.

• Monitor export regulation compliance.

• Support U.S. Government personnel regarding product status.

• Liaison with other Government subcontractors, if required.

• Customer inspection and acceptance at origin.

• Manage commercial packing and packaging requirement.

• Respond to limited after sales customer inquiries via phone.

• Prepare and submit Price and Availability information as requested.

• Review LORs and suggest technical data solutions.

• Assist in resolving transportation (shipping) issues.

• Provide temporary storage for constructively delivered end items pending receipt of clear shipping address and transportation instructions.

4.1.2. Integrated Process and Product Team. The Contractor shall participate in

Integrated Process and Product Team (IPPT) meetings as coordinated by the Contracting Officer and CECOM SAMD. IPPT meetings shall include discussion of DMSMS issues with the goal of aligning Contractor management of these issues with CECOM SAMD BPC requirements. The Contractor shall provide meeting minutes IAW "Report, Record of Meeting/ Minutes”.

• The contractor shall prepare meeting minutes IAW DI-ADMN-81505 guidelines.

• The contractor shall submit meeting minutes as required, but NLT Ten (10) working days after completion of each meeting.

• The Government will review the Meeting Minutes and provide comments within 30 calendar days of receipt.

• All deliveries shall be in digital format. All digital files shall be provided by electronic submission (e.g. email, FTP, etc.) as arranged in coordination with requiring office. Electronic submissions shall be readable by computers running Microsoft Office suite of applications (MS Word, Excel, PowerPoint, and Project). Alternative delivery of media may be discussed with contract Officer prior to delivery.

APPENDIX A

Contractor shall provide for items in accordance with this STATEMENT OF WORK

HARDWARE / SOFTWARE

GENERAL PURPOSE ADP EQUIPMENT, SOFTWARE, SUPPLIES & SUPPORT

EQUIPMENT

DT-B-WHM EX24027 JORDAN – RJAF ISR ENHANCEMENT

(LINE ITEM 001a) Contractor shall provide ArcGIS Enterprise GIS Professional Advanced User Type Annual Licenses to support country of Jordan

QTY PART NUMBER DESCRIPTION

14 160463 ArcGIS Enterprise GIS Professional Advanced User Type Annual Licenses

(LINE ITEM 001b) Contractor shall provide ArcGIS Enterprise Standard Up to Four Cores Annual License to support country of Jordan consisting of:

QTY PART NUMBER DESCRIPTION

1 166970 ArcGIS Enterprise Standard Up to Four Cores Annual License

DT-B-WQE EX24032 GHANA BORDER SECURITY

(LINE ITEM 006a) Contractor shall provide ArcGIS Annual Subscription, consisting of:

QTY PART NUMBER DESCRIPTION

5 165537 ArcGIS Online GIS Professional Advanced User Type Annual Subscription

(LINE ITEM 006b) Contractor shall provide ArcGIS 10.6 with Extensions, consisting of:

QTY PART NUMBER DESCRIPTION

5 165562 ArcGIS Pro (Add-on App) Extensions For ArcGIS Online Creator User Type Annual Subscription

DT-B-WEQ EX24049 NIGERIA INTEL CORPS

(LINE ITEM 005b) Contractor shall provide Desktop advanced annual subscriptions or similar capability, consisting of:

QTY PART NUMBER DESCRIPTION

30 148104 Desktop advanced single use Annual subscription

(LINE ITEM 005c) Contractor shall provide Desktop extension annual subscription or similar capability consisting of:

QTY PART NUMBER DESCRIPTION

30 148107 Desktop extension annual subscription

(LINE ITEM 005d) Contractor shall provide Enterprise advanced annual subscription or similar capability consisting of:

QTY PART NUMBER DESCRIPTION

1 160660 Enterprise advanced up to four cores annual subscription

ATTACHMENT

Software License Keys Certificate of Completion Template

TO BE PLACED ON COMPANY LETTERHEAD

Date:

Subject:

Customer:

Contract Number:

BPC Case Designator:

BPC Case Line Number:

BPC Requisition Number:

Contract CLIN:

Period and service invoiced:

Software License Keyes:

Customer Comments:

Contractor Representative Customer Representative Printed Name: Printed Name:

Title: Title:

Date: Date:

Signature: Signature: