TWV Industry Engagement Interest and Security Registration Form.docx

U.S. ARMY | PORTFOLIO ACQUISITION EXECUTIVE AGILE SUSTAINMENT & AMMUNITION (PAE AS&A) Tactical Wheeled Vehicle (TWV) Acquisition Approach – Industry Engagement (Phase 1) Industry Interest & Security Verification Registration Form

IMPORTANT NOTICE & DISCLAIMER

DISCLAIMER & ATTENDEE VETTING NOTICE: Submission of this form is for soliciting interested attendees only and does not constitute confirmed registration or guaranteed admission to the event. Due to facility capacity constraints and strict Controlled Unclassified Information (CUI) / Distribution Statement C eligibility requirements, all submissions are subject to Government security review and operational vetting. A formalized, vetted invite list and entry confirmations will be distributed prior to the formal event. Only vetted individuals on the final authorized list will be granted physical access to the event.

EVENT & ADMINISTRATIVE OVERVIEW

Event: Tactical Wheeled Vehicle (TWV) Industry Engagement – Phase 1 (Interactive Briefings & Vignettes) Hosting Organization: Portfolio Acquisition Executive Agile Sustainment & Ammunition (PAE AS&A) Date(s): 9–10 November 2026 Location: Weber’s Hotel & Restaurant, 3050 Jackson Rd, Ann Arbor, MI 48103 Classification Level: Controlled Unclassified Information (CUI) Submission Deadline: Complete and return this form NLT 1700 EST, 28 October 2026 Attendance Limit: Maximum of three (3) representatives per organization Overview - Phase 1: Targeted Challenges & Interactive Briefings (9–10 November) Format: Government Enabler-led sessions spanning the core lifecycle areas. Sessions are intended to be developed around Army Context, Army Challenges and Vignettes. Vignettes are the desired format to present the context and problem statements in a format where industry can actively engage. Industry participants are explicitly invited and expected to ask questions during presentations. This is not intended to be virtual.

Short One-on-Ones: Limited 5–10-minute sessions conducted at the conclusion of Day 2. These sessions provide industry with an initial opportunity to address proprietary questions, clarify specific points, or raise topics not covered in open forum.

Industry Participation: Targeting Industry participation to ensure appropriate session size.

Preparation:

As part of the NAMC submission request (see link below), industry shall provide specific challenges with the Government that could be used to support Vignettes.

Sessions and Vignettes will be released to selected vendors prior to the start of the event.

Please fill out the following if your firm is interested in attending this event:

SECTION 1: COMPANY & ENTITY IDENTIFICATION

Full Legal Company Name

Doing Business As (DBA) / Division

Commercial and Government Entity (CAGE) Code

Unique Entity Identifier (SAM.gov UEI)

Corporate Headquarters Address

[ ] Small Business [ ] Non-Traditional Defense Contractor (NDC) [ ] SDB / WOSB / SDVOSB / HUBZone

Primary Corporate Contact Name & Title

Primary Contact Email & Phone Number

SECTION 2: SECURITY VERIFICATION & CUI ACCESS ELIGIBILITY

Notice: General sessions are designated as Controlled Unclassified Information (CUI) / Distribution Statement C. All attendees must be verified U.S. citizens representing authorized U.S. DoD contractors. Foreign national attendance is strictly prohibited without prior coordinated Foreign Disclosure Officer (FDO) authorization.

1. Military Critical Technical Data Agreement (DD Form 2345) Does your company possess an active, approved DD Form 2345 through the Joint Certification Program (JCP)?

[ ] YES [ ] NO

If YES, provide your JCP Certification Details:

JCP Certification Number: __________________________________ Expiration Date: __________________________________ Please attach a current copy of your approved DD Form 2345 certificate with this submission.

2. Facility Security Clearance & CUI Storage / Handling Posture If your company does not currently hold a DD Form 2345 or requires reciprocal CUI / Collateral verification, complete the following:

Facility Security Clearance (FCL) Level:

[ ] Top Secret [ ] Secret [ ] Confidential [ ] None / Not Applicable Commercial Facility CAGE cleared under DCSA: __________________________________ NIST SP 800-171 / SPRS Assessment Status:

Has your organization completed an assessment for safeguarding CUI?

[ ] YES (SPRS Score: _________ / Date: _________) [ ] NO / In Progress Company Facility Security Officer (FSO) / Security POC:

Name: __________________________________ Email: __________________________________ Phone: __________________________________

3. Foreign Ownership, Control, or Influence (FOCI) & Citizenship Attestation Is the participating organization under Foreign Ownership, Control, or Influence (FOCI)?

[ ] NO [ ] YES (If YES, provide active mitigation instrument details: SSA, Proxy, or FPA) Attestation: By signing below, the company certifies that all nominated attendees listed in Section 3 are U.S. citizens.

SECTION 3: EVENT ATTENDANCE & PARTICIPANT ROSTER

Please indicate your organization's attendance plans for Phase 1 in Ann Arbor, MI:

☐ Yes, our organization intends to participate in-person. (List up to 3 attendees below) ☐ No, our organization cannot attend in-person, but we request to be retained on the distribution list for Phase 2 White Papers and subsequent acquisition updates.

Nominated Representatives (Maximum 3) Attendee 1 (Primary Lead) Full Legal Name:

Title / Position:

Email Address:

Direct Phone:

U.S. Citizen: [ ] Yes [ ] No Security Clearance Level (if applicable):

Attendee 2 Full Legal Name:

Title / Position:

Email Address:

Direct Phone:

U.S. Citizen: [ ] Yes [ ] No Security Clearance Level (if applicable):

Attendee 3 Full Legal Name:

Title / Position:

Email Address:

Direct Phone:

U.S. Citizen: [ ] Yes [ ] No Security Clearance Level (if applicable):

SECTION 4: DAY 2 SHORT ONE-ON-ONE SESSION REQUEST

On the afternoon of Day 2 (10 November), the Government will hold short (5–10 minute) private sessions to allow industry partners to discuss proprietary concepts, clarify specific questions, or introduce initial commercial solutions out of the open forum.

Is your organization requesting a Day 2 Short One-on-One Session?

[ ] YES [ ] NO

If YES, indicate your primary topic / capability area of focus:

☐ Light Duty Fleet (<8,500 lbs GVW) Baseline / Kits ☐ Medium Duty Fleet (8,500 – 16,000 lbs GVW) Baseline / Kits ☐ Engineering & Open Architectures (Drive-by-Wire, Power Export, Autonomy, C4ISR kits) ☐ Commercial Testing Reciprocity (FMVSS, SAE standards mapping) ☐ Advanced Logistics & Sustainment (Dual-use supply chain, predictive maintenance) ☐ Agile Contracting & Business Models (CSO, OTA, MTA, IP & Data Rights) Brief Description of Proposed Discussion Topic (Unclassified / Non-Proprietary Summary):

(Max 150 words)

SECTION 5: SUBMISSION INSTRUCTIONS & CERTIFICATION

Submission Instructions:

Email the completed form along with a copy of your active DD Form 2345 (or security verification memorandum) to the PAE AS&A Industry Engagement POCs. (See below) Subject Line Format: TWV Industry Day Interest Form - [Company Name] - CAGE: [XXXXX] Follow the Link and fill out the NAMC form: https://www.namconsortium.org/form/wheeled-vehicle-industry-roundta.

Suspense Date: 28 October 2026, 1700 EST If selected to participate in this event vignettes will be issued to the vendors prior to the event.

Authorized Company Representative Signature:

I certify that the information provided herein is complete, accurate, and that all registered participants meet the citizenship and security guidelines.

Signature: ____________________________________________________ Printed Name: _________________________________________________ Title: ________________________________________________________ Date: _________________________________________________________

For any questions or concerns please reach out to the following POC(s) for this effort:

· Kelly Gerbino, Senior Acquisition Analyst, Portfolio Acquisition Executive Agile Sustainment & Ammunition: kelly.m.gerbino.civ@army.mil

· Kevin Julien, Contract Specialist, Command - Detroit Arsenal (ACC-DTA) CCTA-HNB-A: kevin.a.julien3.civ@army.mil Classification Level: Distribution Statement A