NGSW_IDEA_Form.pdf
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- NGSW IDEA Program
- Solicitation number
- W15QKN19X0899
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Next Generation Squad Weapons Innovative Designs & Engineering Assessment Form
Vendors shall complete the form below and submit with their video submission.
Legal Entity:
Name:
Proposed NAICS Code:
Industry Size Standard: Small Large Foreign DUNS No.:
CAGE Code:
Tax Identification:
Active SAM Registration: Yes No Expiration Date:
Address 1:
Address 2:
City/State/Zip:
POC Name:
POC Title:
POC Phone:
POC Email:
Website:
Description of proposed technology (limit 2,000 characters):
Lead Time for Delivery (in months) Price for Quantity (Provide three Quantity ranges, e.g. 1-3, 4-10, 10-25) Quantity Range 1: _____ to _____ Quantity Range 2: _____ to _____ Quantity Range 3: _____ to _____
Signature:
Name:
Title:
Date:
FOR OFFICIAL USE ONLY
PROPRIETARY INFORMATION
FOR OFFICIAL USE ONLY
PROPRIETARY INFORMATION
| Legal Entity: |
| Name: |
| Proposed NAICS Code: |
| Large: Off |
| Foreign: Off |
| Small Large ForeignDUNS No: |
| Small Large ForeignCAGE Code: |
| Yes No Expiration DateAddress 1: |
| Yes No Expiration DateAddress 2: |
| Yes No Expiration DateCityStateZip: |
| Yes No Expiration DatePOC Name: |
| Yes No Expiration DatePOC Title: |
| Yes No Expiration DatePOC Phone: |
| Yes No Expiration DatePOC Email: |
| Yes No Expiration DateWebsite: |
| Description of proposed technology limit 2000 characters: |
| Lead Time for Delivery in months: |
| Quantity Range 1: |
| to: |
| Quantity Range 1 to: |
| Quantity Range 2: |
| to_2: |
| Quantity Range 2 to: |
| Quantity Range 3: |
| to_3: |
| Quantity Range 3 to: |
| Name_2: |
| Title: |
| Date: |
| Expiration Date: |
| Small Large ForeignTax Identification: |
| Small: Off |
| No: Off |
| Yes: Off |
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