Attachment 0009 - Certification Statement.pdf
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- Solicitation number
- W56HZV-20-R-0006
About this file
This pre-solicitation notice describes a five-year multiple award indefinite delivery indefinite quantity contract for chemical, biological, radiological, and nuclear filters and filter assembly components. The Army Contracting Command - Detroit Arsenal intends to issue a request for proposal in April 2020 for various CBRN filters and filter assembly components identified in an attachment. The minimum guaranteed value will be approximately $2.98 million and the maximum contract value will be approximately $298 million. Sealed bidding will be used for this contract action. Offerors will be evaluated based on lowest evaluated price for the five-year requirements. Prior to full production, a first article test will be required for each item according to the procedures in the technical data package, though some tests may be waived based on recent production of the same item. The government will provide a housing as government furnished property for first article testing and obtain authorization for any other required government property. All shipments will be FOB destination to Blue Grass Army Depot in Richmond, Kentucky.
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Solicitation W56HZV-20-R-0006
ATTACHMENT 0009
CERTIFICATION STATEMENT
I hereby certify that the following list of Government Technical Data Packages (TDP’s) were obtained through the *Beta.SAM.gov announcement for this solicitation by:
__________________________________________ (Data Custodian listed on the Company’s valid DD Form 2345), on behalf of _____________________________ _______________________________________________ (Name of Company from DD2345), _____________ (Company Cage Code from DD 2345).
TDP’s:
Item # TDP Name NSN
1 20190856 M13 Particulate Filter 4240-00-368-6291
2 20191010 M19 Particulate Filter 4240-00-866-1825
3 20180230 M18A1 Gas Filter 4240-01-365-0982
4 20200144 M14 Gas Particulate Filter Unit (GPFU) 4240-00-010-5267
5 20191359 M13A1 GPFU 4240-00-964-9061
6 20191365 M12A2 Gas Filter 4240-01-365-0981
7 20200278 M93 Tan w/o Filter 4240-01-615-1867
8 20200149 M2A2 Air Purifier 4240-00-868-7906
9 20181285 M1A1-19 Pre-cleaner 4240-01-026-3112
10 20190862 HSFC 4240-01-366-6243
11 20181199 M98 GAS Filter 4240-01-550-5226
12 20200813 ICBM Particulate Filter (HEPA) 4240-01-500-7826
13 20200812 ICBM Filter Set 4240-01-550-8758
14 20200676 M48A1 Gas Particulate Filter (Tan) 4240-01-621-5115
15 20200674 M48A1 Gas Particulate Filter (Green) 4240-01-363-1311
16 20181110 M24 Particulate Filter 4240-00-802-5169
17 20191108 M98 Gas Particulate Filter Set 4240-01-369-6533
18 20181200 M98 Particulate Filter (HEPA) 4240-01-066-3266
19 20200081 M49 Gas Filter Trays 4240-01-312-9146
20 20190335 M23A1 Gas Filter 4240-01-363-1310
21 20200098 M59 GPFU 4240-00-237-0223
I hereby certify that the above Government TDP(s) was utilized in the generation and submission of the proposal submitted by the undersigned.
When applicable, if the Offeror CAGE Code is different from the CAGE code of the Data Custodian above, I hereby certify that the above Government TDP(s) was obtained from the above Data Custodian lawfully and in accordance with the applicable terms set forth in the DD2345 as a condition of receiving militarily critical technical data.
I hereby certify that the information and certifications made by me are true, complete, and accurate to the best of my knowledge and belief and are made in good faith. I understand that a knowing and willful false statement can be punished by fine or imprisonment or both (See U.S. Code, Title 18, Section 1001).
Solicitation W56HZV-20-R-0006
ATTACHMENT 0009
* The Federal Business Opportunities (https://www.fbo.gov), the legacy Government Point of Entry (GPE) system of proposed contract actions expected to exceed $25,000 awarded under Federal Acquisition Regulation (FAR), has transitioned to Beta.SAM.gov (https://beta.sam.gov/).
OFFEROR CERTIFICATION
This must be signed by a person authorized to sign proposals on behalf of the offeror in connection with this solicitation.
Signature Date
Name: ________________________________ Title: ________________________________ Phone Number: ________________________________
On behalf of the Offeror:
Company Name: ________________________________ Cage Code: __________ Address: ________________________________ http://www.fbo.gov/
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