Attachment 10_Vendor_Self-Vetting_Form.docx
DOCX document 27 KB Posted
- Solicitation number
- W900KK-21-R-0035
About this file
This document contains a vendor self-vetting form and information on a Systems Engineering and Technical Assistance (SETA) III solicitation. The vendor self-vetting form requests information from organizations including full name, CAGE code, SAM registration status, facility clearance details, foreign ownership status, and certification of information accuracy.
The SETA III solicitation from the Department of the Army seeks technical assistance and engineering support services. Proposals are due by October 15, 2021 at 1:00 PM EDT. All communication regarding the solicitation must be submitted to the listed email address. The solicitation number is W900KK-21-R-0035 and was issued on September 15, 2021 by the Army Materiel Command Contracting Command Orlando Contracting Center.
View the file
Other files
Show all 31
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SECURITY VETTING FOR CONTRACTORS
To facilitate the security vetting procedures required to support your participation on FAR based contracts or OTA agreements, please provide the following information and certify (sign) and date your responses.
1. Full Organization Name:
2. Organization Cage Code:
3. Is your organization registered in the System for Award Management (SAM) database (Yes or No)?
4. If you answered “No” to question #2, please provide information regarding any previous contracts or government work your organization has performed.
5. Does your organization have an active Facilities Clearance (FCL) (Yes or No)? If you answer “Yes,” what is the nature of the FCL (security level, possessing or non-possessing)?
6. Is your organization (or your subcontractors) foreign owned or under USA Foreign Owned, Controlled, or Influenced (FOCI) status (Yes or No)?
7. Is your organization in merger and/or purchasing discussions with a foreign company or a USA FOCI company (Yes or No)? No
8. If you answered “Yes” to question #6 or #7, please provide the following information on each foreign owned or under USA FOCI company.
a. Full Company Name:
b. Cage Code:
c. Identify Country or Origin:
I certify the information I have provided on behalf of my organization is accurate and up to date.
| ____________________ | _________________________ | ______________ | ||
| Printed Name | Signature | Date |
File details come from the government source that posted it. Updated .