Attachment_11-Statement_of_Capability.docx

Statement of Capability The Offeror shall provide the following information for access to Ranges, Test Sites, Storage, and Office spaces, one entry per location.

Type of Capability: Range, Test Site, Storage, or Office Space (please circle one).

(1) Name by which entity is commonly recognized:

(2) Company physical street address, city, state, and zip code

(3) Company mailing address, city, state, zip code (if separate from physical).

(4) Date the company started.

(5) Company telephone number.

(6) Contact name and title:

(7) Ministry/Agency/Directory:

(8) a. Name and Title of Point of Contact:

b. Telephone and Address:

(9) Specific Area or Range:

(11) Access granted: Yes/No.

Consent is/is not granted to the Government to verify all information provided as part of the solicitation process.

Signature: __________________Date:_________________________________ I certify the accuracy, currency, and completeness of this document:

Signature: _________________________Date:_____________________