AMENDMENT_02_ATTACHMENT_2_SVED_Contracting_OCI_Disclosure.xlsm

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The Army Evaluation Center (AEC) Survivability Evaluation Directorate (SVED) Professional Support Services
Solicitation number
W91CRB-18-R-0037
Issued by

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Amendment 02 of the SVED OCI Disclosure.

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Contractor Name Potential Organizational Conflicts Of Interest (OCIs)

U.S. Army Evaluation Center

W91CRB-18-R-0037

Support Services for the Survivability Evaluation Directorate [SVED])

***All Yellow Highlighted Fields Must Have Text Answers***

Solicitation Number
Prime Contractor Name & Information

Name Address DUNS Code CAGE Code Subcontractor information (Provide for All Subs):

Name Address DUNS Code CAGE Code

Is there a Potential OCI for Prime or any Subcontractors? (The Primes shall identify all potential OCI for themselves and their proposed subcontractor(s) or teaming partners.)
Justification for No Potential OCI

(Support declaration statements of no OCI with facts that support why neither a prime or its sub(s) or partner(s) have no potential OCI.)

Type of Potential OCI
Basis for Potential OCI

(Primes shall provide known facts. Government Subject Matter Experts (SME) will review inputs Primes provide for themselves and their partners to determine if an actual OCI is present. To this end, it may be necessary for follow-up fact gathering queries to get more facts to make a final determination whether an actual OCI is present to finalize the OCI analysis.)

What System(s) is it applicable to?
Customer Name for whom work was performed
Contract Number
Government point of contact
Dates work was performed
Is the work complete
Who received the end product? (Organization Name)
Was this funded as a commercial develop with your own resources?
If the cost was shared with the Government, what was the allocation?
What was the work performed (specifically)?

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