Attachment_2_-_SVED_Potential_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
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SVED Potential OCI Disclosure

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Sheet1

Potential Organizational Conflicts Of Interest (OCIs)P OCITypes of Potential OCIResponding Prime Base Contractor Name
U.S. Army Evaluation CenterYesUnequal Access to InformationAmerican Systems Corp
***All Yellow Highlighted Fields Must Have Text Answers***NoBiased Ground RulesBeshenich Muir Associates (BMA)
Impaired ObjectivityDigiFlight Inc. (DFI)
Task Order NumberSVEDOtherDynamics Research Corporation (DRC)
Responding Prime Base Contractor NameDropdown SelectionGeeks and Nerds (GAN)
Prime identify all Subcontractor information:

Name Address DUNN Code

CAGE CodeJoint Research and Development (JRAD)
Is there a Potential OCI for Prime and Subcontractors? (The Primes shall identify all potential OCI for themselves and their proposed subcontractor(s) or teaming partners.)Dropdown SelectionLogistics Systems Inc. (LSI)
Justification for No Potential OCI
(Support declaration statements of no OCI with facts that support why neither a prime or its partner(s) have no potential OCI.)Man-Machine Systems Assessment (MSA)
Type of Potential OCIDropdown SelectionSURVICE Engineering
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.)The Analytic Sciences Corporation (TASC)
What System(s) is it applicable to?VRC Corporation
Customer Name for whom work was performed
Contract Number
Government point of contact
Dates work was performed
Is the work completeDropdown Selection
Who received the end product? (Organization Name)
Was this funded as a commercial develop with your own resources?Dropdown Selection
If the cost was shared with the Government, what was the allocation?
What was the work performed (specifically)?

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