Attachment 1: Broad Agency Announcement Abstract Submittal Form

BAA Abstract Submittal Form
(Revision 1_6.15.26)

INSTRUCTIONS:

Save this blank form to your computer with a new filename. 3 page maximum. Do not change borders or font size.
Please fill in all the requested information. Delete red text (instructions) All fields are required.
Please do not alter or change the questions or form.
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Email form to: [email protected] and [email protected]

Questions or need help? Please send an email to: [email protected] and [email protected]

Abstract Title:

Submittal Date:

Your Name (or Company Point of Contact):

Company Name:

Company Address:
Address line 1:
Address Line 2:
City, State, Zip Code:

Company POC E-mail address for contracting:
Company POC phone # for contracting:

Company POC E-mail address for technical:
Company POC phone # for technical:

Does your company/university/organization have a current registration in the System for Award Management (SAM)?

If yes, provide the following:
Commercial and Government Entity (CAGE) Code:
Unique Entity Identifier (UEI):

Note: If your company does not have registration in SAM (including current reps/certs), you may register online at the SAM website, https://sam.gov/. You must register to be eligible to receive an award. The North American Industry Classification System (NAICS) code for this program is 541715, and the size is 1000 employees.

Is your company/university/organization a: (select all that apply) Large Business
Small Business
Small Disadvantaged Business
8a Business
Small Veteran Owned Business
Service Disabled Veteran Owned Business
Small Woman Owned Business
Small Historically Underutilized Business Zone (HUBZone) Business Historically Black College/University or Minority Institution (HBCU/MI) Other Academic Institution
Federally Funded Research and Development Center (FFRDC) University Affiliated Research Center (UARC)
Non-Profit Organization

Funding Note: There is no funding set aside for this solicitation. This work is typically funded by Research Design, Testing and Evaluation (RDTE) funds. Additional information on the work we do can be found at: https://exwc.navfac.navy.mil

Which topic name and number is most applicable to the abstract? (See BAA solicitation)

Technical Description:
Keep in mind that NAVFAC EXWC is seeking technologies and methodologies that are either new, innovative, advance the state-of-the-art, or increase knowledge or understanding.