CCDC SC Broad Agency Announcement Proposal Cover Page

1. For Consideration By:

☐ Combat Feeding
☐ Soldier Protection and Survivability
☐ Soldier Performance Optimization
☐ Expeditionary Maneuver Support &
Field Service Technologies
☐ Aerial Delivery
☐ Simulation & Training Technology
2. Check the Appropriate Box(es) if this Proposal Includes Any of the Items Below: ☐ Human Subjects
☐ Vertebrate Animals
☐ National Environment Policy Act
☐ GFE (Government Furnished Equipment)
☐ GFP (Government Furnished Property)
☐ Biosafety Level (BL) 1-4 Facility
☐ Genetically Engineered Organisms
☐ Ozone Depleting Substances
3. Check the Type of Award Document Proposed:
☐ Contract
☐ Cost Reimbursement
☐ Cost + Fixed Fee
☐ Fixed Firm Price
☐ Grant
☐ Cooperative Agreement
4. BAA Number: Click here to enter text.

5. Proposal Title:

6. Topic Area by Number and Title: Click here to enter text.

7. Total Funds Requested: Click here to enter text.

8. Offeror Submitting Proposal:

Name: Click here to enter text.
Address: Click here to enter text.
Duns: Click here to enter text.
Cage: Click here to enter text.

9. Type of Business: (Please select the appropriate entry) ☐ Large Business
☐ Minority Institutions
☐ Small Disadvantage Business
☐ Other
☐ Other Small Business
☐ Historically Black Colleges and Universities

10. Primary Investigator/Technical Point of Contact:

Salutation:
Last Name:
First Name:
Street Address:
City, State:
Zip Code:
Telephone:
Fax (if available):
E-mail (if available):

11. Office Administrative Point of Contact:

Salutation:
Last Name:
First Name:
Street Address:
City, State:
Zip Code:
Telephone:
Fax (if available):
E-mail (if available):

12. Date Proposal Prepared: Click here to enter a date. 13. Date Proposal Expires: Click here to enter a date.
14. Signature of Authorized Representative for Offeror: