February 04, 2024
Small Business Innovation and Research (SBIR) Phase III Derives, Extends, Completes (DEC) Statement
Project Title: [Insert Project Title] SBIR Phase III
Contract Structure: [Insert Indefinite Delivery Indefinite Quantity/Stand-alone] Contract
Acquisition ID: [Insert Acquisition PIID]
Requiring/Client Organization: [Insert Client Organization Name]
Statement Prepared By: [Insert Preparer Name]
1.0 Scope of Work
This SBIR Phase III effort will…[Insert contract scope – May use/adapt PWS/SOO/SOW scope]
The tasks which derive from, extend, and/or complete the Phase I and/or Phase II SBIR efforts are: [Insert applicable requirements/tasks – May use/adapt headings or language from Requirements/Tasks of PWS/SOO/SOW]
2.0 Acquisition History
Contract Number | SBIR/STTR and Phase # | PoP/ Delivery Date | Total Value | Contract Type(s) | SBIR/STTR Topic # |
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3.0 DEC from Phase I and/or Phase II Work
This SBIR Phase III award will derive from, extend and/or complete the efforts funded in the SBIR Phase I/II contract(s) listed in Section 2.0.
[Insert language demonstrating how the Phase III contract scope detailed in Section 1.0 derives from, extends, and/or completes the work in the Phase I/II efforts listed in Section 2.0.]
The following table crosswalks Phase I/II topic scope items to contract objectives and focus areas:
Phase I Topic Scope Items | Contract Objectives | Contract Focus Areas |
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Forward Edge-AI is the identified industry partner performing under the SBIR topic(s) in Section 2.0 and resulting contract(s). The Phase I/II(s) was/were awarded to [Insert Contractor Name] and under the applicable SBIR and Small Business Technology Transfer (STTR) Program Policy Directive for work that derives from, extends, or completes efforts made under prior SBIR/STTR Funding Agreements.
4.0 Client Approval
Based on the information above, I approve the scope of work for this SBIR Phase III contract and concur that the scope derives from, extends, or completes the efforts made under the prior SBIR/STTR Funding Agreements listed in Section 2.0.
_______________________________ ________________
[Insert Client Name] Date
[Insert Client Job Title] [Insert Client Organization]
Email: [Insert Client Email Address] Phone: [Insert Client Phone Number]
5.0 Contracting Officer Concurrence
Based on the information above, I concur that the SBIR Phase III contract will derive from, extend, and/or complete the efforts made under the prior SBIR/STTR Funding Agreements listed in Section 2.0 and is authorized pursuant to 15 U.S.C. 638.
_______________________________ ________________
[Insert CO Name] Date
Contracting Officer