CFI SUBMISSION FORM I. CS4 AFUAS: Advanced Flexible Use of Airspace Support Service (AFUAS)

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1 I CS4 AFUAS: Advanced Flexible Use of Airspace Support Service (AFUAS) This CFI Submission Form has been produced to enable to evaluate the compliance with the set requirements of the applicants responding to the present Call For Interest No I. This CFI Submission Form must be read in conjunction with all the CFI documents which provide interested companies with appropriate information on the procedure and the work in question. A. Identification of Interested Parties A.1 Each interested party must complete and sign this identification form. In case an expression of interest includes already identified subcontractors, they shall be equally identified via the form below (however, there is not need for subcontractors to sign the form): 1 For internal use only:

2 Identity Name: Legal status: Date of registration: Country of registration 1 : Registration number: VAT number: 1 This must be in a Member State being: Albania, Armenia, Austria, Belgium, Bosnia and Herzegovina, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Finland, France, Georgia, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Moldova, Monaco, Montenegro, Netherlands, Norway, Poland, Portugal, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, The former Yugoslav Republic of Macedonia, Turkey, Ukraine and United Kingdom of Great Britain and Northern Ireland. 2 For internal use only:

3 Address Address of registered offices (Headquarters) Administrative address (if appropriate) Surname: First name: Position (e.g. manager): Telephone number: Fax number: address: Contact Person A.2 Please describe the profile of your company, including possible sub-contractors you may consider using for the purpose of the CS: legal set-up, activities, turn-over, staff employed, etc - with supporting evidence (Mandatory). A.3 Please describe your experience (including sub possible sub-contractors you may consider using for the purpose of the CS) related to the specific CS (Mandatory). A.4 Please provide your understanding of the CS and explain your added value to this CS; (also applies to the possible sub-contractors you may consider using for the purpose of the CS) (Mandatory). A.5. If applicable, please provide the statement declaring interest for this CS of the possible subcontractors you may consider using for the purpose of the CS. For internal use only: 3

4 B. Commitment for future Call For Tenders Please complete and sign the letter attached in Annex 1 hereto (Mandatory). C. Declaration on Honour of the Applicant To be eligible for participating in this Call For Interest procedure, applicants must not be in any of the exclusion grounds stated in the Declaration on Honour. Please complete and sign the letter attached in Annex 2 hereto (Mandatory). D. Additional Information to be provided by all interested parties D.1 Please provide relevant examples if and where your organisation has participated in a consortium in the last 10 years. D.2. Please provide relevant examples if and where your organisation has participated in a special purpose company in the last 10 years. D.3. Declaration in relation to the participation to the Call For Tenders (Mandatory). As indicated in the Call For Interest documents, namely Section B and Annex 1 of this Submission Form, parties showing an interest that would decide to submit a tender in reply to a Call For Tenders of the CS4 AFUAS: Advanced Flexible Use of Airspace Support Service (AFUAS) shall only do so as a member of a consortium or as a member of a special purpose created company. Before signing Annex 1 herewith, the interested parties must verify the following points: i) if they will be able to form a consortium complying with the requirements put forward by (reference is also made here to the document part of the publication titled conditions applicable to 14 Calls For Interest related to the Centralised Services), and ii) if they have the legal possibility to commit to form a consortium and thereby sign Annex 1. 4 For internal use only:

5 It is in the interest of to have as many competitive offers as possible. The questions hereunder have as a main aim to create awareness to all interested parties in respect to the requirements associated to the CS procurement process, and ensure that verification of formalities has been done prior to the presentation of this Submission Form and its annexes, and avoid that interested parties cannot be part of the Call For Tenders because these have not provided the required information and could not be adequately assessed. Interested parties shall bear in mind that the coordinator of a consortium must also be a member of the consortium. Question D.3.1 (mandatory) Should you not tick at least one of the 2 boxes hereunder, shall understand that your organisation shall not comply with such requirement, and your organisation shall therefore be excluded from further participation in the CS procurement process. I herewith declare that my organisation is committed to participate in a consortium that will submit an offer in reply to a Call For Tenders relating to the CS subject of the present CFI, and sign the relevant legal documents I herewith declare that my organisation is committed to be a member of a special purpose company that will submit an offer in reply to a Call For Tenders relating to the CS subject of the present CFI, and sign the relevant legal documents Questions D.3.2 : Case of a consortium In case you have declared your commitment to participate in a consortium under D.3.1, you must answer questions D and D3.2.2 hereunder and, depending on your answer to question D3.2.2, you must also answer question D Should you not do so, shall understand that your organisation shall not comply with such requirement, and your organisation shall therefore be excluded from further participation in the CS procurement process. Question D (mandatory) I herewith declare that my organisation is allowed to participate in a consortium that will submit an offer in reply to a Call For Tenders pertaining to the CS subject of the present CFI, and sign the relevant consortium agreement 5 For internal use only:

6 subject to an individual approval by (please insert the name of the authority that needs to approve you participating in a consortium) subject to a specific request to the following authority (please insert the name of the authority that needs to approve you participating in a consortium) no specific approval is required by my organisation I herewith declare that my organisation is currently not allowed to participate in a consortium that will submit an offer in reply to a Call For Tenders pertaining to the CS subject of the present CFI, and sign the relevant consortium agreement, but my organisation will undertake the necessary steps with (please insert the name of the authority that needs to approve you participating in a consortium) to receive this approval in due time for the deadline for the reply to the upcoming Call For Tenders. Question D (mandatory) I herewith declare that my organisation is allowed to grant a power of attorney to the coordinator of the consortium to sign the contract on behalf of my organisation and be bound by it. subject to an individual approval by (please insert the name of the authority that needs to approve you participating in a consortium) subject to a specific request to the following authority (please insert the name of the authority that needs to approve you participating in a consortium) no specific approval is required by my organisation I herewith declare that my organisation is currently not allowed to grant a power of attorney to the coordinator of the consortium to sign the contract on behalf of my organisation and be bound by it, but my organisation will undertake the necessary steps with (please insert the name of the authority that needs to approve you participating in a consortium) to receive this approval in due time for the deadline for the reply to the upcoming Call For Tenders. I do not need to grant a Power of Attorney as I plan to be the consortium coordinator In case your answer to question D is I do not need to grant a power of attorney as I plan to be the consortium coordinator please answer the questions D hereunder. 6 For internal use only:

7 Question D (mandatory in case your answer to question D is I do not need to grant a power of attorney as I plan to be the consortium coordinator ) I herewith declare that my organisation is planning to sign the relevant contract as the coordinator of a consortium. subject to an individual approval by (please insert the name of the authority that needs to approve you participating in a consortium) subject to a specific request to the following authority (please insert the name of the authority that needs to approve you participating in a consortium) no specific approval is required by my organisation Despite my intention to be the coordinator of a consortium, I do not know which type of approval is necessary since my company has never been a consortium coordinator, but my organisation will undertake the necessary steps with (please insert the name of the authority that needs to approve you participating in a consortium) to receive this approval in due time for the deadline for the reply to the upcoming Call For Tenders. Case of a Special Purpose Company You are further required to answer the question D.3.3. hereunder, in case you declared under D.3.1 your commitment to participate in a special purpose company. Should you not do so, shall understand that your organisation shall not comply with such requirement, and your organisation shall therefore be excluded from further participation in the CS procurement process. Question D.3.3. (mandatory) I herewith declare that my organisation is allowed to participate in and, if not yet the case, establish a special purpose company that will submit an offer in reply to a Call For Tenders pertaining to the CS subject of the present CFI subject to an individual approval by (please insert the name of the authority that needs to approve you participating in a special purpose company) 7 For internal use only:

8 subject to a specific request to the following authority (please insert the name of the authority that needs to approve you participating in a special purpose company) no specific approval is required by my organisation I herewith declare that my organisation is currently not allowed to participate in a special purpose company that will submit an offer in reply to a Call For Tenders pertaining to the CS subject of the present CFI but my organisation will undertake the necessary steps with (please insert the name of the authority that needs to approve you participating in a consortium) to receive this approval in due time for the deadline for the reply to the upcoming Call For Tenders. Note: authority as referred in questions D3, may be a body internal or external to your organisation as applicable depending on the laws, rules and/or regulations applicable to your organisation. 8 For internal use only:

9 E. Declaration to be made by all interested parties The Centralised Services have been developed in the context of the Single European Sky (SES). As such it is therefore essential to demonstrate compliance with the existing SES regulatory framework, where relevant and appropriate to the CS. All interested parties are required to tick the 2 boxes hereunder. Should you not tick any of these boxes, shall understand that your organisation shall not comply with such requirements and your organisation shall therefore be excluded from further participation in the CS procurement process. Question E.1 (mandatory) I herewith declare that my organisation will deliver to and other relevant organisations, throughout the execution of the CS contract(s), the evidence which is required to comply with the Single European Sky (SES) Legislation applicable to the CS. Question E.2 (mandatory) I herewith declare that my organisation will accept, throughout the execution of the CS contract(s), the oversight of EASA as required by the SES Legislation and if applicable to the CS. F. Declaration to be submitted only by Air Navigation Service Providers (ANSPs) interested in participating in the CS CFT as a tenderer Question F.1 (mandatory) In order to implement the Centralised Services data need to be provided by the Member States ANSPs as input to the Centralised Services. If you are an ANSP we ask you, as part of your Declaration of Interest, to indicate if your organisation would be willing to provide data to all Centralised Services, subject to the decision making process of the Permanent Commission. The ticking of one of two boxes listed below (and the provision of additional information where appropriate) is mandatory. Should you not tick one of the boxes below, your organisation shall therefore be excluded from further participation in the CS procurement process. 9 For internal use only:

10 With this Declaration of Interest I declare that my ANSP organisation would be willing to provide and make use of the data necessary for the good operation of all Centralised Services. My ANSP organisation is not in a position/or would not be willing to provide the data necessary for the good operation of all Centralised Services due to the following reasons (please specify what would prevent you from doing so) Question F.2 (mandatory) The Centralised Services are based on the concept of achieving synergies avoiding fragmented technology set-up and operation on a local/national or regional basis, whereas the Member States ANSPs not only need to be ready to support the Centralised Services through the provision of the respective data (question F.1), but the ANSPs of the Member States also would need to declare if their organization would be willing to make use of the Centralised Services to avoid higher costs resulting from fragmentation. The ticking of one of two boxes listed below (and the provision of additional information where appropriate) is mandatory. Should you not tick one of the boxes below, your organisation shall therefore be excluded from further participation in the CS procurement process. With this Declaration of Interest I declare that my ANSP organisation would be willing to connect to all Centralised Services, avoiding a fragmented set-up and operation. My ANSP organisation is not in a position/or would not be willing to connect to all Centralised Services, avoiding a fragmented set-up and operation due to the following reasons (please specify what would prevent you from doing so) G. Safety, Security and Quality Considering the importance of safety, security and quality for the good operation of the CS, please provide an answer to the following questions as an Annex to this Submission Form. It is highly desirable to receive this information. However, interested parties not providing a reply to questions G.1 to G.3 below will not be excluded. 10 For internal use only:

11 Question G. 1 - Quality - What is your existing level of ISO certification? - For which type of activities conducted by your company was your ISO certificate delivered? - When was the certificate delivered - when does it expire? - If the (re-)certification is in progress when do you expect to be certified? Question G. 2 - Safety - What has been the highest Software Assurance Level (SWAL, SIL or equivalent) applied to contracts executed by your company? - Which method did you apply to demonstrate that the deliverables met the required Safety Level? Questions G. 3 - Security - What is the highest level of Security (Evaluation Assurance Level (EAL) or equivalent) applied to contracts executed by your company? - Which method did you apply to demonstrate that the deliverables met the required Security Level? H. Risks A major Programme requires a good management of the risks. In this context please provide an answer to the following questions as an Annex to this Submission Form. It is highly desirable to receive this information. However, interested parties not providing a reply to questions H.1 to H.3 below will not be excluded. Question H. 1 - Which risk methodology will your company apply to the CS for which you declare interest. Question H. 2 - What are the issues which could, from your perspective, put Phase 1 at risk? - For the risks identified for Phase 1 what high level mitigations would you envisage in the CS for which you declare interest? 11 For internal use only:

12 Question H. 3 - What are the issues which could, from your perspective, put Phase 2 at risk? - For the risks identified for Phase 2 what high level mitigations would you envisage in the CS for which you declare interest? I certify that the information provided within this CFI Submission Form is accurate and that it is signed by a duly authorised representative of the organisation authorised to legally bind the organisation. I herewith acknowledge that if my application is successful will make my name public to the successful and unsuccessful interested parties. Name: Position: For and on behalf of: Date: 12 For internal use only:

13 Annex 1 I the undersigned: name On behalf of Name of the company/ organisation: Having its Legal address: Registration number/id Card No.: VAT number: Confirm herewith that in case Name of company/organisation would decide to submit a tender in reply to a Call For Tenders for CS4 AFUAS: Advanced Flexible Use of Airspace Support Service (AFUAS), it shall only do so as a member of a consortium or as a stakeholder of a special purpose created company. Full Name & Title Signature 13 For internal use only:

14 Annex 2 To be completed and signed by the Applicant DECLARATION ON HONOUR The undersigned: name Name of the company/ organisation: Legal address: Registration number/id Card No.: VAT number: Declares on oath that the individual/company/organisation mentioned above is not in any of the situations mentioned below: a) they are bankrupt or being wound up, are having their affairs administered by the courts, have entered into an arrangement with creditors, have suspended business activities, are the subject of proceedings concerning those matters, or are in any analogous situation arising from a similar procedure provided for in national legislation or regulations; b) they have been convicted of an offence concerning their professional conduct by a judgement which has the force of res judicata; c) they have been guilty of grave professional misconduct proven by any means which can justify; d) they have not fulfilled obligations relating to the payment of social security contributions or the payment of taxes in accordance with the legal provisions of the country in which they are established or with those of the country of the contracting authority or those of the country where the contract is to be performed; I the undersigned understand that contracts may not be awarded if during the procurement procedure the individual/company/organisation mentioned above: is subject to a conflict of interest; is guilty of misrepresentation in supplying the information required by the contracting authority as a condition of participation in the contract procedure or fail to supply this information; Full name: Date & Signature: 14 For internal use only: