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Highly Adaptive Cybersecurity Services (HACS)
Special Item Number (SIN) 132-45
Security Architecture Review (SAR)/Systems
Security Engineering (SSE) Services
VERSION 1.0
SELF-ATTESTATION FORM
February 2019
Information Technology Security Subcategory (ITSS)
Office of Information Technology Category (ITC)
Federal Acquisition Service (FAS)
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This form is for you, the Applicant, to attest that the offering being submitted for HACS Special
Item Number (SIN) 132-45 accurately meets the requirements for Security Architecture Review
(SAR) and Systems Security Engineering (SSE) services, as stated in the most current HACS
solicitation document.
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1. Offeror Information
Company Information:
Company Name
Address
City
State
Zip Code
Company Website
Primary Contact Information:
First Name
Last Name
Title
Address
City
State
Zip Code
Phone Number
Email Address
Secondary Contact Information:
First Name
Last Name
Title
Address
City
State
Zip Code
Phone Number
Email Address
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2. Attestation and Signature
I certify that I am authorized to sign this form on behalf of the above specified company and, by
signing, I attest that:
Our organization has an understanding of Security Architecture Review (SAR) and Systems
Security Engineering (SSE) requirements and we have the subject matter expertise to perform
the requirements of SAR and SSE services. We further attest that our organization can provide,
and will continue to provide, SAR and SSE services in accordance with National Institute of
Standards and Technology (NIST) Special Publications and, when made available, with
Department of Homeland Security methodologies and processes.
Signature Date
Name
Title