J.33._fs_6300-11_SubcontractorApproval.doc

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ARP Roads Maintenance IDIQ
Solicitation number
1282AT18R0008
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FS Form 6300-11, Subcontractor Approval

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USDA – Forest Service

FS-6300-11 (10/81)

SUBCONTRACTOR

APPROVAL

REQUEST

CONTRACT NUMBER

AG-82AT-C-17-0003

UNIT

Arapaho Roosevelt National Forests

PROJECT

CCRD Office Remodel

NAME AND ADDRESS OF CONTRACTOR

Bristol Design Build Services, LLC.

111 West 16th Ave., 3rd Floor

Anchorage, AK 99501-6206

APPROVAL IS HEREBY REQUESTED TO SUBCONTRACT WORK ON ABOVE REFERENCED CONTRACT.

SUBCONTRACTOR DETAILS

SUBCONTRACTOR NAME:

SUBCONTRACTOR TAX ID:

SUBCONTRACTOR DUNS:

SUBCONTRACTOR ADDRESS:

WORK DETAILS

TYPE OF WORK TO BE SUBCONTRACTED:

% OF WORK TO BE SUBCONTRACTED:

CONTRACTOR SIGNATURE
CONTRACTOR TITLE
DATE

STOP. BELOW TO BE COMPLETED BY USDA FOREST SERVICE CONTRACTING OFFICER ONLY.

APPROVER SIGNATURE
APPROVER TITLE
DATE APPROVED
CHRISTINA A. COOK
Contracting Officer

INSTRUCTIONS:

Complete and return to Forest Service.

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