J.4_fs_6300-11_SubcontractorApproval.doc

DOC document 39 KB Posted

Attached to
ARP Facilities/Quick Fix Multi-Year Federal contract opportunity
Solicitation number
1282AT18R0010
Issued by
Department of Agriculture Forest Service R2-Rocky Mountain Region

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Subcontractor Approval Request Form

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USDA – Forest Service

FS-6300-11 (10/81)

SUBCONTRACTOR

APPROVAL

REQUEST

CONTRACT NUMBER

UNIT

Arapaho Roosevelt National Forests

PROJECT

ARP Facilities / Quick Fix Multi-Year BPA

NAME AND ADDRESS OF CONTRACTOR

Company Name Street Address City, State, Zipcode

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

Contracting Officer

INSTRUCTIONS:

Complete and return to Forest Service.

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