J.16_SubkApproval_fs_6300-11.docx

DOCX document 17 KB Posted

Attached to
BRD Toilet Pumping IDIQ 2019 Federal contract opportunity
Solicitation number
1282AT19R0003
Issued by
Department of Agriculture Forest Service R2-Rocky Mountain Region

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J.16_ fs_6300-11_SubcontractorApproval (Attachments)

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Text version

USDA – Forest ServiceFS-6300-11 (10/81)
SUBCONTRACTOR

APPROVAL

REQUEST

CONTRACT NUMBER

UNIT

Arapaho Roosevelt National Forests

PROJECT

BRD Toilet Pumping IDIQ 2019

NAME AND ADDRESS OF CONTRACTOR

Type Here

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

SUBCONTRACTOR DETAILS

SUBCONTRACTOR NAME: Type Here

SUBCONTRACTOR TAX ID: Type Here

SUBCONTRACTOR DUNS: Type Here

SUBCONTRACTOR ADDRESS: Type Here

WORK DETAILS

TYPE OF WORK TO BE SUBCONTRACTED:

Type Here

% OF WORK TO BE SUBCONTRACTED: Type Here

CONTRACTOR SIGNATURE
CONTRACTOR TITLE
DATE

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

APPROVER SIGNATURE

APPROVER TITLE

DATE APPROVED

KLENISE WALLACE
Contracting Officer

INSTRUCTIONS:

Complete and return to Forest Service Contracting Officer.

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