Disclosure_of_Lobbying_Activities_(3).pdf

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Partition IDIQ Covering Atlanta Metro, Regional, Macon and Savannah, GA
Solicitation number
47PE0219R0016
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This document contains a disclosure of lobbying activities form and information regarding a federal contract opportunity for partitioning and miscellaneous construction services. The disclosure of lobbying activities form is a standard form used to disclose lobbying activities pursuant to federal law.

The federal contract opportunity is a solicitation by the General Services Administration seeking proposals for partitioning and miscellaneous construction services on an indefinite delivery/indefinite quantity basis. The services will be provided at GSA owned and leased facilities throughout Georgia, covering the Atlanta regional, Atlanta metro, Macon and Savannah areas. Requirements may include general construction, painting, carpeting, walls and framing, demolition, asbestos, carpentry, HVAC, electrical work, ceilings and plumbing. The estimated value is between $5-10 million for Atlanta regional and metro, and $1-5 million for Macon and Savannah. The NAICS code is 236220 and size standard is $36.5 million. The period of performance is 365 days as a firm fixed price contract. Four separate single awards will be made, one for each geographic area. The solicitation is set aside for 8(a) small businesses and proposals are due by August 9, 2019.

Disclosure of Lobbying Activities

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DISCLOSURE OF LOBBYING ACTIVITIES OMB Control Number: 4040-0013 Expiration Date: 2/28/2022

Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352

1. * Type of Federal Action:

a. contract

b. grant

c. cooperative agreement

d. loan

e. loan guarantee

f. loan insurance

2. * Status of Federal Action:

a. bid/offer/application

b. initial award

c. post-award

3. * Report Type:

a. initial filing

b. material change

4. Name and Address of Reporting Entity:

Prime SubAwardee

* Name

* Street 1 Street 2

* City State

Congressional District, if known:

Zip

5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:

6. * Federal Department/Agency: 7. * Federal Program Name/Description:

CFDA Number, if applicable:

8. Federal Action Number, if known: 9. Award Amount, if known:

10. a. Name and Address of Lobbying Registrant:

Prefix * First Name Middle Name

* Last Name Suffix

b. Individual Performing Services (including address if different from No. 10a)

Prefix * First Name Middle Name

11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when the transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

* Signature:

*Name: Prefix * First Name Middle Name

Title: Telephone No.: Date:

Federal Use Only: STANDARD FORM LLL (REV. 7/1997) Authorized for Local Reproduction

Review Public Burden Disclosure Statement

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