1. Attachment 1 FTC-SEM-34 FLETC Statement.pdf

852 KB Posted

Attached to
DORM MANAGEMENT SERVICES
Solicitation number
70LGLY24RGLB00001
Issued by

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This document contains a template for a Federal Law Enforcement Training Center (FLETC) statement. It requests basic identifying information from individuals such as name, agency, class number, and signatures to certify the provided information is true. The related federal contract opportunity is for dorm management services at FLETC's Glynco, Georgia location. The solicitation number is 70LGLY24RGLB00001 and is being issued by the Department of Homeland Security prior to a full solicitation. The document provides high-level details about the dorm management services requirement but does not include pricing terms, response dates, set asides or other contract specifics.

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FEDERAL LAW ENFORCEMENT TRAINING CENTER

STATEMENT

DATE: TIME:

SUBJECT:

Print Name Agency Class Number Class Coordinator

Signature Receiving Officer Signature

I certify all the information given above is true and understand that false information is in violation of 18 USC 1001.

Privacy Act Statement: This information is provided in accordance with the Privacy Act of 1974 (5USC 552a©(3): Authority of this information of 5 USC 301, 5 USC 4001 et. seq. and Executive Order No. 11348 and Department of Homeland Security Delegation Number 7050. Disclosure of this information is voluntary.

PAGE_________OF_________

FOR OFFICIAL USE ONLY

Part 9, Attachment 1

FTC-SEM-34 (06/06)

70LGLY24RGLB00001

Dorm Management Services FLETC, Glynco Georgia

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TIME:
SUBJECT:
Print Name:
Agency:
Class Number:
Class Coordinator:
Signature:
Receiving Officer Signature:
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