A10. J8. SubcontractorApproval (fs_6300-11).doc

DOC document 39 KB Posted

Attached to
GAOA - Sierra Vista Scenic Byway Beasore Road Repairs
Solicitation number
12970223R0010
Issued by

About this file

This document is a subcontractor approval request form for contract number 12970223R0010 with the USDA Forest Service for repairs to Beasore Road on the Sierra Vista Scenic Byway. The contractor is requesting approval to subcontract an unspecified portion of the work, less than 100%, to an unnamed subcontractor located at an address not provided. If approved, the subcontractor would perform an unspecified type of work on the road repairs project. The contractor signature line and the contracting officer signature line at the bottom indicate that once completed, the form would be returned to the Forest Service for approval of the subcontractor.

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Text version

USDA – Forest Service

FS-6300-11 (10/81)

SUBCONTRACTOR

APPROVAL

REQUEST

CONTRACT NUMBER

12970223R0010

UNIT

Sierra National Forest

PROJECT

GAOA - Sierra Vista Scenic Byway Beasore Road Repairs

NAME AND ADDRESS OF CONTRACTOR

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.

File details come from the government source that posted it. Updated .