Appendix_G-Offerors_Cover_Page.docx

Appendix G United States Department of the Air Force

Air Force Civil Engineer Center (AFCEC)

Air Mobility Command (AMC)

Enhanced Use Leasing Project - Exchange North Joint Base Charleston

Request for Qualifications (RFQ) Appendix G Offeror’s Cover Page

RFQ No. AFCEC-15-R-0004

PROPOSALS ARE DUE NO LATER THAN

3:00 P.M. ET

Proposal due date: 5 June 2015

At:

AFCEC/CIUE

3515 S. General McMullen San Antonio, TX 78226-2018

Exchange North Request for Qualifications – 5/4/15

APPENDIX G.

OFFEROR’S COVER PAGE

Request for Qualifications Exchange North Enhanced Use Leasing Project, Joint Base Charleston

OFFEROR:

(Name of Company) (Point of Contact)

(Street Address) (Telephone Number)

(City, State and Zip Code) (Fax Number)

(Electronic Mail Address)

1. Receipt of amendment(s) is acknowledged.

2. Statement of Authority to Release Proprietary Information.

I hereby release of the information in all proposal submittals to Concourse FPS, LLC and its subcontractors for the purpose of providing advisory/consulting services in the Government’s evaluation of this Solicitation. I further understand that Concourse FPS, LLC and its subcontractors will not disclose any confidential information identified as such in these submissions.

3. Conflicts of Interest I hereby certify that to the best of my knowledge no potential conflict of interest exists between the above-identified Offeror and either Jones Lang LaSalle, EMAX Financial & Real Estate Advisory Services, LLC, MC Fuhrman and Associates, LLC or Concourse FPS, LLC or any of its subcontractors. As a condition of this offer, should my firm be the Highest Ranked Offeror, my firm will not contract with Jones Lang LaSalle, EMAX Financial & Real Estate Advisory Services, LLC or MC Fuhrman and Associates, LLC for work relating to this project for a period of two years after the date of this selection, nor at any time with Concourse FPS, LLC or any of its subcontractors for work relating to this project.

Authorized representative and signatory for Offeror:

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