Atch 5 - Employee List.docx
DOCX document 14 KB Posted
- Attached to
- Black Hills National Forest HVAC Maintenance
- Solicitation number
- 1240LP22Q0032
About this file
This document includes a federal contract opportunity solicitation for HVAC maintenance and repair services on the Black Hills National Forest. The solicitation seeks a multiple year contract for HVAC maintenance at 15 locations and installation of a heat pump and furnace at one dwelling. Interested vendors must be registered in SAM.gov and able to submit electronic invoices through IPP.gov. The contract will require payment of prevailing wages under the Service Contract Act. Responses are due by email to Stephen Holly at the USDA Forest Service by the deadline clearly marked in the subject line. This is a total small business set-aside with a NAICS code of 238220 and size standard of $16.5 million.
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Text version
Contractor and Employee List
COMPANY INFORMATION:
| |_|COMPANY or |_| ORGANIZATION |
| COMPANY NAME |
| DUNS # |
| ADDRESS |
| Contact’s Name |
| CITY |
| Contact’s Phone# |
| STATE |
| ZIP |
CONTRACT INFORMATION:
| |_| CONTRACT OR |_| GRANT |
| Period of Performance |
| CONTRACT # |
| Start Date |
| CONTRACT DESCRIPTION |
| End Date |
|_| Initial Report - |_| Quarterly Report – QTR/YR /
LIST OF EMPLOYEES THAT WILL NEED NEIS PROFILES (Add additional sheets as needed.)
| NAME (Employees fill out corresponding information sheet) |
| PHONE NUMBER |
| This space to be filled out by Government to determine |
TYPE OF ACCESS
| |_| LINCPASS |
|_| PIV-A
|_| SITE BADGE
|_| BACKGROUND CHECK
| |_| LINCPASS |
|_| PIV-A
|_| SITE BADGE
|_| BACKGROUND CHECK
| |_| LINCPASS |
|_| PIV-A
|_| SITE BADGE
|_| BACKGROUND CHECK
| |_| LINCPASS |
|_| PIV-A
|_| SITE BADGE
|_| BACKGROUND CHECK
The CO is considered a Program Sponsor for information into the Non-Employee Identification System (NEIS). You are required to provide information to the NEIS Sponsor (Technical Sponsor) quarterly to update a WO report that is due quarterly. Please provide the following information on all contracts meeting the NEIS requirements (Janitorial, Computer Access) to Brenda Oster by 1st of last month of each quarter.
| CO’S NAME |
| VERIFIED ON |
| Signature |
File details come from the government source that posted it. Updated .