ATTACHMENT 09 - SFS Form 12 - Template.xls
XLS spreadsheet 46 KB Posted
- Attached to
- CONSTRUCT F-35 ALTER BUILDING 400 AMXS Federal contract opportunity
- Solicitation number
- W50S9F-22-R-0006
- Issued by
- Department of the Army National Guard
About this file
This document contains a federal contract solicitation for construction services. The 115th Fighter Wing at Dane County Regional Airport - Truax Field, Madison, WI is seeking a firm fixed-price contract to modify an existing aircraft hangar facility to accommodate F-35 operations. The scope of work includes demolishing and rebuilding administration and maintenance areas, adding two elevators, and upgrading required power, HVAC, fire suppression, and lightning and fall protection systems. The project also includes a partial roof replacement and sustainability requirements. The contract duration is 450 days with responses due by May 5, 2022. Evaluation criteria are technical approach, past performance, and price, with award intended without discussions. The estimated value is between $10-25 million.
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Text version
Sheet1
| TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM | |||||||
| Company Name: | Project Location: | ||||||
| Company POC: | Project Prime: | ||||||
| Company Address: | Start Date: | ||||||
| End Date: | |||||||
| Company POC PH#: | Project POC: | ||||||
| Company POC Email: | Project POC Phone #: | ||||||
| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE RESIDED | |
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| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| Validated by: | Authenticated by: | ||||||
| Date: | Date: | ||||||
| 115 SFS Form 12 (30JUL19) | |||||||
| Company Name: | Project Location: | ||||||
| Company POC: | Project Prime: | ||||||
| Company Address: | Start Date: | ||||||
| End Date: | |||||||
| Company POC PH#: | Project POC: | ||||||
| Company POC Email: | Project POC Phone #: | ||||||
| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE RESIDED | |
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| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| Validated by: | Authenticated by: | ||||||
| Date: | Date: | ||||||
| 115 SFS Form 12 (30JUL19) | |||||||
| TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM | |||||||
| Company Name: | Project Location: | ||||||
| Company POC: | Project Prime: | ||||||
| Company Address: | Start Date: | ||||||
| End Date: | |||||||
| Company POC PH#: | Project POC: | ||||||
| Company POC Email: | Project POC Phone #: | ||||||
| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE RESIDED | |
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| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| Validated by: | Authenticated by: | ||||||
| Date: | Date: | ||||||
| 115 SFS Form 12 (30JUL19) | |||||||
| TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM | |||||||
| Company Name: | Project Location: | ||||||
| Company POC: | Project Prime: | ||||||
| Company Address: | Start Date: | ||||||
| End Date: | |||||||
| Company POC PH#: | Project POC: | ||||||
| Company POC Email: | Project POC Phone #: | ||||||
| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE RESIDED | |
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| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| Validated by: | Authenticated by: | ||||||
| Date: | Date: | ||||||
| 115 SFS Form 12 (30JUL19) | |||||||
| TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM | |||||||
| Company Name: | Project Location: | ||||||
| Company POC: | Project Prime: | ||||||
| Company Address: | Start Date: | ||||||
| End Date: | |||||||
| Company POC PH#: | Project POC: | ||||||
| Company POC Email: | Project POC Phone #: | ||||||
| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE RESIDED | |
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| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| Validated by: | Authenticated by: | ||||||
| Date: | Date: | ||||||
| 115 SFS Form 12 (30JUL19) |
&C&P of &N&R
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