Attachment_1_Subcontractor_Owner_and_Employee_Data_Sheet.pdf

Subcontractor, Owner, and Employee Data Sheet

SPE605-21-R-0213

Attachment 1 Name of Prime Contractor Submitting the Offer:

You must provide the following information for both the prime contractor and every subcontractor to be utilized under any potential contract to be awarded under Solicitation SPE605-21-R-0213. The following information will be verified.

Each level of subcontractor must be declared (i.e. first tier, second tier, etc). You must provide legible copies of either National Identification Cards or Passports for each individual listed below. Please identify those individuals who are United States citizens or who hold dual citizenship.

Prime Contractor Name Prime Contractor Address Name(s) and Telephone Number(s) of the Owner(s) of the Company

Name and Telephone Number of the Chief Executive Officer

Name and Telephone Number of the Chief Financial Officer

Name and Telephone Number of the Chief Operating Officer

Name and Telephone Number of the Country Manager U.S. Citizen (Yes or No)

Subcontractor Name Subcontractor Address Type of Work Subcontractor Will Perform

Name(s) and Telephone Number(s) of the Owner(s) of the Company

Name and Telephone Number of the Chief Executive Officer

Name and Telephone Number of the Chief Financial Officer

Name and Telephone Number of the Chief Operating Officer

Name and Telephone Number of the Country Manager

U.S. Citizen (Yes or No)

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