B1619 Reno A6 RFI Form.pdf

REQUEST FOR INFORMATION / CLARIFICATION FORM

FOR CONTRACTOR USE ONLY

CONTRACT NO: RFI NUMBER: DATE (MM/DD/YY)

SUBJECT: DRAWING REFERENCE / DETAIL:

ATTACHMENT SENT UNDER SEPARATE

COVER(__)

RESPONSE NEEDED BY:

REQUEST:

PROPOSED SOLUTION (If applicable):

TO(Contracting Officer): 301 CONF/PK FROM (Contractor):

DATE (MM/DD/YY) TYPE OR PRINT NAME AND TITLE SIGNATURE:

REQUEST FOR INFORMATION / CLARIFICATION FORM

FOR GOVERNMENT USE ONLY

FROM CONTRACTING

TO:

For Evaluation and Action

DATE (MM/DD/YY) TYPE OR PRINT NAME AND TITLE SIGNATURE:

RFI RESPONSE / CLARIFICATION (refer to page 2)

RFI RESPONSE / CLARIFICATION:-

Government to complete following sections:

TO:(AF Contracting Office)

DATE (MM/DD/YY) TYPE OR PRINT NAME AND TITLE SIGNATURE:

TO:(Contractor)

DATE (MM/DD/YY) TYPE OR PRINT NAME AND TITLE SIGNATURE:

CONTRACTOR REVIEW

After reviewing the Government response, does the contractor anticipate A change order will be required? YES NO There will be an increase in the cost of the project? YES NO

Reviewer:

DATE (MM/DD/YY) TYPE OR PRINT NAME AND TITLE SIGNATURE:

*Contractor- return reviewed form to Contracting Officer. Should the review results in YES for either of the two questions, if any further action is required by the contractor (i.e. submission of change proporsal), they will be notified by the contracting office.