Credit Check Form_Fillable.pdf

PDF 86 KB Posted

Attached to
Vinyl Materials for Signs
Solicitation number
SV0142-24
Issued by

About this file

This document contains a federal contract opportunity solicitation for vinyl materials for signs and a disclosure and authorization form pertaining to consumer reports.

The solicitation seeks firm-fixed price offers for vinyl materials for signs to be used by correctional facilities within the Department of Justice Bureau of Prisons. The two-year contract has an estimated value of $50,000-$100,000. Responses are due by January 15, 2025. The solicitation was issued as a Request for Proposal and has a North American Industry Classification System code of 326130 for laminated plastic plate, sheet, and shape manufacturing. This is not a small business set-aside. The incumbent contractor is Signs By Tomorrow.

The disclosure and authorization form allows the Department of Justice to obtain consumer or credit reports on applicants for suitability and security clearance determinations both during the application process and over the course of employment. It instructs consumer reporting agencies to release such reports to the Department of Justice for employment, promotion, and access to classified information evaluations.

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Business Mgmt Quest..doc DOC document
SV0142-24 RFP.pdf PDF

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Text version

United States Department of Justice

Disclosure and Authorization Pertaining to Consumer Reports

Pursuant to the Fair Credit Reporting Act (Title 15, U.S. Code, Section 1681)

This is a release for the Department of Justice to obtain one or more consumer/credit reports about you in connection with your application for Federal employment, during the course of your

Federal employment (including employment under contract), and/or connection with your security clearance or your access to classified information. One or more reports about you may be obtained for purposes of evaluating your fitness for employment, promotion, reassignment, retention, access to classified information, or other employment proposes.

I,_____________________________________________________, hereby authorize the Department of (Print Clearly) Justice to obtain, and I further instruct any consumer/credit reporting agency to release to DOJ, any such report(s) for the above purposes.

Signature

Date

D&B #

Company

DOJ-555

Revised Dec. 2004 Security and Emergency Planning Staff

Print Clearly:
Date:
Social Security Number:
Current Organization Assigned:

File details come from the government source that posted it. Updated .