Ex 13 C SAMPLE CONTRACTOR APPROVAL LIST.pdf

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Attached to
Solicitation for a Cafe' operator for the Alfonse D'Amato Courthouse and Federal Building, Central Islip, N. Y.
Solicitation number
2RLNY0355ZZ2023
Issued by

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This document contains a contractor approval list template for credentialing contractors working on a federal contract. The template requires identifying information about the requesting official, prime vendor, contract or task order number, and lists the names of proposed contractors along with their projected start and end dates on the project. The general services administration public buildings service region 2 is soliciting offers for a cafe operator at the Alfonse D'Amato courthouse and federal building in central Islip, New York. Contractors must complete the required investigation process to receive credentials before gaining access to federal buildings.

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GSA Requesting Official: Contract/TO/DO/RWA # Office Symbol:

Phone: Vendor Prime:

E-Mail: Prime POC: Version Date:

POC E-Mail:

Last Name First Name Middle Name Suf. Position Title

Projected Dates on

Project (Start-Finish)

Date Removed from

Project Subcontractor Name Name of Escort Start Date End Date Investigation Type

Full Legal Name Individual Specific Escorting Credentialing

GS-xx-xx-xx-xxx-xxxx

The names provided below are contractors proposed by the vendor to work on the contract listed above. The GSA Requesting Official will submit this list to the Zonal Help Desk, as approval to begin the investigation process for each person listed, upon receipt of a

CIW. This list is not an indication that these individuals have completed the required investigation process, and is not to be used for building access.

Completed by Prime Vendor Completed by RO

Requesting Official Contractor Approval List

EX. 13-C- Sample Requesting Official List

(Rev. 5/17)

GAC/PIV

Credentialing

The names provided below are contractors proposed by the vendor to work on the contract listed above. The GSA Requesting Official will submit this list to the Zonal Help Desk, as approval to begin the investigation process for each person listed, upon receipt of a

CIW. This list is not an indication that these individuals have completed the required investigation process, and is not to be used for building access.

Completed by RO

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