Attachment_3_Cover_Sheet.pdf

Attachment 3 Cover Sheet

FA4417-18-Q-0024

ARFF Truck Lease Hurlburt Field, FL

Time Specified for Receipt of Offer:

Company Name:

Company Affiliation (Circle One):

1. Prime Only

2. Prime & Subcontractor

3. Joint Venture

Small or Large Business Verification:

Address(s):

Telephone Number(s):

E-mail(s):

Point of Contact(s):

SAM Registered Expiration Date:

CAGE Code:

DUNS Number:

Do your Representations and Certifications include NAICS code 532490 (Check One): 1. Yes 2. No

Please indicate if the services being provided are subject to a Service Contract Labor Standard statutory exemption under FAR 22-10003-3. If yes, state which exemption.

1. Yes – Exemption:

2. No

Sign Here to Acknowledge Solicitation Amendments if Applicable: YES/NO/NA