Section_J _Attachment_16 _OFCCP_clearance_request_documentation.doc
DOC document 49 KB Posted
- Attached to
- Information Technology Capabilities Contract (ITCC) II Federal contract opportunity
- Solicitation number
- FA4600-14-R-0017
About this file
This document is an OFCCP clearance request form for a vendor proposing on solicitation number FA4600-14-R-0017 for the Information Technology Capabilities Contract (ITCC) II in support of United States Strategic Command. The form requires vendors to provide their CCR registration, DUNS number, physical address, place of performance, number of employees, previous government contracts at that site, and point of contact for OFCCP clearance issues. Vendors must also list proposed award amounts for the base year and each option year, as well as the total award amount. Finally, vendors must provide the names, addresses, points of contact, and phone numbers for all corporate affiliates.
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Text version
FA4600-14-R-0017
Section J, Attachment 16
DOL OFCCP EEOC Clearance Request Information Form
Complete for each vendor with prime or subcontractor status in subject proposal
| VENDOR IDENTIFICATION |
| Prime Contractor |
| Yes No |
| Subcontractor |
| Yes No |
Full name of vendor:
| Central Contractor Registration (CCR) |
| Cage Code: |
DUNS number
Vendor name as it appears in CCR:
Physical address as it appears in CCR:
| CONTRACT PERFORMANCE |
| List place(s) of performance with reference to subject proposed work |
| Place(s) of Performance: |
| Number of employees at this site: |
| Previous Government contracts performed from this site: |
Yes No
Yes No
Yes No
Yes No
POINT OF CONTACT
Point of contact for DOL EEOC clearance issues
Name and title
Telephone and fax numbers
Email address
PROPOSED AWARD AMOUNTS
List proposed award amounts
| Base year |
| $ |
| Option year five |
| $ |
| Option year one |
| $ |
| Option year six |
| $ |
| Option year two |
| $ |
| Option year three |
| $ |
| Option year four |
| $ |
| Total base plus all option periods award amount |
| $ |
| CORPORATE AFFILIATES |
| List the name, address, POC and telephone number of all corporate affiliates |
| 1 |
| 4 |
| 2 |
| 5 |
| 3 |
| 6 |
File details come from the government source that posted it. Updated .