Atch_10_EEOCClearanceRequestInfo.doc
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- Solicitation number
- FA5613-13-R-0005TSBMCII
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Attachment 10 - EEOC Clearance Request Info
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Attachment #10, Solicitation # FA5613-13-R-0005
DOL EEOC Clearance Request Information
| 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 one |
| $ |
| 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 |
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