A15_Attachment_5_Employee_Data_Sheet.xls
XLS spreadsheet 34 KB Posted
- Solicitation number
- FA665619BA001
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Attachment 5 - EMPLOYEE DATA SHEET
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Sheet1
| Privacy Act of 1974 as Amended applies. This spreadsheet may contain information that must be protected per DoD 5400.11R, | ||||||
| and it is intended for official use only (FOUO). | ||||||
| Contract Number: | FA6656-19-B-A001 | SITE VISIT FOR CATM RENOVATION/CONSTRUCTION | ||||
| On-Base Work Site Location (Facility and Room Number): | Building 530 (CATM) | |||||
| Prime Contractor's Expected Period of Performance for the Contract/Project: 7 FEBRUARY 2019 | ||||||
| 910 Office Point of Contact: Joshua Indorf, 330-609-1389 | ||||||
| Prime Contractor Firm Name, Complete Address and Office Phone Nbr: | ||||||
| Prime Contractor's Project Manager Name and Phone Number (Mobile Number Preferred): | ||||||
| Subcontractor Firm Name, Complete Address and Office Phone Nbr: | N/A | |||||
| Subcontractor's Crew Supervisor Name and Phone Nbr (Mobile Number Preferred): N/A | ||||||
| Expected Period of Performance (Dates) of Work On-Base by the Above Subcontractor: | N/A | |||||
| LIST OF EMPLOYEES TO PERFORM WORK ON THE 910 AW, YARS, INSTALLATION: | ||||||
| List of employees below is for the [ X ]PRIME CONTRACTOR [ ] SUBCONTRACTOR named above. | ||||||
| LAST NAME | FIRST NAME | MIDDLE INT | DL State | DL # | SSN# | DATE OF BIRTH |
| Privacy Act of 1974 as Amended applies. This spreadsheet may contain information that must be protected per DoD 5400.11R, | ||||||
| and it is intended for official use only (FOUO). |
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