J-7_DOL_EEOC_Clearance_Request_Information_3Oct17.doc
DOC document 44 KB Posted
- Attached to
- FA8075-17-R-0001, for DTIC $28B 9 Year IDIQ Information Analysis Center Multiple-Award Contract (IAC MAC)
- Solicitation number
- FA8075-17-R-0001
About this file
This document contains a template for requesting Department of Labor and Equal Employment Opportunity Commission clearance for federal contracts over $10 million. The template requires vendors to provide identification information including their Cage Code, DUNS number, and corporate affiliation details. Vendors must also list all places of performance and the number of employees at each location, as well as whether previous government contracts have been performed at those sites. A point of contact is to be named for issues related to the DOL EEOC clearance process. Finally, the template calls for vendors to itemize proposed award amounts by base year, each option year, and total award amount for the base period and all option years.
J-7 DOL EEOC Clearance Request Information
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Text version
FA8075-17-R-0001 Section J, Attachment 7
DOL EEOC Clearance Request Information
This Attachment shall be completed for the prime and any subcontractor to the subject proposal if the estimated amount of the contract or subcontract is $10 million or more
| 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
| Transition period |
| $ |
| Option year three |
| $ |
| Base year |
| $ |
| Option year four |
| $ |
| Option year one |
| $ |
| Option year five |
| $ |
| Option year two |
| $ |
| 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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