J-5 Consent Certification to Disclosure.pdf
PDF 81 KB Posted
- Solicitation number
- 12C0BA21R0005
About this file
This document contains a federal contract solicitation and consent form for administrative management consulting services. The solicitation seeks proposals for Rural eConnectivity Program Support Services to assist the Rural Housing Service with implementation of the Reconnect Program. Offerors must provide resumes and personal data for evaluation, as confirmed by the attached consent form. Proposals are due by September 17, 2021 for an IDIQ contract with a $25 million ceiling. The place of performance is the United States and territories. The contract is reserved entirely for small businesses and will support the Department of Agriculture. Anticipated award date is October 15, 2021 to an as-yet undetermined contractor. The solicitation requires assistance with program management and implementation to expand broadband connectivity in rural areas as outlined in NAICS code 541611.
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Other files
| File | Type | Posted |
|---|---|---|
| SF30 12C0BA21R0005- Amendment 0002 - Signed.pdf | ||
| Questions and Answers - 12C0BA21R0005.pdf | ||
| Solicitation 12C0BA21R0005 Amendment 00002.pdf | ||
| 12C0BA21R0005- Amendment 0001.pdf | ||
| Attachment J-1 - PWS 08-18-2021.pdf | ||
| Solicitation 12C0BA21R0005 - Amendment 00001.pdf | ||
| L-1 PPQ Cover Letter.doc | DOC document | |
| J-3 - Non-Disclosure Agreement.pdf | ||
| Attachment J-2 Pricing Schedule.xlsx | XLSX spreadsheet | |
| L-2 PPQ Questionnaire.doc | DOC document | |
| Solicitation 12C0BA21R0005.pdf |
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Text version
ATTACHMENT J-5
CONSENT & CERTIFICATION TO DISCLOSURE – RESUME PERSONAL DATA
SOLICITATION: 12C0BA21R0005
PROGRAM: Business Support Services for the Rural eConnectivity Program
I __________________________consent to Offeror’s disclosure of my resume and other applicable personal data to USDA for the purpose of evaluating proposals under this solicitation.
I certify that this resume is current, accurate and complete. I further certify my availability and commitment to support this requirement if awarded a contract by the USDA, within 10 working days or less after contract award.
Employee Signature Date Offeror Date
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