Attachment 1A_TS SCI Access Contract Ref Verification Form.docx
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- Mission Engineering Federal contract opportunity
- Solicitation number
- N65236-16-R-0026
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ATTACHMENT 1A
TS/SCI ACCESS CONTRACT REFERENCE VERIFICATION FORM
SOLICITATION N65236-16-R-0026
**Prime and Team Members (identified on Attachment 1D) are to submit separate sheets.**
Contractor Name: _______________________________________ CAGE Code: _______________
Address: _________________________________________________________________
Division (If Applicable): _______________________________________________________________
Contractor Point of Contact Information (Representative who can verify data):
Name: ______________________________________________________________
Telephone Number: (____) _____________________________
E-Mail Address: ____________________________________
In the table below, identify the contract references submitted for evaluation under the Factor B Technical Capability Factor:
| Contract # |
| Performed Work as: |
| TS/SCI ACCESS REQUIRED |
| INVOICED DOLLAR VALUE |
| |_| Prime or |_| Sub |
| |_| Yes |_| No |
| |_| Prime or |_| Sub |
| |_| Yes |_| No |
| |_| Prime or |_| Sub |
| |_| Yes |_| No |
| |_| Prime or |_| Sub |
| |_| Yes |_| No |
| |_| Prime or |_| Sub |
| |_| Yes |_| No |
Cumulative Invoice Value
1A-1
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