Bangui Exhibit P Offer Information and JV Signature Page.docx
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- SAQMMA12R0279 - A001
- Solicitation number
- SAQMMA12R0279
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Exhibit P
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EXHIBIT P – OFFER INFORMATION AND/OR JOINT VENTURE SIGNATURE PAGE
Offeror must complete form as applicable, please type information.
Legal Business Name of Entity Submitting Offer:
Mailing Address: (Street Address)
(City, State, Zip Code)
(Country)
Year Established
Website:
DUNS Number:
| Registered in CCR: |
| Yes |_| or No |_| |
| Registered in ORCA |
| Yes |_| or No |_| |
| Business Size in for NAICS 561612 |
| Small Business or Large Business |
| Business Incorporation |
| U.S. or Foreign |
| Claiming American Preference |
| Yes |_| or No |_| |
| If requesting U.S. Preference, did you sign the signature block as requested in Section K? |
| Yes |_| or No |_| |
| Joint Venture*: |
| Yes |_| or No |_| |
Primary Offeror Point of Contact:
Phone Number Office & Cell:
Email Address:
*If Joint Venture, present a DUNS number above for the Joint Venture. Then, complete below as applicable for each joint venture partner (complete multiple copies of this form if necessary to include all partners):
Joint Venture Partner #1:
Legal Business Name:
DUNS Number:
| Registered in CCR: |
| Yes |_| or No |_| |
| Small Business in 561612 NAICS: |
| Yes |_| or No |_| |
Mailing Address: (Street Address)
(City, State, Zip Code)
(Country)
Website:
Point of Contact:
Phone Number:
Email Address:
Joint Venture Partner #2:
Legal Business Name:
DUNS Number:
| Registered in CCR: |
| Yes |_| or No |_| |
| Small Business in 561612 NAICS: |
| Yes |_| or No |_| |
Mailing Address: (Street Address)
(City, State, Zip Code)
(Country)
Website:
Point of Contact:
Phone Number:
Email Address:
Joint Venture Signature Page Solicitation Number S-AQMMA-12-R-0279 U.S. Embassy Bangui, C.A.R.
Joint Venture Name and Address:
Joint Venture Participants:
Company A (Co A), by
_____________________________________________ Date: _________________ Signature Name:
Title:
Company B (Co B), by
_____________________________________________ Date: _________________ Signature Name:
Title:
Company C (Co C), by
_____________________________________________ Date: _________________ Signature Name:
Title:
| Exhibit P | 3 | Local Guard Program |
| Offer Information and Joint Venture Signature Page | Bangui, C.A.R. |
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