Tab 8 - AFCEC - Appendix F - Proposed Lessee Cover Page KAFB.pdf

Request for Lease Proposal No. AFCEC-22-R-0004 Page 1 of 2 Keesler Air Force Base EUL Appendix F

United States Department of the Air Force

Air Force Civil Engineer Center

(AFCEC)

Enhanced Use Lease Project Keesler Air Force Base

Request for Lease Proposal (RFLP) Appendix F

Proposed Lessee’s Cover Page

RFLP No. AFCEC-22-R-0004

Request for Lease Proposal No. AFCEC-22-R-0004 Page 2 of 2 Keesler Air Force Base EUL Appendix F

APPENDIX F

PROPOSED LESSEE’S COVER PAGE

Request for Qualifications

Keesler AFB Enhanced Use Leasing Project

PROPOSED LESSEE:

(Name of Company) (Point of Contact)

(Street Address) (Telephone Number)

(City, State and Zip Code) (Fax Number)

(Electronic Mail Address)

1. Receipt of amendment(s) is acknowledged.

2. Conflicts of Interest

I hereby certify that to the best of my knowledge no potential conflict of interest exists between the above-identified Proposed Lessee and any Government Real Estate Support Service ("RESS") and Privatization Real Estate Support Service (“PRESS”) contractors, their successors, and their respective team members, subcontractors, and subcontractors’ successors identified in the Request for Lease Proposals. As a condition of submitting this offer, should my firm be selected as a Potential Lessee, my firm will not contract with or make any partnership, affiliation or any other association or arrangement whatsoever with the RESS or PRESS contractors, their successors, and their respective team members, subcontractors, and subcontractors’ successors identified in the Request for Lease Proposals for work relating to this Project for a period of ten (10) years after the date of this selection.

Authorized representative and signatory for Proposed Lessee:

(Print) Name Title Date