Technical_Exhibit_6_-_Request_for_Electrical_Service_(Final) _W9124M-16-R-0006 _11_Feb_16.pdf
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- Fort Stewart Grounds Maintenance
- Solicitation number
- w9124M-16-r-0006
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REQUEST FOR ELECTRIC SERVICE
Information below will be used to set up reimbursable utility billing account if necessary.
For FSGA, form should be sent to Bldg 1178 (912-767-5505); For HAAF, form should be sent to Bldg 1024 (912-315-3604) An advance will be required for construction contractors and public customers.
CONSTRUCTION: For construction service - sub-contractors will be the responsibility of the prime contractor.
PRIME CONTRACTOR COMPANY NAME
BILLING ADDRESS
PAYMENT POC
PAYMENT POC EMAIL
PAYMENT POC PHONE #
CONTRACT NUMBER
PROJECT NAME/NUMBER
PROJECT DESCRIPTION
CAGE CODE/TAX ID #
SUB-CONTRACTOR NAME
ADDRESS
POC/TELE #
GOV'T POC/TELE #
OTHER: NAME
BILLING ADDRESS
CONTRACT/ISA/MOA NUMBER
PROJECT NAME/NUMBER
CAGE CODE/TAX ID #
POC/TELE #
Account Name Account Code
Signature/Date
JOHN WING Mail to - edward.j.wing.civ@mail.mil
BLDG 1024, HAAF, GA 31409 912-315-3604
CEMC JOB #/RFA
File details come from the government source that posted it. Updated .