SFS Form 12 - Template.xls

XLS spreadsheet 46 KB Posted May 3, 2022

Attached to: Truax Field Construct Small Arms, Madison, WI Federal contract opportunity
Solicitation number: W9128F22R0031
Issued by: Department of the Army Corps of Engineers Engineering District Omaha

About this file

Written by GovTribe AI · Dec 27, 2023

This document contains a template for a pre-authorization request form and details of a related federal contract opportunity to construct a small arms range and training facility at Truax Field in Madison, Wisconsin. The pre-authorization request form template includes fields for company and project details as well as sections to provide information on up to 175 individuals requiring pre-authorization to access the project site. The related federal contract opportunity was solicited by the U.S. Army Corps of Engineers Engineering District Omaha to provide conventional design and construction services for the small arms range and close-quarters battle/combative training and maintenance facility to support operations at the location.

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Other files for this federal contract opportunity

Other files attached to Truax Field Construct Small Arms, Madison, WI, newest first.
File	Type	Posted
Amendment 0004 - W9128F22R0031 - 1June2022.pdf	PDF	Jun 1, 2022
Amendment 0003 - W9128F22R0031 - 18May2022.pdf	PDF	May 18, 2022
Amendment 0002 - W9128F22R0031 - 5May2022.pdf	PDF	May 5, 2022
Amendment 0001 - W9128F22R0031 - 3May2022.pdf	PDF	May 3, 2022
500 Directions.pdf	PDF	May 3, 2022
TX08 - ADVERTISEMENT.PDF	PDF	Apr 28, 2022
SF1442 - 26April2022.pdf	PDF	Apr 26, 2022
W9128F-22-R-0031_SPECS.pdf	PDF	Apr 26, 2022

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Sheet1

TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM
	Company Name:				Project Location:
	Company POC:				Project Prime:
	Company Address:				Start Date:
					End Date:
	Company POC PH#:				Project POC:
	Company POC Email:				Project POC Phone #:
	NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE
	NAME: LAST	FIRST	MI	DOB	M/F	DRIVER'S LICENSE #/STATE	PREVIOUS STATE RESIDED
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	NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE
	Validated by:					Authenticated by:
	Date:					Date:
	115 SFS Form 12 (30JUL19)
	Company Name:				Project Location:
	Company POC:				Project Prime:
	Company Address:				Start Date:
					End Date:
	Company POC PH#:				Project POC:
	Company POC Email:				Project POC Phone #:
	NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE
	NAME: LAST	FIRST	MI	DOB	M/F	DRIVER'S LICENSE #/STATE	PREVIOUS STATE RESIDED
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	NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE
	Validated by:					Authenticated by:
	Date:					Date:
	115 SFS Form 12 (30JUL19)
TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM
	Company Name:				Project Location:
	Company POC:				Project Prime:
	Company Address:				Start Date:
					End Date:
	Company POC PH#:				Project POC:
	Company POC Email:				Project POC Phone #:
	NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE
	NAME: LAST	FIRST	MI	DOB	M/F	DRIVER'S LICENSE #/STATE	PREVIOUS STATE RESIDED
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	NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE
	Validated by:					Authenticated by:
	Date:					Date:
	115 SFS Form 12 (30JUL19)
TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM
	Company Name:				Project Location:
	Company POC:				Project Prime:
	Company Address:				Start Date:
					End Date:
	Company POC PH#:				Project POC:
	Company POC Email:				Project POC Phone #:
	NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE
	NAME: LAST	FIRST	MI	DOB	M/F	DRIVER'S LICENSE #/STATE	PREVIOUS STATE RESIDED
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	NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE
	Validated by:					Authenticated by:
	Date:					Date:
	115 SFS Form 12 (30JUL19)
TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM
	Company Name:				Project Location:
	Company POC:				Project Prime:
	Company Address:				Start Date:
					End Date:
	Company POC PH#:				Project POC:
	Company POC Email:				Project POC Phone #:
	NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE
	NAME: LAST	FIRST	MI	DOB	M/F	DRIVER'S LICENSE #/STATE	PREVIOUS STATE RESIDED
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	NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE
	Validated by:					Authenticated by:
	Date:					Date:
	115 SFS Form 12 (30JUL19)

&C&P of &N&R

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Sheet3

File details come from the government source that posted it. Updated May 3, 2022.