SFS Form 12 - Template.xls

XLS spreadsheet 46 KB Posted

Attached to
Wisconsin National Guard MATOC for Construction
Solicitation number
W912J2-22-R-0001
Issued by

About this file

This document contains a federal solicitation for an Indefinite Delivery-Indefinite Quantity Multiple Award Task Order Contract for construction services in support of the Wisconsin National Guard. The solicitation seeks proposals for multi-disciplined construction contracts with a five year ordering period and a total value not to exceed $25 million. The work will include maintenance, repair, construction and design-build services. This is a total small business set-aside with a NAICS code of 236220 and $39.5 million size standard. The government intends to award a minimum of two and maximum of five contracts. Individual task orders may be set aside for socioeconomic programs. A pre-proposal conference will be held and information will be posted at SAM.gov. A bid bond will be required for orders over $150,000. Proposals are due by the date specified in the solicitation posted at SAM.gov.

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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: LASTFIRSTMIDOBM/FDRIVER'S LICENSE #/STATEPREVIOUS 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: LASTFIRSTMIDOBM/FDRIVER'S LICENSE #/STATEPREVIOUS 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: LASTFIRSTMIDOBM/FDRIVER'S LICENSE #/STATEPREVIOUS 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: LASTFIRSTMIDOBM/FDRIVER'S LICENSE #/STATEPREVIOUS 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: LASTFIRSTMIDOBM/FDRIVER'S LICENSE #/STATEPREVIOUS 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

Sheet2

Sheet3

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