Attachment_J-2_-_Facility_Clearance_Worksheet.pdf

W9133L-17-R-0004 Attachment J-2

Facility Clearance Worksheet

INSTRUCTIONS: Attachment 4 shall include a list of proposed teammates and subcontractors that will require access to classified information. Offerors shall also include the name of the prime or managing partner of a partnership, joint venture, or limited liability company that possesses the Facility Clearance if Offeror is a newly formed partnership, joint venture, or limited liability.

Offeror Name (Required): ______________________________________

Offeror CAGE (Required): _____________________________________

If Offeror is a newly formed partnership, joint venture, or limited liability, provide the name and CAGE of the prime or managing partner of the partnership, joint venture, or limited liability company that possesses the Facility Clearance (If Applicable):

____(Insert name of company that possesses the Facility Clearance and CAGE Code Here) ________

If Offeror is a newly formed partnership, joint venture, or limited liability provide the name of the managing partner of the partnership, joint venture, or limited liability company (If Applicable):

_____________ (Insert name of Managing Partner/CAGE Code Here)_____________

Include a list of proposed subcontractors that will require access to classified information (If Applicable):

Subcontractor CAGE CODE

Example: ABC Corporation Example: ABC12

1.

2.

3.

4.

5.

6.

7.

8.

*** If more than 8 subcontractors are being proposed, the Offeror may add additional rows. ***