ࡱ> 685c =bjbj .ObOb= RR V     " )$N111  1  1 ˥DG"&0Vi(1111111111V1111111111111RB : Prime Contractor Request Letter Prime Contractor Boiler Plate Letter DoD Indian Incentive Program (Prime Contractors letter to contracting officer for the 5% Rebate Request) Prime Letterhead XYZ Company Address Tel Fax Day, Month, Year Contract Number To: Department of the SERVICE NAME Address Attention: Name of Contractor Subject: Contract Number(s) ####, ###; Request for 5% Rebate in accordance with the DoD Indian Incentive Program for Prime Contractors Reference: DFAR252.2, DFAR Clause 252.226-7001 The above referenced Prime contract number(s) contains DFAR clause 252.226-7001, which makes COMPANY NAME eligible to participate in the Indian Incentive Program. This program provides for the payment of 5% of the amount subcontracted to an Indian organization or Indian-owned economic enterprise, when authorized under the terms of the contract. Therefore, in accordance with the above reference, COMPANY NAME herewith requests an incentive payment amount of $---- based on invoiced amount of $--- to INDIAN COMPANY NAME. This invoice amount covers from DAY MONTH, YEAR through DAY MONTH, YEAR. The Subcontractors Place of Performance was: CITY, STATE Attached is Enclosure (1) List of Paid Invoice Numbers and Amounts for NAME OF SUBCONTRACTOR. In addition, the following attachments are also included LIST ENCLOSURES IN DESCENDING ORDER Enclosure (2) Sub Contractor self-certification Enclosure (3) Copy of Subcontract agreement Enclosure (4) Copy of Invoice(s) - PLEASE INCLUDE COPY OF ALL INVOICES, LISTED IN DESCENDING ORDER Also attached is Enclosure (2) verification of SUBCONTRACTOR NAME status as an Indian-Owned economic enterprise. (ATTACH CERTIFICATION DOCUMENT FROM TRIBE, GOVT ORGANIZATION, OR CERTIFICATION ENTITY) Please provide the following information on the Subcontracting firm: TRIBAL NAME / ANC NAME: NAME OF POC OF TRIBE: ADDRESS PHONE FAX EMAIL The rebate for the subject contracts can be mailed to the following address: COMPANY NAME ADDRESS Please inform POC NAME at POC EMAIL CONTACT INFO or POC TEL # when claim is submitted to the DoD OSBP. Additional information, a boilerplate letter for DoD Contracting Officers use to request 5% rebate from Office of Small Business Programs, can be found at website  HYPERLINK "http://www.acq.osd.mil/osbp/programs/iip/participate/index.htm" http://www.acq.osd.mil/osbp/programs/iip/participate/index.htm; otherwise, if you have questions please contact PRIMARY POC at TEL # or POC NAME at TEL #. Thank you for your assistance. --------------------------------------------- PRIMARY POC NAME TITLE COMPANY NAME  1; < U V 1 L Z j()*hi<=źhA6hJ0JjhA6hJUjhA6hJUhJ hA6hJhA6hJCJ4aJ4h?5B*CJ\aJph#hA6hJ5B* CJ\aJphhJ5B* CJ\aJphhA6h4 CJaJ !Fd  % . / M N   Z [ gd%8gdJ$a$gd?$a$gdJ@&gdJ[ - R #$<RZ`djk67`gdJgdJ(.;<=gdJ ,1h/ =!"#$% qDyK ?http://www.acq.osd.mil/osbp/programs/iip/participate/index.htmyK ~http://www.acq.osd.mil/osbp/programs/iip/participate/index.htms6866666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p(8HX`~8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@  WNormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 4U`4 W Hyperlink >*phPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w<v = = [ = ) h = X8@0(  B S  ? _Toc215379720? ? ? ,/? 3< ? #0#4 %8?J= ? @= @UnknownG.[x Times New Roman5Symbol3. .Cx ArialA$BCambria Math"hcx'k'!248 8 3QHP)? W2N Prime Contractor Request Lettergoonews,Ghebresilase, Amanuel CTR OSD OUSD A-S (USA) Oh+'0 <H h t  Prime Contractor Request LettergoonewsNormal0Ghebresilase, Amanuel CTR OSD OUSD A-S (USA)3Microsoft Office Word@@q?Q@D ՜.+,D՜.+,L hp|  DoD8   Prime Contractor Request Letter Title 8@ _PID_HLINKSA`{?http://www.acq.osd.mil/osbp/programs/iip/participate/index.htm  !"#$&'()*+,./012347Root Entry F@[D9Data 1TableWordDocument.SummaryInformation(%DocumentSummaryInformation8-CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q