(04) Exhibit-A.pdf
PDF 145 KB Posted
- Solicitation number
- 12444224Q0012
- Issued by
-
Department of Agriculture Forest Service
About this file
This document contains a contractor's financial information sheet and details of a related federal janitorial services solicitation. The solicitation is for janitorial services for the Kisatchie Ranger District and Work Center located in Natchitoches Parish, Louisiana, and will result in a base contract plus four option year extensions through July 2029. The solicitation was issued by the U.S. Department of Agriculture Forest Service as opportunity number 12444224Q0012. The contractor's financial information sheet requires details on the contractor's organization type, tax identification number, contact information, and ownership as well as disclosures regarding prior bankruptcies, judgments, contingent liabilities, discontinued business operations, and delinquent federal debt or claims.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| (02) SOW (Revised).pdf | ||
| (03) Schedule of Items.xlsx | XLSX spreadsheet | |
| RFQ 12444224Q0012 questions and answers.pdf | ||
| Office Floorplan.pdf | ||
| (02) SOW (Revised).pdf | ||
| (01) WD 2015-5197 Rev.24 Natchitoches County LA.pdf | ||
| 12444224Q0012 - Janitorial Services Kisatchie RD.pdf | ||
| (03) Schedule of Items.xlsx | XLSX spreadsheet | |
| (05) Exhibit-B.pdf | ||
| SF 1449.pdf | ||
| (02) SOW (Revised).pdf |
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Exhibit A: CONTRACTOR’S FINANCIAL INFORMATION SHEET
SECTION 1 – GENERAL INFORMATION
1A.NAME 2. TYPE OF ORGANIZATION (CHECK ONE)
A. Sole Proprietorship F. LLC
1B. STREET ADDRESS B. General Partnership
G. Joint Venture C. Limited Partnership H. Non-Profit/Education
1C. CITY 1D. STATE 1E. ZIP/POSTAL D. Corporation I. Other: Specify E. Subchapter S.
3. TAXPAYER ID NUMBER : 4. PHONE NUMBER 5. FAX NUMBER
6. DUNS NUMBER: 7. CELLPHONE NUMBER
8. KIND OF PRODUCT OR SERVICE PROVIDED: 9. EMAIL ADDRESS
10. KIND OF BUSINESS- Specify one block (plus “J” if applicable)
A. LARGE BUSINESS E. EMERGING SMALL
BUSINESS
I. INDIAN SDB
B. SMALL BUSINESS F. VETERAN SMALL BUSINESS J. HUB ZONE - Also
C. SMALL DISADVANTAGED BUSINESS G. SERVICE DISABLED
VETERAN OWNED SMALL
BUSINESS
K. Other: Please Specify
D. WOMAN OWNED SMALL BUSINESS H. INDIAN SMALL BUSINESS
11. OWNERSHIP INFORMATION – PARTNERS – PRINCIPALS - OTHERS
NAME TITLE
13.
14.
15.
16. Questions. If “Yes” to any below, attach detailed information. Yes No A. Have you/your affiliates ever filed for bankruptcy?
B. Do you have any judgments, liens, pending suits?
C. Do you have any contingent liabilities?
D. Have you/your affiliates discontinued business operations with outstanding debts?
SECTION II. GOVERNMENT FINANCIAL AID AND INDEBTEDNESS
If “Yes”, attach detailed information.
Yes No
17. Are you delinquent on any Federal Debt (OMB Circular 129)
18. Do you owe the Government for any contract or other claims?
19. Are you currently receiving Government Financing? (Bonds, Loans, Advanced Payments, Progress Payments, Other)
19a. Are you now in or pending Default on ANY Obligations (i.e. Banks, Financial Institutions, Suppliers, Other)? IF yes please attach detailed information.
File details come from the government source that posted it. Updated .