Financial Information.pdf
PDF 214 KB Posted
- Solicitation number
- 12444224R0006
- Issued by
-
Department of Agriculture Forest Service
About this file
The document provided is a Contractor's Financial Information Sheet related to a federal contract opportunity for Prescribed Fire Support services on National Forests and Grasslands in Texas. The solicitation number is 12444224R0006 and the NAICS code is 115310 with a small business size standard of $34 million.
The key details are: The proposed contract has a base period through March 31, 2025 with four one-year option periods. The contract is 100% set-aside for small businesses, and the USDA Forest Service encourages participation from small, disadvantaged, service-disabled veteran, and women-owned businesses. Performance of the contract is subject to the Service Contract Act. Offerors must be registered in the System for Award Management (SAM) to be eligible for award. Questions about the solicitation must be submitted in writing to the Contracting Officer.
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Other files
| File | Type | Posted |
|---|---|---|
| Reference Questionaire.pdf | ||
| Solicitation 12444224R0006 NFGT Prescribed Fire Support Services.pdf |
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Text version
12444224R0006 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.
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