Financial_Information.pdf
PDF 123 KB Posted
- Attached to
- Road Maintenance IDIQ
- Solicitation number
- 127A8619R0001
About this file
This document contains a financial information sheet and federal contract opportunity notice. The financial information sheet requests standard corporate and ownership details for potential contractors. The federal contract opportunity is for road maintenance services on national forests in Arkansas, with an indefinite delivery indefinite quantity contract structure and a period of performance through December 2021. The solicitation will be conducted as a 100% small business set-aside, with a pre-bid conference scheduled for December 5, 2018 and proposals due to the specified contracting officer by the date listed on the SF-1449 form. The North American Industry Classification code is 237310 and small business size standard is $36.5 million. The Department of Agriculture Forest Service southern region is the contracting agency.
Financial Information Form
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SF_1449_Revised_003.pdf | ||
| Reference_questionaire.pdf | ||
| Pre-Bid_Conf_Attendee_List.pdf | ||
| SF_1449_Revised_002.pdf | ||
| Sample_Ozark_Maps.pdf | ||
| Revised_Solicitation___127A8619R0001.pdf | ||
| Solicitation___127A8619R0001.pdf | ||
| WD_77-1428-48.pdf | ||
| WD_79-1136-46.pdf |
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Text version
127A8619R0001 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 .