Quoter_Questionaire.docx

QUOTER QUESTIONNAIRE

☐ Completed Schedule of Services (pages 2 and 3) with proposed pricing for the base year and 4 Option Years. – (2 pages allowed)

☐ Quoter confirms the attached Scope of work has been thoroughly reviewed before submitting a quotation.

☐ The registration process at www.SAM.gov has been successfully completed.

☐ Offeror confirms the provision FAR 52.212-3, the annual representations and certifications, has been electronically completed at www.SAM.gov. The complete provision can be found at https://www.acquisition.gov/far/loadmainre.html.

☐ Contract Federal Tax ID Number is provided:__________________________

☐ Contractor DUNS number is provided:_________________________

☐ A resume for each proposed Key Personnel and proposed substitute is provided (max 2 page allowed).

☐ BioBased and Product Information to be used provided.

Proof of General Insurance, in accordance with FAR 52.228-5;

☐ IS provided (1 page allowed each) OR ☐ CAN be provided before contract award.

Contractor’s Point of Contact (POC) Information is provided:

Name/Position: Email:

Phone: Fax:

☐ The following questions have been answered as provided below (1 additional page allowed, if necessary):

1. How will your company handle security and vetting of the contract employee staff? Are background checks performed?

1. Has your company had other Job Corps contracts in the past? If so, what is or was the contract number?

1. Within the past 5 years have you failed to complete any work awarded to you or been terminated for default or breach of contract? If yes, explain.

1. How many years of experience does your company have in the area of this solicitation? Does your company have experience with cleaning and disinfecting a Dental facility?

1. How many staff members will your company employ for this contract? And how will your company address the requirements of this contract?

☐ The following three (3) professional references of similar past work performance is provided:

1. Name: Organization:

Phone: Email:______________________________________

1. Name: Organization:

Phone: Email:______________________________________

1. Name: Organization:

Phone: Email:

☐ I certify that all of the information provided above is complete, true, and correct to the best of my knowledge.

Sign:______________________________________ Date:_______________________________________