Attachment 3 - Questionnaire 2019.pdf

Request For Quote 1282A720Q0009 Urban Forestry Instructor(s) Multiple Job Corps Center Locations Page 1 of 1

ATTACHMENT 3 - OFFEROR QUESTIONAIRE

☐ Completed Yearly Pricing (Exhibit 1) with proposed pricing for the base year and 4 Option Years. (1 page allowed)

☐ Completed Pricing Template (Exhibit 2) with proposed pricing breakdown for base and 4 Option Years (2 pages allowed)

☐ Offeror confirms the Performance Work Statement has been thoroughly reviewed before submitting a quotation.

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

☐ Offeror confirms the provision FAR 52.240-3, 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.

☐ Contractor Federal Tax ID Number is provided:__________________________

☐ Contractor DUNS number is provided:_________________________

☐ A copy of the certifications and State driver’s license for proposed Key Personnel is provided for each Center in the Proposal.

☐ A resume for each proposed Key Personnel is provided for each Center in the Proposal.

(At least ONE candidate must be submitted in EACH state in the Proposal). (max. 2 pages per resume allowed).

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

☐ IS provided OR ☐ CAN be provided before contract award.

☐ Proposal includes supporting documentation demonstrating the ability to manage contracts of a similar size, scope, and complexity.

☐ Proposal includes documentation demonstrating the ability to provide substitute personnel within required timeframes.

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

Name/Position: Email:

Phone: Fax:

☐ The following questions have been answered as provided below: (4 additional pages allowed, if necessary):

1. How will your company provide a qualified substitute, when necessary?

2. Do you have any other Job Corp experience or experience working with disadvantage young adults? If so, where?

3. 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.

4. How many years of experience do your company and any key personnel have in regards to the requirements stated in this solicitation? Provide a summary of your experience.

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

1. Name: Organization:

Phone: Email:______________________________________

2. Name: Organization:

Phone: Email:______________________________________

3. 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:_______________________________________ http://www.sam.gov/ http://www.sam.gov/ https://www.acquisition.gov/far/loadmainre.html