Attachment_13_DETERMINATION_OF_RESPONSIBILITY_LETTER_pdf_form.pdf

United States Department of Agriculture

Forest Service

SW Idaho/Nevada Acquisition Center

1249 South Vinnell Way Suite 200 Boise, ID 83709

Caring for the Land and Serving People Printed on Recycled Paper

File Code: 6320

Date: 10-Jun-19

RE: 1284N819R0002

Dixie NF SO

Dear Perspective Contractor:

During the evaluation process of any received proposals and prior to the award of any contract, the Government must conduct a Determination of Responsibility on the perspective contractor in order to determine their capacity and capabilities. In order to accomplish this task, I review data from various sources. Therefore, I seek your assistance in obtaining this data on your firm. To assist you in providing the information required, I have enclosed a form for your use. Please provide the information listed as a minimum. Any additional information you have demonstrating the capabilities of your firm would also be appreciated.

Please note that in the case of most banks, factoring companies, financial institutions and often time’s suppliers, they need your express permission to release any information concerning your accounts. I appreciate your cooperation in coordinating with these establishments to enable me to obtain the required information. You would need to provide my name to them, as well as the type of contract that you have submitted a proposal on.

In the case of references for suppliers, please provide the name and phone number for the person most knowledgeable with your firm’s reputation. i.e., in some cases a Project Manager for instance may be more knowledgeable of your contributions than say an owner.

Please include this information with your business proposal. Thank-you for your cooperation. If you have any questions please don’t hesitate to call me at (208) 373-4166.

Sincerely, Matt Morris

Contracting Officer, R04 AQM

DETERMINATION OF RESPONSIBILITY INQUIRY

CONTRACTOR

FINANCIAL INSTITUTIONS, FACTORING COMPANIES, BANKS:

FIRM INDIVIDUAL PHONE #

LINE OF CREDIT AVAILABLE OBLIGATED

LISTING OF ALL DEFAULTED LOANS OR JUDGEMENTS IN THE LAST 5 YEARS

OF BUSINESS AND/OR ALL OWNERS OR SHAREHOLDERS OF SUBMITTED

BUSINESS OR OTHER BUSINESSES PREVIOUSLY OWNED OR OPERATED BY

THIS INDIVIDUAL(S) OR CORPORATION(S)

COMPANY NAME LOAN/JUDGEMENT NO. PHONE/NAME

BONDING COMPANY CAPACITY COMMITTED

INSURANCE COMPANY TYPE AMT/LIMITS

IDAHO STATE WORKER’S COMP POLICY NUMBER:

SUPPLIERS:

FIRM INDIV TO CONTACT PHONE #

PREVIOUS PROJECTS SIMILAR TO THIS SOLICITATION:

OWNER/FIRM INDIV TO CONTACT PHONE #

LOCATION/SIZE

CURRENT PROJECTS:

OWNER/FIRM INDIV TO CONTACT PHONE #

LOCATION/SIZE