Questionnaire_of_Bidder's_Responsibility_(1pg).doc
DOC document 27 KB Posted
- Attached to
- 421 tons SB2 Class 7 - White River NWR, AR Federal contract opportunity
- Solicitation number
- 140F0418Q0119
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Questionnaire of BidderAs/OfferorAs Responsibility
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QUESTIONNAIRE OF BIDDER’s/OFFEROR’s RESPONSIBILITY Bidder’s DUNs Number:_________________
Bidder's Name, Address
Telephone #: ________________________
Facsimile #: ________________________ *Number of Employees *Average Annual Gross Revenues __ 50 or fewer __ $1 million or less
__ 51-100 __ $1,000,001-$2 million
__ 101-250 __ $2,000,001-$3.5 million
__ 251-500 __ $3,500,001-$5 million
__ 501-750 __ $5,000,001-$10 million
__ 751-1,000 __ $10,000,001-$17 million
__ Over 1,000 __ Over $17 million (*The information contained above is not mandatory and used only to aid in determining business Size Standard)
How long in present business? ________________________________ Type of Organization:
[ ] Individual
[ ] Individual doing business as a Firm [ ] Partnership
[ ] Joint Venture [ ] Corporation, Incorporated under the laws of the State of _______________________ [ ] Non-Profit Organization Names of Officers, Owners, or Partners:
Owners or Partners: ___________________________________ President: _________________________________ Vice President: ____________________________ Treasurer: _________________________________ Secretary: ________________________________ Individuals and their telephone numbers authorized to sign bids, offers, and contracts in your name:
1. _____________________________________________________
2. _____________________________________________________ Name, address, and telephone number of persons for organization of similar projects completed during the past three years. (Preferably Government Type - (Federal, State, County):
1. _______________________________________________________________________________
2. _______________________________________________________________________________
3. _______________________________________________________________________________ Name and telephone number of person for organization of similar projects in progress:
1. _______________________________________________________________________________
2. _______________________________________________________________________________
3. _______________________________________________________________________________
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