Attachment_II_-_BMQ.pdf

ATTACHMENT II

FEDERAL BUREAU OF PRISONS BUSINESS MANAGEMENT QUESTIONNAIRE

Purpose: The policy of the Federal Bureau of Prisons in acquiring supplies/services is to encourage firms lawfully engaged in the practice of performing Government required services to submit a statement of qualifications and performance data.

This questionnaire may be used as a basis for selecting firms for discussions, or screening organizations preliminary to inviting submission of additional information.

Instructions: List at least three contracts, agreements, projects, etc. (federal, state, local government, as well as commercial) in the past three years, especially significant are those which demonstrate competence to perform work similar to that likely to be required for this solicitation/contract. ALL INFORMATION SUBMITTED IN RESPONSE TO THIS

QUESTIONNAIRE SHALL BE CURRENT.

Provide the work distribution, by percentage, among commercial contracts and Government contracts (including prime and subcontracts).

COMMERCIAL: _____________ percent GOVERNMENT: _____________ percent

REQUIRED INFORMATION MUST INCLUDE:

ITEM 1st a Name and Location:

b Contract number:

c Type of contract: [ ] sealed bid: [ ] fixed price: [ ] other Specify:________________ d Person to Contact:

Phone:

E-mail:

e Brief Description of Type and Extent of Services Provided:

f Amount of Contract: $ g Contract Status: [ ] Active [ ] Complete

ITEM 2nd d Person to Contact:

Phone:

E-mail:

ATTACHMENT II

ITEM 3rd d Person to Contact:

Phone:

E-mail:

Total estimated amount of work under this contract that your firm will accomplish with employees: _____________ percent.

Total estimated amount of work under this contract that your firm will accomplish with non-employees: __________ percent.

Taxpayer Identification Number (TIN): _________________________________

DUNS number (Data Universal Numbering System): _________________________________