Busniess Management Questionnaire.pdf

PDF 107 KB Posted

Attached to
Solid Waste Removal Services - FTC Oklahoma City, OK Federal contract opportunity
Solicitation number
15BFA022Q00000080
Issued by
Department of Justice Bureau of Prisons Field Acquisition Office

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Sol 15BFA022Q00000080 0003.pdf PDF
Sol 15BFA022Q00000080 0002.pdf PDF
Sol 15BFA022Q00000080 0001.pdf PDF
NCIC CHECK FORM.pdf PDF
Sol 15BFA022Q00000080.pdf PDF

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Text version

BUSINESS MANAGEMENT QUESTIONNAIRE

(A). List of last three contracts awarded to your firm which is of a related nature, indicating for each the following:

(1). Customer & Address: _____________________________________________________

(a.) (Phone):____________________________________________________________

(b.) Contract Number: ____________________________________________________

(c.) Person to Contact:_____________________________________________________

(d.) (Phone):_____________________________________________________________

(e.) Type of Work: ___________________________________________________

(f.) Amount of Contract:____________________________________________________

(g) Contract Status: [ ] Active [ ] Complete

(2). Customer & Address: _____________________________________________________

(a.) (Phone):____________________________________________________________

(b.) Contract Number: ____________________________________________________

(c.) Person to Contact:_____________________________________________________

(d.) (Phone):_____________________________________________________________

(e.) Type of Work: ___________________________________________________

(f.) Amount of Contract:____________________________________________________

(g) Contract Status: [ ] Active [ ] Complete

(3). Customer & Address: _____________________________________________________

(a.) (Phone):____________________________________________________________

(b.) Contract Number: ____________________________________________________

(c.) Person to Contact:_____________________________________________________

(d.) (Phone):_____________________________________________________________

(e.) Type of Work: ___________________________________________________

(f.) Amount of Contract:____________________________________________________

(g) Contract Status: [ ] Active [ ] Complete

(B). (a). Bank Reference & Address: _______________________________________

(b). Person to Contact:________________________________________________

Phone:_____________________________________________

ATTACHMENT I

Contractor’s Name/Address/City/State/Zip (please print or type)

Point of Contact/Title:______________________________________

Telephone Number:________________________________________

Fax Number:_____________________________________________

E-mail:__________________________________________________ DUNS Number:___________________________________________

UEI#:___________________________________________________

Tax Identification #:________________________________________

ATTACHMENT I

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