Busniess Management Questionnaire.pdf

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