Attachment_4_Business_management_questionare.docx

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Urinalysis on site test cups and laboratory services
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15BNAS18R0082
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Attachment 4 Business Management questionnaire

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BUSINESS MANAGEMENT QUESTIONNAIRE

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

Commercial: percent Government: percent

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

(1) (a) Customer & Address:

(b) Contract Number:

(c) Person to Contact: (Phone) (Email)

(d) Type of Work:

(e) Amount of Contract:$

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

(2) (a) Customer & Address:

(b) Contract Number:

(c) Person to Contact: (Phone) (Email)

(d) Type of Work:

(e) Amount of Contract:$

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

Attachment 4 15BNAS18R0082

(3) (a) Customer & Address:

(b) Contract Number:

(c) Person to Contact: (Phone) (Email)

(d) Type of Work:

(e) Amount of Contract:$

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

C. List Bank Reference

(1) (a) Name of Bank:

(b) Address:

(Phone)

(c) Person to Contact: (Phone) (Email)

(d) Total estimated amount of work under this contract that your firm will complete (excluding subcontractors):

percent

(e) Please provide your DUNS (Data Universal Numbering System) number

(f) If applicable, please provide your Parent Company’s DUNS number

(g) Please provide an email address for performance evaluations Email

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