Attach_IV_15BNAS20RRCA0001_BMQ.pdf

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Attached to
HIGH SCHOOL EQUIVALENCY (HSE) CREDENTIAL AND TESTING SERVICES Federal contract opportunity
Solicitation number
15BNAS20RRCA0001
Issued by
Department of Justice Bureau of Prisons Central Office

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Attachement IV 15BNAS20RRCA0001

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)____________________________________________

(d) Type of Work: ___________________________________

(e) Amount of Contract:$________________________________

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

(2) (a) Customer & Address:

(d) Type of Work: ___________________________________

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

(3) (a) Customer & Address:

Attachement IV 15BNAS20RRCA0001

(d) Type of Work: ___________________________________

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

(4) Bank Reference:

(a) Name of Bank:____________________________________________

(b) Address:

(Phone)_____________________________________________________

(c) Person to Contact:______________________________________

(Phone)____________________________________________________

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

(6) Please provide your DUNS (Data Universal Numbering System) number ________________________________________

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

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