Past Performance and Bank Questionnaire Information.pdf

Federal Bureau of Prisons

Vocational National Credentialing Past Performance and Bank Quotation Information

Name of Company:

Authorized Negotiator:

Solicitation Number:

Please provide responses by checking Yes or No next to all the statements below and completing the noted documentation for each item. Your completed documentation should follow this filled-in cover sheet in a single PDF file.

Yes No

Completed Past Performance Questionnaire (See Page 2)

A copy of your Bank Notification Letter (See sample at Page 4)

PAST PERFORMANCE AND BANKING 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) Contract Number

(b) Customer & Address

c. Person to Contact

(Phone)

(Email)

d. Type of Work

e. Amount of Contract $

f. Contract Status [ ] Active [ ] Complete

(2) (a) Contract Number

(b) Customer & Address

(c) Person to Contact

(d) Type of Work

(e) Amount of Contract $

(f) Contract Status [ ] Active [ ] Complete

(3) (a) Contract Number

(b) Customer & Address

(c) Person to Contact

(d) Type of Work

(e) Amount of Contract $

(f) Contract Status [ ] Active [ ] Complete

(4) Bank Reference:

(a) Name of Bank:

(b) Person to Contact:

Address:

Phone:

Email:

(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

(Data Universal Numbering System) number.

(8) Please provide a contact person for your company for us to contact with questions:

Name:

Telephone:

Email address:

SAMPLE BANK NOTIFICATION LETTER

(This letter or similar should be issued to any bank references on your Business Management Questionnaire)

Dear :

We are currently responding to the Department of Justice, Federal Bureau of Prisons (Bureau) Request for Quotations (RFQ) for the procurement of Vocational (VT) National Credentialing.

The Federal Acquisition Regulation (FAR) requires that prior to award of a Federal contract, the Contracting Officer must determine if the apparent successful offeror has the financial capability of completing an awarded contract. We have included information pertaining to your institution to the Bureau as part of our proposal. In the event you are contacted for information on our financial standing you are hereby authorized to respond to those inquiries. You are advised that the information requested is general in nature and will only be requested by authorized contracting staff of the Bureau.

We have identified Mr./Ms. of your institution as the point of contact based on their knowledge concerning our financial status. Your cooperation is appreciated. Any questions may be directed to .