B05_Attachment_J-21.docx
DOCX document 29 KB Posted
- Attached to
- Poplar Ancillary Healthcare Facility & Vern E Gibbs Health Center Construction Renovation
- Solicitation number
- 19-102-SOL-00026
About this file
This notice is a sources sought announcement from the Indian Health Service regarding construction of the Poplar Ancillary Healthcare Facility and renovation of the Vern E. Gibbs Health Center located on the Fort Peck Reservation in Poplar, Montana. The estimated value of construction is over $10 million to be awarded as a fixed-price contract. Interested parties are requested to provide relevant project experience, references, certifications, licenses and information attesting to financial stability by March 12, 2019. The anticipated period of performance is 36 months beginning around May 31, 2019. The solicitation number is 19-102-SOL-00026 and responses to this notice will help determine the acquisition strategy. The resulting solicitation will be posted to FedBizOpps on or around April 18, 2019 and proposals will be due on or around May 17, 2019. The North American Industry Classification System code is 236220 and the size standard is $36.5 million.
B05 Attachment J-21
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Attachment J-21 Contract Pre-Award Survey
| FROM: | Anthony Buch | |
| Contract Specialist | ||
| Telephone: | (206)615-2790 | |
| e-mail: | anthony.buch@ihs.gov |
SUBJECT: Contract Pre-Award Survey - Banking Information of Firm FACSIMILE FOR: Insert financial institution and point of contact here
To Whom It May Concern:
The Department of Health and Human Services (HHS), Indian Health Service (IHS), Division of Engineering Services, is in the process of conducting a Pre-Award Survey on the firm _______________ for potential contract award. Please provide the following information so that we may determine if this is a financially responsible firm. Respond to Anthony Buch at anthony.buch@ihs.gov. If you have any questions, please contact Mr. Buch at (206)615-2790.
FIRM:
| Tel: |
| Fax: |
| e-mail: |
| 1. | What is the average balance (in general terms e.g. "high five figures") in the business checking and savings accounts? |
| CHECKING = __________________________________________________________________________ | |
| SAVINGS = ____________________________________________________________________________ |
| 2. | Does the firm have any lines of credit? If so, what are the amounts and how are they maintained? |
| OUTSTANDING LOANS ___________________________________________________________________ | |
| LINES OF CREDIT _______________________________________________________________________ | |
| COMMENTS ON ACCOUNT STATUS ________________________________________________________ | |
| _______________________________________________________________________________________ | |
| _______________________________________________________________________________________ |
| 3. | Has the firm performed satisfactorily in handling their accounts? |
| COMMENTS ____________________________________________________________________________ | |
| _______________________________________________________________________________________ | |
| _______________________________________________________________________________________ |
4. How long have the accounts been in effect? ____________________________________________________
| 5. | Any other comments and/or remarks __________________________________________________________ |
| _______________________________________________________________________________________ | |
| _______________________________________________________________________________________ |
PLEASE RESPOND AS SOON AS POSSIBLE TO anthony.buch@ihs.gov or (206) 615-2790: Anthony Buch, Contract Specialist image1.png image2.png
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