Attachment_6_-_Firm_and_Project_Information.pdf

Firm and Project Information Questionnaire

"FIRM AND PROJECT INFORMATION "

Firm Information

Owners, Partners and Principal Officer

NAME POSITION TELEPHONE

ENGLISH COMMUNICATION

(Ability to understand, write and read)

Legal Representatives and backups

Project Director, Superintendent and key technical Personnel for this project

Subcontractors for this project (if it does not apply indicate it in the chart)

NAME ACTIVITY TO PERFORM

% DEL PROJECT

TOTAL

TELEPHONE ADDRESS AND CITY

Suppliers for this project

NAME MATERIALS TO SUPPLY

% DEL PROJECT

TOTAL

TELEPHONE ADDRESS AND CITY

Requirements of the Offeror and Owners/partners:

DESCRIPTION YES NO NOTES

Has all licenses and permits required by local law to perform?(Construction Chamber of Honduras, Professional License, etc.)

Register, Professional Licenses, etc.)

Meets local insurance requirements (Social Security of Honduras, etc.)

Has the ability to obtain a performance and guarantee bond and payment bond, or adequate performance security, such as irrevocable letters of credit or guarantees issued by a reputable financial institution. Include Information

Has adverse criminal record?

Has political or business affiliation which could be considered contrary to the interests of the United

States.

I certify that the information is accurate and verifiable

Signature of the Legal Representative Date

Name of the Legal Representative Id Number

NIT NUMBER:

NAME ADDRESS TELEPHONE/FAX E-MAIL ADDRESS