Attachment 5 Firm and Project Information 0001.pdf

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Attached to
OIJ Poder Judicial - Incinerator Building
Solicitation number
19AQMM21R0215
Issued by

About this file

This document contains a solicitation for construction services. The U.S. Department of State is seeking a contractor to build an incinerator building for the OIJ Poder Judicial in Costa Rica. The construction project budget is between $1 million and $5 million, and the period of performance is 168 calendar days from the notice to proceed. Key dates include a pre-proposal conference on July 15, 2021, a site visit on July 19, 2021, a deadline of July 30 for questions, and a proposal submission date of August 23, 2021. The solicitation includes additional details on the scope of work and requirements.

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Other files

File Type Posted
19AQMM21R0215 QA.pdf PDF
Attachment 2 SOW 0001.pdf PDF
Attachment 4 Submittal Register 0001.xlsx XLSX spreadsheet
19AQMM21R0215 0001.pdf PDF
Attachment 6 Past Performance Questionnaire (PPQ).docx DOCX document
Attachment 4- Submittal Register.pdf PDF
Attachment 1 Specification.pdf PDF
19AQMM21R0215 B-M.pdf PDF
19AQMM21R0215.pdf PDF
Attachment 3 Drawings.zip ZIP file
Attachment 6 - Past Performance Questionnaire (PPQ).docx DOCX document
Attachment 5 Firm and Project Information.pdf PDF
Attachment 2 SOW.pdf PDF
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Text version

Firm and Project Information Questionnaire

Firm Information NIT NUMBER:

NAME ADDRESS TELEPHONE/FAX

Owners, Partners and Principal Officer

NAME POSITION TELEPHONE

Legal Representatives and backups

NAME POSITION TELEPHONE

Project Director, Superintendent and key technical Personnel for this project

NAME POSITION TELEPHONE

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

NAME ACTIVITY TO PERFORM

% DEL PROJECT

TOTAL

TELEPHONE

Suppliers for this project

NAME MATERIALS TO SUPPLY

% DEL PROJECT

TOTAL

TELEPHONE

Requirements of the Offeror and Owners/partners:

DESCRIPTION YES NO NOTES

I certify that the information is accurate and verifiable

Signature of the Legal Representative Date

Name of the Legal Representative Id Number

ENGLISH COMMUNICATION

(Ability to understand, write and read)

ADDRESS AND CITY

Artículo 289 del Código Penal Colombiano: “El que falsifique documento privado que pueda servir de prueba, incurrirá, si lo usa, en prisión de uno (1) a seis (6) años .”

"FIRM AND PROJECT INFORMATION "

E-MAIL ADDRESS

ENGLISH COMMUNICATION

(Ability to understand, write and read)

Has adverse criminal record?

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

States.

ADDRESS AND CITY

ENGLISH COMMUNICATION

(Ability to understand, write and read)

Has all licenses and permits required by local law to perform?(Chamber of Commerce, Merchandise

Register, Professional Licenses, etc.)

Meets local insurance requirements (Prestaciones Sociales, ICA, Sena, 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

File details come from the government source that posted it. Updated .