Attachment 4 - Firm and Project Information.pdf

PDF 158 KB Posted

Attached to
Solola Municipal Construction, Guatemala
Solicitation number
19AQMM24R0014
Issued by

About this file

This document is a questionnaire for firms interested in solicitation number 19AQMM24R0014 for the Solola Municipal Construction project in Guatemala issued by the Department of State Office of Acquisition Management. The questionnaire collects information on the bidding firm including owners and key personnel, ability to communicate in English, lack of adverse criminal records or political affiliations contrary to U.S. interests, and possession of necessary licenses and permits. It also requests details on any planned subcontractors and suppliers for the project, their roles, and percentages of the total project cost. Firms must certify the accuracy of the information provided and ability to obtain performance bonds or adequate performance security.

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Other files

File Type Posted
19AQMM24R0014 Q and A Response.pdf PDF
19AQMM24R0014.pdf PDF
Attachment 1 - Solola Municipal Building SOW.pdf PDF
19AQMM24R0014 B-M.pdf PDF
Attachment 2.1 - Specs and Drawings.zip ZIP file
Attachment 3 - Bid Chart.xlsx XLSX spreadsheet
Attachment 5 - Past Performance Questionnaire (PPQ).docx DOCX document
Attachment 2.2 - Specs and Drawings.zip ZIP file

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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 .