Attachment 4 - Firm and Project Information.pdf

PDF 158 KB Posted

Attached to
Forensic Laboratories Construction - Belize Federal contract opportunity
Solicitation number
19AQMM24R0054
Issued by
Department of State Office of Acquisition Management

About this file

This document contains a Firm and Project Information questionnaire and details of a related federal contract opportunity for construction of forensic laboratories in Belize. The questionnaire seeks information on the firm including ownership, key personnel, subcontractors, suppliers, and certifications. It requires the legal representative's signature, date and ID number. The related federal solicitation is issued by the Department of State Office of Acquisition Management under number 19AQMM24R0054 for construction of forensic laboratories in Belize. The solicitation documents provide further detail on the opportunity type, agency, and description.

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Other files for this federal contract opportunity

Other files attached to Forensic Laboratories Construction - Belize, newest first.
File Type Posted
19AQMM24R0054 00003.pdf PDF
19AQMM24R0054 002.pdf PDF
19AQMM24R0054 QA.xlsx XLSX spreadsheet
Attachment 3 Drawings 0001.zip ZIP file
Attachment 1 - SOW 0001 (Track Changes).pdf PDF
19AQMM24R0054 B-M 0001.pdf PDF
Attachment 1 - SOW 0001 (Clean).pdf PDF
Attachment 3a PUC Submission 0001.zip ZIP file
19AQMM24R0054 0001.pdf PDF
23R0054-Belize-Forensic Lab-Pre-Proposal Conference.pdf PDF
Attachment 2 - Bid Chart.xlsx XLSX spreadsheet
Attachment 5 - Past Performance Questionnaire (PPQ).docx DOCX document
Attachment 3a PUC Submission.zip ZIP file
19AQMM24R0054 B-M.pdf PDF
19AQMM24R0054.pdf PDF
Attachment 3 Drawings.zip ZIP file
Attachment 1 - 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 .