A21 - (B) Contractor Information Sheet.pdf
PDF 104 KB Posted
- Solicitation number
- W912PM26QA004
About this file
The document is a Contractor Information Sheet designed to collect detailed information about two potential contractors for a quote or proposal. The form requires submission of personal details including names, Social Security Numbers, contact information, and company details such as SAM UEI and CAGE Code. It includes sections for previous work experience, other work experiences (with a requirement to attach resumes), and a checklist for NRRS/computer experience covering skills like cash register/money counting, NRRS software proficiency, and general computer experience. The form emphasizes that it must be fully completed and returned with the quote, and includes signature lines for both persons to validate the information provided.
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Text version
CONTRACTOR INFORMATION SHEET
NAME:
Person #1: SSN:
Person #2: SSN:
IN THE EVENT OF AWARD, ISSUE PURCHASE ORDER TO (This must the exact information that is listed in System for Award Management profile):
Name: Home Phone #:
Address: Cell Phone #:
City: State: Zip:
E-mail address:
SAM UEI: CAGE Code:
PREVIOUS EXPERIENCE: (Dates, Location, Supervisor, Phone #)
OTHER WORK EXPERIENCE(S): (Attach resume for both persons with quote)
Person #1: ________________________________________ Person #2: ________________________________________
NRRS/COMPUTER EXPERIENCE: (check all that apply) Person #1 Person #2 Cash Register/Money Counting NRRS Software (Park Office, ORMS, Field Mgr.) General Computer Experience Other:
SIGNATURES:
Person #1: Person #2:
**THIS SHEET MUST BE COMPLETED & RETURNED WITH YOUR QUOTE**
| NRRS/COMPUTER EXPERIENCE: (check all that apply) Person #1 Person #2 |
| Cash Register/Money Counting |
File details come from the government source that posted it. Updated .