A21 - (B) Contractor Information Sheet.pdf
PDF 104 KB Posted
- Solicitation number
- W912PM25Q0008
About this file
This is a Contractor Information Sheet template that must be completed and returned with quotes for park attendant services at John H. Kerr Dam and Reservoir and Philpott Lake and Dam. The form collects key information for two personnel, including their names, SSNs, and contact details. It requires the contractor's System for Award Management (SAM) profile information, including UEI and CAGE code, which must match exactly for purchase order issuance.
The form includes sections for documenting previous experience with dates, locations, and supervisor contact information, as well as other work experience (with resumes required for both persons). There is a checklist section for NRRS/computer experience, specifically covering cash register/money counting abilities, NRRS software experience (Park Office, ORMS, Field Manager), and general computer skills. The form must be signed by both persons and submitted as part of the quote package for the contract opportunity.
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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 .