DETERMINATION_OF_RESPONSIBILITY_LETTER.doc

United States

Department of

Agriculture Forest

Service SW Idaho/Nevada

Acquisition Center

1249 South Vinnell Way

Suite 200

Boise, ID 83709

AG-0261-S-13-0049 Payette SO Attach 6

File Code:

Date: 3 July 2013

RE:

AG-0267-S-13-0049

Payette NF Supervisor Office, Determination of Responsibility

Dear Perspective Contractor:

During the evaluation process of any received proposals and prior to the award of any contract, the Government must conduct a Determination of Responsibility on the perspective contractor in order to determine their capacity and capabilities. In order to accomplish this task, I review data from various sources. Therefore, I seek your assistance in obtaining this data on your firm. To assist you in providing the information required, I have enclosed a form for your use. Please provide the information listed as a minimum. Any additional information you have demonstrating the capabilities of your firm would also be appreciated.

Please note that in the case of most banks, factoring companies, financial institutions and often time’s suppliers, they need your express permission to release any information concerning your accounts. I appreciate your cooperation in coordinating with these establishments to enable me to obtain the required information. You would need to provide my name to them, as well as the type of contract that you have submitted a proposal on.

In the case of references for suppliers, please provide the name and phone number for the person most knowledgeable with your firm’s reputation. i.e., in some cases a Project Manager for instance may be more knowledgeable of your contributions than say an owner.

Please e-mail this back to me by 15 Aug 2013, 1:00 pm, MDT. My e-mail address is mamorris@fs.fed.us. An alternative would be to fax to me at 373-4189. Thank-you for your cooperation. If you have any questions please don’t hesitate to call me at (208) 373-4166.

Sincerely, Matt Morris Contracting Officer, Boise & Payette National Forest

Attachment

DETERMINATION OF RESPONSIBILITY INQUIRY

Company Name ____________________ POC ___________________Phone _____________

FINANCIAL INSTITUTIONS, FACTORING COMPANIES, BANKS:

FIRM

INDIVIDUAL

PHONE #

LINE OF CREDIT

AVAILABLE

OBLIGATED

LISTING OF ALL DEFAULTED LOANS OR JUDGEMENTS IN THE LAST 5 YEARS OF BUSINESS AND/OR ALL OWNERS OR SHAREHOLDERS OF SUBMITTED BUSINESS OR OTHER BUSINESSES PREVIOUSLY OWNED OR OPERATED BY THIS INDIVIDUAL(S) OR CORPORATION(S)

COMPANY NAME

LOAN/JUDGEMENT NO.

PHONE/NAME

BONDING COMPANY

CAPACITY

COMMITTED

INSURANCE COMPANY

TYPE

AMT/LIMITS

IDAHO STATE WORKER’S COMP POLICY NUMBER: ___________________________

SUPPLIERS:

FIRM

INDIV TO CONTACT

PREVIOUS PROJECTS SIMILAR TO THIS SOLICITATION:

OWNER/FIRM

LOCATION/SIZE

CURRENT PROJECTS:

OWNER/FIRM

LOCATION/SIZE

Caring for the Land and Serving People Printed on Recycled Paper