Attachment_5_Bidder_Questionaire.pdf

MUST BE RETURNED WITH BID

BIDDER QUESTIONNAIRE

THE OFFEROR SHALL PROVIDE THE FOLLOWING INFORMATION WITH BID (attach additional pages if necessary):

a. How many years do you or your firm have in the line of work contemplated by this solicitation?

b. Do you currently have any other contractual commitments which would in any way conflict with the work contemplated by this solicitation?________(if yes, explain)

c. Have you had any previous contracts with the Job Corps or any other U.S. Government agency?_______(if yes, list those most recent including contact person and phone number)

d. Within the past 5 years have you failed to complete any work awarded to you?_______(if yes, explain)

e. Have you had a contract(s) terminated for default or breach of contract within the past 5 years?_______(if yes, explain)

f. Do you have employees on your payroll regularly? _______If so, what is your average number of employees on the payroll? __________

MUST BE RETURNED WITH BID

g. Do you have an Active registration at http://www.sam.gov?__________ SAM registration valid until______________.

Note: Registration in SAM is required to obtain an Award.

h. Have you completed and/or updated your electronic representations and certifications through the SAM database located at www.sam.gov? Yes ______Date

___________No_________

i. Have you attended a pre-bid tour? _______Date?_________

Note: Pre-Bid tour is highly encouraged. FAR 52.236-2 and FAR 52.236-3 will be included in any contract award resulting from this Invitation to Bid.

j. Contractor Federal Tax ID Number_____________________________

k. Contractor DUNS Number___________________________________

CERTIFICATION

I certify that all of the statements made by me are complete, true, and correct to the best of my knowledge.

(Signature) (Date)

Point of Contact:_____________________________

Phone:____________________________________

Email: ___________________________________