Bidder_Questionnaire.pdf

PDF 340 KB Posted

Attached to
Welding & Dining Hall Roof Repairs Federal contract opportunity
Solicitation number
AG-82A7-S-13-0024
Issued by
Department of Agriculture Forest Service Job Corps

About this file

Attachment 4 - Bidder Questionnaire

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SF1442_Addendum.pdf PDF

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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 has in the line of work contemplated by this solicitation?

b. Do you currently 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 the 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)

MUST BE RETURNED WITH BID

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

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: ______________________________ http://www.sam.gov/ http://www.sam.gov/

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