QUOTER_QUESTIONAIRE.docx

1 | Page SOLICITATION NUMBER AG-82A7-S-14-0008

QUOTER QUESTIONAIRE

☐ Completed Schedule of Services with proposed pricing for the base year and 4 Option Years. – (3 pages allowed)

☐ Quoter confirms the attached Scope of work has been thoroughly reviewed before submitting a quotation.

☐ The registration process at www.SAM.gov has been successfully completed.

☐ Offeror confirms the provision FAR 52.212-3, the annual representations and certifications, has been electronically completed at www.SAM.gov. The complete provision can be found at https://www.acquisition.gov/far/loadmainre.html.

☐ Contract Federal Tax ID Number is provided:__________________________

☐ Contractor DUNS number is provided:_________________________

☐ A resume for each proposed Key Personnel and proposed substitute is provided (max 2 page allowed).

☐ A copy of the State of Oklahoma license for each proposed Key Personnel is provided (1 page allowed).

☐ A copy of the State of Oklahoma license for the proposed substitute(s) is provided (1 page allowed).

Proof of General Insurance, in accordance with FAR 52.228-5; AND Medical Insurance, in accordance with FAR 52.237-7, ☐ IS provided (1 page allowed each) OR ☐ CAN be provided before contract award.

Contractor’s Point of Contact (POC) Information is provided:

Name/Position: Email:

Phone: Fax:

☐ The following questions have been answered as provided below (Maximun of 1 additional page allowed per question, if necessary):

1. How will your company provide a qualified substitute, when necessary?

1. Do you have any other Job Corp experience? If so, where?

1. Within the past 5 years have you failed to complete any work awarded to you or been terminated for default or breach of contract? If yes, explain.

1. How many years of experience do your company and any key personnel have in regards to the requirements stated in this solicitation?

☐ The following three (3) professional references of similar past work performance is provided:

1. Name: Organization:

Phone: Email:______________________________________

1. Name: Organization:

Phone: Email:______________________________________

1. Name: Organization:

Phone: Email:

☐ I certify that all of the information provided above is complete, true, and correct to the best of my knowledge.

Sign:______________________________________ Date:_______________________________________

Contractor personnel will perform all work required in the Statement of Work (SOW) for the amounts agreed to below, working between Monday – Friday, excluding Federal holidays. Specific days and hours of duty shall be agreed to through coordination with Center personnel.

When Contractor personnel are on vacation, sick leave, or any other absence, qualified substitute(s) shall be provided by the Contractor in accordance with the SOW.

The quantities listed in the following Schedule of Services are based upon the limitations in accordance with the Job Corps Program Requirements Handbook (PRH). The Contractor will be paid based upon the actual work performed pursuant to the SOW. A detailed breakdown of the proposed prices may be requested for evaluation purposes.

Since nobody can predict how many hours of 24-hour emergency care will be required, the total amount block for 24-hour emergency care should be left blank.