QUOTE_QUESTIONAIRE.docx

QUOTE QUESTIONAIRE

☐ Completed Schedule of Services (pages 2 and 3) with proposed pricing for the base bid item and optional bid item (2 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 52.204-8, 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.

☐ Ability to secure Alternative Payment Protections as required by FAR 52.225-13 within 10 days of award – yes or no (please circle)

☐ Contractor DUNS number is provided:_________________________

☐ SF-1442 and all amendments (if applicable) submitted

☐ License/Certification from manufacturer authorizing contractor and/or its subcontractor to install product provided in quote.

☐ Product Specifications/Diagrams

Proof of General Insurance, in accordance with FAR 52.228-5;

☐ 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 (1 additional page allowed, if necessary):

1. Do you have any other Job Corp/Federal Government 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 Request for Quote?

4. Estimated Schedule/Time Frame from issuance of Notice to Proceed.

5. As required by the USDA - this requirement includes the use of BioBased Products, as identified in Section C.9 of the Scope of Work– please state how this will apply to this requirement, including list of products if applicable. If nothing will be used, please provide a statement as to why.

☐ 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:_______________________________________