QUOTER_QUESTIONAIRE_-_Collbran_Laundry.pdf

QUOTER QUESTIONAIRE

☐ Completed Schedule of Services (pages 2 and 3) with proposed pricing for the base year and 5 Option Periods. – (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 52.212-3, 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 Colorado license for each proposed Key Personnel is provided (1 page allowed).

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

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 experience? If so, where?

2. 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.

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

4. As required by the USDA - this requirement includes the use of BioBased Products, as identified in Section 3.6 of the

Performance Work Statement (PWS) – 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:______________________________________

2. Name: Organization:

Phone: Email:______________________________________

3. 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:_______________________________________ http://www.sam.gov/ http://www.sam.gov/ https://www.acquisition.gov/far/loadmainre.html