Quoter_Questionaire_Attachment.docx

No. AG-82A7-S-15-0065

QUOTER QUESTIONAIRE

☐ Completed pricing schedule with proposed pricing per position per location.

☐ 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.

☐ Quoter 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.

☐ Contractor DUNS number is provided:_________________________

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

Name/Position: Email:

Phone: Fax:

Proof of General Insurance, in accordance with FAR 52.228-5 and AGAR 452.228-71;

☐ IS provided (1 page allowed) OR ☐ CAN be provided before contract award.

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

1. Have you had other Job Corps/Federal Government contracts for similar services? 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? Provide a summary of your experience.

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– 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.

5. Explain how you will complete the services outlined in section 3.3, 3.4, and 3.5 of the Performance Work Statement and ensure that the required schedule is kept up? And what type of quality assurance will you provide?

☐ 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:_______________________________________