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. This current request for a temporary staffing instructor we have identified a potential candidate. Does your company have any concerns with hiring a candidate that has already been identified, and if so what are they?

5. 5. In addition to this center we operate 27 Job Corps Centers in 17 states. Does your company have the ability to locate candidates nationwide, and what are your company’s other office locations?

☐ 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:_______________________________________