Quoter_Questionaire_Attachment.docx

DOCX document 25 KB Posted

Attached to
Temporary Nurse Staffing-Wolf Creek JCC Federal contract opportunity
Solicitation number
AG-82A7-S-15-0069
Issued by
Department of Agriculture Forest Service Job Corps

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Quoter Questionaire

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RFQ_-_Temp_Services_Nurse_-_Wolf_Creek_JCCC.pdf PDF
SCA_Wage_determinations_attachment_nurse_Glide_OR.pdf PDF
AG-82A7-S-15-0069_1449.pdf PDF

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No. AG-82A7-S-15-0069

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 (2 additional pages 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. Does your company offer these services under a multi-agency agreement such as a GSA schedule, if so what is the contract number?

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?

6. There is no incumbent for this position. Please explain your company’s recruitment process. Will your company be able to identify a candidate for this position and be able to have the candidate hired and available for the time frame identified herein?

☐ 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:_______________________________________

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