Attach 07 Pre-Award Survey Form Fill In.doc

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Attached to
Clay Center Shade Structures Phase II Federal contract opportunity
Solicitation number
12805B23R0016
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area

About this file

This document contains a pre-award survey form for a federal solicitation to provide shade structures at the Clay Center field research site. The solicitation requests offerors to provide at least one and up to three performance references for similar past work, along with contact information and contract details. A financial reference from the offeror's bank is also requested. The pre-award survey will evaluate offerors on financial resources, scheduling compliance, integrity, past performance, and other eligibility factors. The related solicitation is numbered 12805B23R0016 and concerns installing shade structures for Phase II of work at the Clay Center field research site. The solicitation and attachments provide additional details, with Section L specifying offeror instructions and a planned site visit. The Agricultural Research Service of the Department of Agriculture is the issuing agency.

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Fill In Attach 07

PRE-AWARD SURVEY INFORMATION

The Government reserves the right, prior to making an award, to conduct a pre-award survey of the prospective contractors in order to determine that the contractors can meet the minimum standards for responsible contractors as defined in Federal Acquisition Regulation (FAR) 9.106. The pre-award survey may include, but will not necessarily be limited to the following factors:

(1) Financial Resources such as sufficient working capital to permit performance under the contract for a period of sixty (60) days after the effective date of the contract before reimbursement by the Government;

(2) Ability to comply with required schedules;

(3) Past record of integrity;

(4) Past record of performance; and

(5) Ability to meet other qualifications and eligibility requirement to receive an award of a contract.

(6) An on-site inspection may be conducted of the facility of the apparent successful bidder (s) offeror(s) prior to contract award for specifications compliance.

A Pre-Award survey may be conducted in order to determine contractor responsibility. Please provide at least one (1) and up to three (3) performance references, for work the same as or similar to the work set forth in this solicitation, and one (1) financial reference in the spaces provided below. The performance references can consist of companies for which you have recently performed work. References must be of comparable magnitude and similar in nature to the work required under this solicitation. The financial reference should be your financial institution.

Three Performance References:

Name:

Address:

Phone:

Email:

Contract Number:

Amount:

Description:

Name:

Address:

Phone:

Email:

Contract Number:

Amount:

Description:

Name:

Address:

Phone:

Email:

Contract Number:

Amount:

Description:

Financial Reference: (Please ensure your Financial Reference is aware that the Government may reach out to them) Name:

POC:

Address:

Phone:

Email

Description:

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