Attachment 1) Business_Management_Questionnaire.pdf
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- Attached to
- Solicitation Notice - USP Terre Haute - Life Connection Programming (Islamic Spiritual Guide)
- Solicitation number
- 15BFA025Q00000051
About this file
This is a Business Management Questionnaire (Attachment 1) that requires bidders to provide detailed information about their contract experience and business operations. The questionnaire requests a breakdown of work distribution between commercial and government contracts by percentage, followed by detailed information about the bidder's last three related contracts including customer information, contract numbers, points of contact, type of work performed, contract amounts, and current status (active or complete). The form also requires bank reference information, the percentage of work the firm will complete directly (excluding subcontractors), and both the company's and parent company's (if applicable) Unique Entity Identifier (UEI) numbers.
This questionnaire appears to be associated with a Bureau of Prisons solicitation for Life Connections Program - Islamic Spiritual Guide services at USP Terre Haute in Indiana, which is being issued as a small business set-aside under NAICS code 813110. While the questionnaire itself is a standard business information collection form, it will be used to evaluate bidders for this requirements-type contract that includes a one-year base period plus four one-year options, with an estimated maximum of 1,440 sessions per year.
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Text version
ATTACHMENT 1
BUSINESS MANAGEMENT QUESTIONNAIRE
(a) Provide the work distribution, by percentage, among commercial contracts and Government contracts (including prime and subcontracts).
COMMERCIAL:_________percent GOVERNMENT:_________percent
(b) List the last three contracts awarded to your firm which are of a related nature, indicating for each the following:
(1) (a) Customer & Address _____________________________ (Phone) ____________________
(b) Contract Number _____________________________
(c) Person to Contact _____________________________ (Phone) _____________________________
(d) Type of Work _____________________________
(e) Amount of Contract $_________________________
(f) Contract Status [__] Active [__] Complete
(2) (a) Customer & Address _____________________________ (Phone) ____________________
(b) Contract Number _____________________________
(c) Person to Contact _____________________________
ne) _____________________________
(d) Type of Work _____________________________
(e) Amount of Contract $_________________________
(f) Contract Status [__] Active [__] Complete
(3) (a) Customer & Address _____________________________ (Phone) ____________________
(b) Contract Number _____________________________
(c) Person to Contact _____________________________ (Phone) _____________________________
(d) Type of Work _____________________________
(e) Amount of Contract $_________________________
(f) Contract Status [__] Active [__] Complete
(4) Bank Reference:
(a) Name of Bank ______________________
(b) Address _____________________________________ (Phone) _______________________
(c) Person to Contact _________________________ (Phone) __________________________
(5) Total estimated amount of work under this contract that your firm will complete (excluding subcontractors): _______percent
(6) Please provide your UEI (Unique Entity Identifier) number ______________________
(7) If applicable, please provide your Parent Company's UEI (Unique Entity Identifier) number
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