Attachment 12 Contractor Responsibility Questionnaire.docx

DOCX document 25 KB Posted

Attached to
UPT 2. 5 Hanger 12 & 64 Renovation
Solicitation number
TYMX215706
Issued by

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Text version

Contractor Responsibility Questionnaire

Contractor Name: Contractor’s Address: Point of Contact:

In the solicitation TBD past performance will not be one of the evaluation factors, however, IAW FAR Part 9.1, the Contracting Officer shall determine whether prospective contractors are responsible. Therefore, please provide the following information:

UPROJECT # 1

1. Contract number:

2. Project Title: _

3. Award date:

4. Scope of work:

5. Contract Value:

6. Contracting Officer/Customer Contact Information:

UPROJECT # 2

1. Contract number:

2. Project Title:

3. Award date:

4. Scope of work:

5. Contract Value:

6. Contracting Officer/Customer Contact Information:

UPROJECT # 3

1. Contract number:

2. Project Title:

3. Award date:

4. Scope of work:

5. Contract Value:

6. Contracting Officer/Customer Contact Information:

Sign and Date

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