Attachment 3 Pre-Award Survey Form.doc

DOC document 26 KB Posted

Attached to
Upgrade of USDA NLAE Fire Suppression System Federal contract opportunity
Solicitation number
12805B23Q0900
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area

About this file

This document is a pre-award survey form for the solicitation to upgrade the USDA NLAE Fire Suppression System under number 12805B23Q0900 issued by the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area. Prospective contractors must provide at least one but up to three performance references for similar work along with contract numbers, amounts, and descriptions. A financial reference from the contractor's financial institution is also required. The Government reserves the right to conduct on-site inspections and surveys of apparent successful bidders to evaluate financial resources, scheduling compliance, integrity, past performance, and other qualifications before awarding the contract. The pre-award process may consider the contractor's ability to perform for sixty days without reimbursement as well as meet other eligibility criteria.

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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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