Attachment 4 - Contractor Responsibility Questionnaire.docx

DOCX document 26 KB Posted

Attached to
FSH Window Replacement Federal contract opportunity
Solicitation number
FA301622Q0041
Issued by
Department of the Air Force Air Education and Training Command

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Text version

FA301622Q0041

Attachment 4

Contractor Responsibility Questionnaire

Contractor Name: Address:

Point of Contact:

In the solicitation 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:

Signature and Date

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