Attachment 4 - Firm and Project Information.pdf
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- Solicitation number
- 19AQMM25R0013
About this file
This document is a Firm and Project Information Questionnaire that appears to be related to a federal contract opportunity for the installation of self-supporting roofs and structural components in Corinto, Honduras.
The key details include:
- The solicitation number is 19AQMM25R0013 and the contract opportunity is from the Department of State Office of Acquisition Management.
- The questionnaire requires the offeror to provide information about their firm, including owners, partners, legal representatives, project personnel, subcontractors, and suppliers.
- The offeror must certify that the information is accurate and that they have the required licenses, permits, insurance, and ability to obtain performance/payment bonds.
- The offeror must indicate if they have any adverse criminal records or political/business affiliations contrary to U.S. interests.
- The contract requires the ability to communicate in English.
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Text version
Firm and Project Information Questionnaire
Firm Information NIT NUMBER:
NAME ADDRESS TELEPHONE/FAX
Owners, Partners and Principal Officer
NAME POSITION TELEPHONE
Legal Representatives and backups
NAME POSITION TELEPHONE
Project Director, Superintendent and key technical Personnel for this project
NAME POSITION TELEPHONE
Subcontractors for this project (if it does not apply indicate it in the chart)
NAME ACTIVITY TO PERFORM
% DEL PROJECT
TOTAL
TELEPHONE
Suppliers for this project
NAME MATERIALS TO SUPPLY
% DEL PROJECT
TOTAL
TELEPHONE
Requirements of the Offeror and Owners/partners:
DESCRIPTION YES NO NOTES
I certify that the information is accurate and verifiable
Signature of the Legal Representative Date
Name of the Legal Representative Id Number
ENGLISH COMMUNICATION
(Ability to understand, write and read)
ADDRESS AND CITY
Artículo 289 del Código Penal Colombiano: “El que falsifique documento privado que pueda servir de prueba, incurrirá, si lo usa, en prisión de uno (1) a seis (6) años .”
"FIRM AND PROJECT INFORMATION "
E-MAIL ADDRESS
ENGLISH COMMUNICATION
(Ability to understand, write and read)
Has adverse criminal record?
Has political or business affiliation which could be considered contrary to the interests of the United
States.
ADDRESS AND CITY
ENGLISH COMMUNICATION
(Ability to understand, write and read)
Has all licenses and permits required by local law to perform?(Chamber of Commerce, Merchandise
Register, Professional Licenses, etc.)
Meets local insurance requirements (Prestaciones Sociales, ICA, Sena, etc.)
Has the ability to obtain a performance and guarantee bond and payment bond, or adequate performance security, such as irrevocable letters of credit or guarantees issued by a reputable financial institution. Include Information
File details come from the government source that posted it. Updated .