Attachment 5 - Firm and Project Information.pdf
PDF 158 KB Posted
- Attached to
- Pococi Swimming Pool Construction Federal contract opportunity
- Solicitation number
- 19AQMM22R0213
About this file
This document contains a questionnaire for firms to provide information on a construction project opportunity with the Department of State. The solicitation seeks a contractor to construct a swimming pool in Pococi. The questionnaire requests the firm name, address, phone number, owners and key personnel contact details. It also asks for any planned subcontractors or suppliers to be listed along with their contribution to the project as a percentage of total work. Additional questions ascertain the firm's English language abilities, licenses and permits, insurance coverage, and ability to obtain performance bonds. The document includes a certification for the legal representative to sign and date verifying the accuracy of the provided information.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 19AQMM22R0213 QA.pdf | ||
| 19AQMM22R0213 0001 Package.zip | ZIP file | |
| Attachment 2 - Bid Chart.xls | XLS spreadsheet | |
| Attachment 6 - Past Performance Questionnaire (PPQ).docx | DOCX document | |
| 19AQMM22R0213 B-M.pdf | ||
| 19AQMM22R0213.pdf | ||
| Attachment 1 - Pococi Training Pool SOW.pdf | ||
| Attachment 4 - Drawings.zip | ZIP file | |
| Attachment 3 - Pococi Training Pool Specifications.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .