Attachment 5 - Firm and Project Information.pdf
PDF 158 KB Posted
- Solicitation number
- 19aqmm25r0004
About this file
This document is a Firm and Project Information Questionnaire that is part of a federal contract opportunity for the Siquirres Community Center Renovation project in Costa Rica. The questionnaire collects information about the firm submitting a proposal, including key personnel, subcontractors, suppliers, and the firm's capabilities and qualifications to perform the work. It requires the firm to certify the accuracy of the information provided and confirm compliance with requirements such as English communication ability, lack of adverse criminal record, possession of required licenses and permits, and ability to obtain performance and payment bonds. The overall federal contract opportunity is solicited by the Department of State Office of Acquisition Management, with a solicitation number of 19aqmm25r0004.
View the file
Other files
Show all 16
On GovTribe
Work with this file
- 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 .