Attachment 7 - Exhibit A.pdf
PDF 231 KB Posted
- Attached to
- Janitorial Services located at the USDA Forest Service office buildings on the Alexandria Forestry Center.
- Solicitation number
- 12444222R0009
- Issued by
-
Department of Agriculture Forest Service
About this file
This document includes an exhibit attachment and federal contract opportunity solicitation. The exhibit attachment is a contractor's financial information sheet requesting details on the offeror's organization, ownership, tax identification, prior bankruptcies, judgments, contingent liabilities, discontinued operations, and government financing.
The federal contract opportunity solicitation is for janitorial services at the USDA Forest Service office buildings located at the Alexandria Forestry Center in Louisiana. Services include cleaning administration, research, engineering, forest health, maintenance, motor pool, insectary, workshop and warehouse buildings. The firm-fixed price, performance-based contract will have a one year base period from date of award through March 31, 2023 and four one-year option periods. The solicitation is set aside 100% for small businesses. A pre-proposal site visit will take place on March 29, 2022 and proposals are due by email to rakeem.bolden@usda.gov. Award will be made based on best value and can be made on initial offers.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 6 - Checklist.pdf | ||
| Attachment 4 - Map.docx | DOCX document | |
| Attachment 2 - Wage Determination.pdf | ||
| Attachement 5 - Experience.pdf | ||
| Attachment 3 - Statement of Work.docx | DOCX document | |
| Solicitation 12444222R0009.pdf | ||
| Attachment 1 - Schedule of Items.docx | DOCX document |
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Text version
127444222R0009 Janitorial Services at the Alexandria Forestry Center
Exhibit A: CONTRACTOR’S FINANCIAL INFORMATION SHEET
SECTION 1 – GENERAL INFORMATION
1A.NAME 2. TYPE OF ORGANIZATION (CHECK ONE)
A. Sole Proprietorship F. LLC
1B. STREET ADDRESS B. General Partnership G. Joint Venture
C. Limited Partnership H. Non-Profit/Education 1C. CITY 1D. STATE 1E. ZIP/POSTAL D. Corporation I. Other: Specify
E. Subchapter S.
3. TAXPAYER ID NUMBER : 4. PHONE NUMBER 5. FAX NUMBER
6. DUNS NUMBER: 7. CELLPHONE NUMBER
8. KIND OF PRODUCT OR SERVICE PROVIDED: 9. EMAIL ADDRESS
10. KIND OF BUSINESS- Specify one block (plus “J” if applicable)
A. LARGE BUSINESS E. EMERGING SMALL
BUSINESS
I. INDIAN SDB
B. SMALL BUSINESS F. VETERAN SMALL BUSINESS J. HUB ZONE - Also
C. SMALL DISADVANTAGED BUSINESS G. SERVICE DISABLED
VETERAN OWNED SMALL
BUSINESS
K. Other: Please Specify
D. WOMAN OWNED SMALL BUSINESS H. INDIAN SMALL BUSINESS
11. OWNERSHIP INFORMATION – PARTNERS – PRINCIPALS - OTHERS
NAME TITLE
13.
14.
15.
16. Questions. If “Yes” to any below, attach detailed information. Yes No A. Have you/your affiliates ever filed for bankruptcy?
B. Do you have any judgments, liens, pending suits?
C. Do you have any contingent liabilities?
D. Have you/your affiliates discontinued business operations with outstanding debts?
SECTION II. GOVERNMENT FINANCIAL AID AND INDEBTEDNESS
If “Yes”, attach detailed information.
Yes No
17. Are you delinquent on any Federal Debt (OMB Circular 129)
18. Do you owe the Government for any contract or other claims?
19. Are you currently receiving Government Financing? (Bonds, Loans, Advanced Payments, Progress Payments, Other)
19a. Are you now in or pending Default on ANY Obligations (i.e. Banks, Financial Institutions, Suppliers, Other)? IF yes please attach detailed information.
File details come from the government source that posted it. Updated .