B08_Bidder_s_Responsibility.doc

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OK-WICHITA MTNS WILDL RFG-HEAVY EQP LEAS
Solicitation number
140F0822Q0003
Issued by

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This document is a questionnaire for evaluating a bidder's responsibility on a federal contract opportunity. It requests information on the bidder's organization type, ownership, number of employees, average annual gross revenues, years in business, completed and in-progress similar projects, and authorized representatives.

The related federal contract opportunity is a solicitation to lease heavy equipment from the Wichita Mountain National Wildlife Refuge. The solicitation number is 140F0822Q0003 and is titled "OK-WICHITA MTNS WILDL RFG-HEAVY EQP LEAS." The contracting agency is the Department of the Interior Fish and Wildlife Service. The solicitation requests bids to lease heavy equipment for use at the Wichita Mountain National Wildlife Refuge in Oklahoma.

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QUESTIONNAIRE OF BIDDER’s/OFFEROR’s RESPONSIBILITY Bidder’s DUNs Number:_________________

Bidder's Name, Address

Telephone #: ________________________

Facsimile #: ________________________ *Number of Employees *Average Annual Gross Revenues __ 50 or fewer __ $1 million or less

__ 51-100 __ $1,000,001-$2 million

__ 101-250 __ $2,000,001-$3.5 million

__ 251-500 __ $3,500,001-$5 million

__ 501-750 __ $5,000,001-$10 million

__ 751-1,000 __ $10,000,001-$17 million

__ Over 1,000 __ Over $17 million (*This information is not mandatory and used only to aid in determining business Size Standard)

How long in present business? ________________________________ Type of Organization:

[ ] Individual

[ ] Individual doing business as a Firm [ ] Partnership

[ ] Joint Venture [ ] Corporation, Incorporated under the laws of the State of _______________________ [ ] Non-Profit Organization Names of Officers, Owners, or Partners:

Owners or Partners: ___________________________________ President: _________________________________ Vice President: ____________________________ Treasurer: _________________________________ Secretary: ________________________________ Individuals and their telephone numbers authorized to sign bids, offers, and contracts in your name:

1. _____________________________________________________

2. _____________________________________________________ Name, address, and telephone number of persons for organization of similar projects completed during the past three years. (Preferably Government Type - (Federal, State, County):

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________ Name and telephone number of person for organization of similar projects in progress:

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________

File details come from the government source that posted it. Updated .