Business Management Questionnaire.docx

DOCX document 16 KB Posted

Attached to
FN1515-21 Install Federal contract opportunity
Solicitation number
FN1515-21
Issued by
Department of Justice Bureau of Prisons Correctional Facilities

About this file

This document contains a business management questionnaire and details of a federal contract solicitation for installation services. The Bureau of Prisons is seeking a firm fixed price indefinite delivery/indefinite quantity contract for a base year plus four option years for mezzanine, shelving, and pallet racking installation at its facility in Forrest City, Arkansas. The NAICS code is 238390 and offers are due by January 22, 2021. Offerors must complete the business management questionnaire, provide three references for similar work and scope, and acknowledge any amendments. The award will be made to the responsible offeror representing best value.

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Text version

FPI9999.999-9 1

Business Management Questionnaire I. Provide the following information pertaining to the last five Government contracts performed by your firm which are similar to the requirements of this solicitation. If you have not performed fiver government contracts, you may include commercial contracts.

A.1.Customer Name:_______________________________________________________________________
A.2.Customer Address:________________________________________________________________________
________________________________________________________________________
A.3.Telephone Number:________________________________________________________________________
A.4.Type of Contract:________________________________________________________________________
A.5.Contract #:________________________________________________________________________
A.6.Amount of Contract:________________________________________________________________________
A.7.Contract Status:________________________________________________________________________
A.8.Percent of Facility Devoted to Contract:___________________________________________________________
A.9.Percent of Staff Devoted to Contract:___________________________________________________________
A.10Name of Cognizant Contracting Officer:___________________________________________________________
B.1.Customer Name:_______________________________________________________________________
B.2.Customer Address:________________________________________________________________________
________________________________________________________________________
B.3.Telephone Number:________________________________________________________________________
B.4.Type of Contract:________________________________________________________________________
B.5.Contract #:________________________________________________________________________
B.6.Amount of Contract:________________________________________________________________________
B.7.Contract Status:________________________________________________________________________
B.8.Percent of Facility Devoted to Contract:___________________________________________________________
B.9.Percent of Staff Devoted to Contract:___________________________________________________________
B.10.Name of Cognizant Contracting Officer:___________________________________________________________
C.1.Customer Name:_______________________________________________________________________
C.2.Customer Address:________________________________________________________________________
________________________________________________________________________
C.3.Telephone Number:________________________________________________________________________
C.4.Type of Contract:________________________________________________________________________
C.5.Contract #:________________________________________________________________________
C.6.Amount of Contract:________________________________________________________________________
C.7.Contract Status:________________________________________________________________________
C.8.Percent of Facility Devoted to Contract:___________________________________________________________
C.9.Percent of Staff Devoted to Contract:___________________________________________________________
C.10.Name of Cognizant Contracting Officer:___________________________________________________________
D.1.Customer Name:_______________________________________________________________________
D.2.Customer Address:________________________________________________________________________
________________________________________________________________________
D.3.Telephone Number:________________________________________________________________________
D.4.Type of Contract:________________________________________________________________________
D.5.Contract #:________________________________________________________________________
D.6.Amount of Contract:________________________________________________________________________
D.7.Contract Status:________________________________________________________________________
D.8.Percent of Facility Devoted to Contract:___________________________________________________________
D.9.Percent of Staff Devoted to Contract:___________________________________________________________
D.10.Name of Cognizant Contracting Officer:___________________________________________________________
E.1.Customer Name:_______________________________________________________________________
E.2.Customer Address:________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
E.3.Telephone Number:________________________________________________________________________
E.4.Type of Contract:________________________________________________________________________
E.5.Contract #:________________________________________________________________________
E.6.Amount of Contract:________________________________________________________________________
E.7.Contract Status:________________________________________________________________________
E.8.Percent of Facility Devoted to Contract:___________________________________________________________
E.9.Percent of Staff Devoted to Contract:___________________________________________________________
E.10.Name of Cognizant Contracting Officer:___________________________________________________________

II. Provide the following information pertaining to any contracts awarded to your firm in which your firm was defaulted in the last 36 months. Provide the information identified below for each contract defaulted by any Federal Agency. If more space is needed, provide the information and include it as an attachment.

1. Customer Name:________________________________________________________________________
2. Address:________________________________________________________________________
3. Telephone Number:________________________________________________________________________
4. Type of Contract:________________________________________________________________________
5. Contract Number:________________________________________________________________________

6. Amount of Contract:_______________________________________________________________________

7. Reason Contract Defaulted: _________________________________________________________________

III. Provide a bank reference to include the following information:

1. Bank Name:________________________________________________________________________
2. Bank Address:________________________________________________________________________

3. Point of Contact: ________________________________________________________________________

4. Telephone Number:________________________________________________________________________

Questionnaire will be used to assist the government in determining if a prospective contractor is responsible in accordance with Federal Acquisition Regulation Part 9.

(End of Section)

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