Business Management Questionnaire.docx
DOCX document 16 KB Posted
- Solicitation number
- SV0171-25
About this file
The document provided is a Business Management Questionnaire that appears to be part of a federal contract solicitation. The questionnaire requests information about the offeror's past performance on up to five similar government or commercial contracts, including customer details, contract type and number, amount, status, and the percentage of the offeror's facility and staff devoted to each contract. It also asks the offeror to provide information on any contracts they were defaulted on in the last 36 months, as well as a bank reference. This information will be used by the government to determine the offeror's responsibility in accordance with Federal Acquisition Regulation Part 9.
The related federal contract opportunity is a Request for Quote (RFQ) for factory assistance services, including finance and R2 certification, issued by the Department of Justice Bureau of Prisons Correctional Facilities. The solicitation is set aside for small businesses with a size standard of $21.5 million. UNICOR, Federal Prison Industries, Inc. intends to award a firm-fixed-price, one-time Purchase Order for these services.
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Other files
| File | Type | Posted |
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| Amendment 002 Revised SOW.pdf | ||
| Amendment 002 Revised SOW.pdf | ||
| Amendment 001 QA.pdf | ||
| DOJ 05 Security of Department Information and Systems (OCT 2023) (003).docx | DOCX document | |
| SV0171-25 1600002119.pdf |
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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.10 | Name 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)
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