Business Management Questionnaire.docx
DOCX document 20 KB Posted
- Attached to
- AR COATING LAB Federal contract opportunity
- Solicitation number
- SV0214-26
About this file
This is a Business Management Questionnaire template designed to assess prospective contractor responsibility in accordance with Federal Acquisition Regulation Part 9 for the AR Coating Lab solicitation (SV0214-26) issued by the Department of Justice Bureau of Prisons Correctional Facilities.
The questionnaire requires submission of detailed information on up to five similar government or commercial contracts performed by the bidding firm, including customer name and address, contract number and type, contract amount, current status, percentage of facility and staff devoted to each contract, and the cognizant contracting officer's name. Additionally, bidders must disclose any contracts awarded within the last 36 months that resulted in default by any Federal Agency, providing the customer information, contract details, contract amount, and stated reasons for default. The questionnaire also requires a bank reference including the financial institution's name, address, point of contact, and telephone number. This form serves as a pre-award qualification document to establish bidder financial stability, relevant experience, and past performance in government contracting.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SV0214-26 Q AND A.pdf | ||
| SF30 SV0214-26 MOD 0002.pdf | ||
| SF30 SV0214-26 MOD 0001.pdf | ||
| ACH Vendor Enrollment Form 2024.pdf | ||
| NCIC.pdf | ||
| AR COATING LAB SOLICITATION.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 five or more 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)
File details come from the government source that posted it. Updated .