Business Management Questionnaire.pdf
PDF 73 KB Posted
- Attached to
- SV0173-25 Flagpole Base Repair
- Solicitation number
- SV0173-25
About this file
The Business Management Questionnaire is a detailed form designed to collect comprehensive contract performance history and financial information from potential contractors for the Federal Prison Industries (UNICOR) flagpole base repair project. The document requires prospective bidders to provide extensive details about their past five government or commercial contracts, including customer information, contract specifics (type, number, amount, status), percentage of facility and staff devoted to each contract, and the name of the cognizant contracting officer.
Additionally, the questionnaire mandates disclosure of any contract defaults within the last 36 months and requires submission of a bank reference. The purpose of this document is to help the government assess contractor responsibility in accordance with Federal Acquisition Regulation Part 9, specifically for the SV0173-25 solicitation to repair flagpole areas at a federal building located at 400 1st St NW, Washington DC 20534. Key dates include a site visit on April 15, a deadline for questions on April 16, and a proposal submission deadline of May 2.
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| File | Type | Posted |
|---|---|---|
| 1600002400 SV0173-25 Flagpole Base Repair.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: ___________________________________________________________
FPI9999.999-9 2
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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