Business Management Questionnaire.pdf
PDF 60 KB Posted
- Attached to
- Mobile Xray services for FCI Bastrop
- Solicitation number
- 15B50126Q00000013
About this file
This is a Business Management Questionnaire and Professional References template used to evaluate contractor qualifications and business capacity for federal contract opportunities.
The questionnaire requires contractors to provide their work distribution percentages between commercial and government contracts, including prime and subcontract work. Contractors must list their last three related contracts, with specific details for each including customer name and address, contract number, primary contact person with phone and email, type of work performed, contract amount, and current status (active or complete). The form also requests a bank reference with the financial institution's name, address, contact person, phone number, and email. Additionally, contractors must disclose the total estimated percentage of work their firm will complete directly, excluding subcontractor work, and provide their Unique Entity Identifier (UEI) number. If applicable, contractors must also supply their parent company's UEI number. Email addresses are marked as required fields for all contact information, ensuring government evaluators can directly communicate with references to verify contractor experience and financial standing.
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Other files
| File | Type | Posted |
|---|---|---|
| 15B50126Q00000013.pdf | ||
| 15-5215.txt | TXT text file |
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Text version
ATTACHMENT I
BUSINESS MANAGEMENT QUESTIONNAIRE / PROFESSIONAL REFERENCES
(a) Provide the work distribution, by percentage, among commercial contracts and Government contracts (including prime and subcontracts).
COMMERCIAL:_________percent GOVERNMENT:_________percent
(b) List the last three contracts awarded to your firm which are of a related nature, indicating for each of the following:
(1) (a) Customer & Address _____________________________
(Phone) _____________________________
(b) Contract Number _________________________________
(c) Person to Contact _________________________________
(Phone) _____________________________ (Email) _________________________________________ (Required)
(d) Type of Work _____________________________
(e) Amount of Contract $_________________________
(f) Contract Status [__] Active [__] Complete
(2) (a) Customer & Address _____________________________
(Phone) _____________________________
(b) Contract Number _________________________________
(c) Person to Contact _________________________________
(Phone) _____________________________ (Email) _________________________________________ (Required)
(d) Type of Work _____________________________
(3) (a) Customer & Address _____________________________
(Phone) ____________________________ (Email) _________________________________________ (Required)
(b) Contract Number ________________________________
(c) Person to Contact ________________________________
(Phone) _____________________________ (Email) _________________________________________ (Required)
(d) Type of Work _____________________________
(4) Bank Reference:
(a) Name of Bank ______________________
(b) Address _____________________________________________
(Phone) _______________________
(c) Person to Contact _________________________________
(Phone) __________________________ (Email) ________________________________________________(Required)
(5) Total estimated amount of work under this contract that your firm will complete (excluding subcontractors): _______percent
(6) Please provide your UEI number ______________________
(7) If applicable, please provide your Parent Company's UEI number ________________________
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