Contractor Info Sheet Lusaka LG.docx
DOCX document 24 KB Posted
- Attached to
- Local Guard Services - U. S. Embassy in Zambia Federal contract opportunity
- Solicitation number
- PR11800482
About this file
This document contains a contractor information sheet and details of a related federal contract opportunity for local guard services in Zambia. The information sheet requests business and licensing information from prospective contractors interested in the local guard services contract opportunity with the U.S. Embassy in Zambia. Prospective contractors are asked to provide details such as their legal business name, tax ID, UEI, address, point of contact, and whether they currently do business and have the required licenses to perform guard services in Zambia. Technical questions ask whether the contractor has previously performed such services in Lusaka, Zambia and whether they currently possess the necessary licenses. The related federal contract opportunity is listed as a pre-solicitation for local guard services at the U.S. Embassy in Zambia under solicitation number PR11800482, with the Department of State Office of Acquisition Management listed as the agency. Prospective contractors are requested to submit the completed information sheet by August 16, 2023 at 4 p.m. EST.
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Text version
Contractor/Vendor Information Sheet
Please fill in all information below, type or print information clearly. Please complete the following questions and return Eric R. Modrak (ModrakER@state.gov) by August 16, 2023 at 4 p.m. EST.
Legal Business Name:
Tax ID No: Unique Entity Identifier (UEI):
Mailing Address:
City, State, Zip Code:
Country:
Toll Free Number: Website Address:
Point of Contact:
Phone Number: Fax:
E-mail Address:
Country of Origin U.S. Firm ___ Foreign Vendor ___ Country: ___________
Size of Business:
Large ___ Small ___
Corporate Status:
Corporation ___ S-Corporation ___ Sole Proprietorship ___ Partnership ___ Other: _______________
Type of Ownership:
Woman ___ Veteran-owned___ (Service-disabled ____) Minority___ None of the Above ___ Other: _________________
Socio-Economic Status:
8(a) Status ___ HUBZone___ Disadvantaged____ None of the Above ___ Other:_________________
Registered in SAM: Yes No _
DCAA-approved accounting practices: Yes No _
Do you currently do business in Zambia? Yes No _
Have you performed guard services under NAICS code 561612? Yes____ No____
Can you obtain a security license in Zambia under your legal business name or a wholly owned subsidiary of your business? Yes____ No____
General Question:
1. The Government intends to award a contract that limits subcontracting of Standard Services, (i.e. labor and all cost associated.) Does the prospective contractor have the resources to stand-up and fully perform this contract requirement without partnering agreements or subcontracts?
YES
NO
Technical Questions:
1. Has the prospective contractor performed services in Lusaka, Zambia?
YES
NO
2. Has the prospective contractor performed guard services, under the NAICS code 561612-Security Guards and Patrol Services, in Lusaka, Zambia?
YES
3.If the answer to question one (1) is YES, then please identify the contract number and Government Agency and/or Commercial Organization.
4. Does the prospective contractor currently possess active licenses and/or permits to perform local guard services in Zambia?
YES
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