businessmanagementquestionaire.doc

INSTRUCTIONS: Offerors submit recent and relevant information concerning contracts and subcontracts (Federal, State, local government or private) which demonstrates their ability to perform the proposed effort: (One contract reference per form. Form may be duplicated.)

Contract Number:_______________________________________________

Contractor (Name, Address, Zip Code & Telephone # & Email address):

Type of Contract:_________________________________________________

Contract Dollar Value:_____________________________________________

Date of Award:_________________ Date Completed:__________________

(IF not completed, provide status):

Type/Extent of Subcontracting:

Complexity of Product/Service:

Percentage of Work completed by your company:________________________

Description of supply/service(s) provided, location & relevancy of work:

Name, Title, Address, Telephone Number & E-mail of the Contact Person:

Name of Bank:____________________________________________________

Address:_________________________________________________________

Point of Contact:__________________________________________________

Telephone Number:________________________________________________