FPI_9999.999-9_ _Business_Management_Questionnaire _rev._2015.docx

Business Management Questionnaire Instructions: Offerors submit recent and relevant information concerning contracts and subcontracts (Federal, State, local government or private) which demonstrates their ability to preform 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 you company:

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

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

Name of Bank:

Address:

Point of Contact: Telephone Number: