Exhibit A.pdf
PDF 145 KB Posted
- Attached to
- Grounds Maintenance Services located at the Poteau Office and Poteau Work Center, Ouachita National Forest
- Solicitation number
- 12444224R0005
- Issued by
-
Department of Agriculture Forest Service
About this file
The provided document is an Exhibit A: Contractor's Financial Information Sheet, which is a form required as part of a federal contract opportunity. The key details are:
The document requests general information about the contractor, including their business type, taxpayer ID, contact information, and the type of products/services provided. It also asks about the contractor's financial status, including any outstanding debts, judgements, or bankruptcies. Additionally, it inquires about the contractor's current government financing and indebtedness.
The related federal contract opportunity is for Grounds Maintenance Services at the Poteau Office and Poteau Work Center, Ouachita National Forest. It is a 100% small business set-aside, with a NAICS code of 561730 and a $9.5 million size standard. Quotes are due on May 01, 2024 at 12:00PM Central Time, and the contract will be awarded by the United States Forest Service. Offerors must be registered in the System for Award Management (SAM) to be eligible.
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Other files
| File | Type | Posted |
|---|---|---|
| PWS_PCS-Office and WC Grounds Maintenance.pdf | ||
| Wage Rates.pdf | ||
| Exhibit B.pdf | ||
| Solicitation_12444224R0005.pdf |
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Text version
Exhibit A: CONTRACTOR’S FINANCIAL INFORMATION SHEET
SECTION 1 – GENERAL INFORMATION
1A.NAME 2. TYPE OF ORGANIZATION (CHECK ONE)
A. Sole Proprietorship F. LLC
1B. STREET ADDRESS B. General Partnership
G. Joint Venture C. Limited Partnership H. Non-Profit/Education
1C. CITY 1D. STATE 1E. ZIP/POSTAL D. Corporation I. Other: Specify E. Subchapter S.
3. TAXPAYER ID NUMBER : 4. PHONE NUMBER 5. FAX NUMBER
6. DUNS NUMBER: 7. CELLPHONE NUMBER
8. KIND OF PRODUCT OR SERVICE PROVIDED: 9. EMAIL ADDRESS
10. KIND OF BUSINESS- Specify one block (plus “J” if applicable)
A. LARGE BUSINESS E. EMERGING SMALL
BUSINESS
I. INDIAN SDB
B. SMALL BUSINESS F. VETERAN SMALL BUSINESS J. HUB ZONE - Also
C. SMALL DISADVANTAGED BUSINESS G. SERVICE DISABLED
VETERAN OWNED SMALL
BUSINESS
K. Other: Please Specify
D. WOMAN OWNED SMALL BUSINESS H. INDIAN SMALL BUSINESS
11. OWNERSHIP INFORMATION – PARTNERS – PRINCIPALS - OTHERS
NAME TITLE
13.
14.
15.
16. Questions. If “Yes” to any below, attach detailed information. Yes No A. Have you/your affiliates ever filed for bankruptcy?
B. Do you have any judgments, liens, pending suits?
C. Do you have any contingent liabilities?
D. Have you/your affiliates discontinued business operations with outstanding debts?
SECTION II. GOVERNMENT FINANCIAL AID AND INDEBTEDNESS
If “Yes”, attach detailed information.
Yes No
17. Are you delinquent on any Federal Debt (OMB Circular 129)
18. Do you owe the Government for any contract or other claims?
19. Are you currently receiving Government Financing? (Bonds, Loans, Advanced Payments, Progress Payments, Other)
19a. Are you now in or pending Default on ANY Obligations (i.e. Banks, Financial Institutions, Suppliers, Other)? IF yes please attach detailed information.
File details come from the government source that posted it. Updated .