Exhibit A.pdf
PDF 163 KB Posted
- Attached to
- Common Stand Exams Federal contract opportunity
- Solicitation number
- 12444221R0032
- Issued by
- Department of Agriculture Forest Service
About this file
This document contains a solicitation for common stand exam services. The solicitation is issued by the U.S. Forest Service and seeks quotes for performance of work to provide common stand exam services for National Forests in Mississippi, National Forests and Grasslands in Texas, and Ouachita and Ozark-St. Francis National Forests in Arkansas. Quotes are due on October 4, 2021 at 2:00PM Central Time and shall be delivered electronically to the email address provided. The solicitation is set aside entirely for small business concerns. The Forest Service intends to award multiple Blanket Purchase Agreements as a result of this solicitation. Offerors must be registered in the System for Award Management to be eligible for award.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Wage Determination 1977-1428.pdf | ||
| Solicitation 12444221R0032.pdf | ||
| Exhibit B.pdf | ||
| Wage Determination 1979-1136.pdf |
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Text version
12444221R0032 Common Stand Exam Services
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 .