Exhibit A.pdf

PDF 111 KB Posted

Attached to
Archaeological / Cultural Heritage Services Federal contract opportunity
Solicitation number
12444221R0034
Issued by
Department of Agriculture Forest Service

About this file

This combined synopsis and solicitation requests offers for archaeological and cultural heritage services for several national forests. Responsible small businesses may submit offers, as the requirement is entirely set aside for small concerns. Services include performance of work described in the performance work statement for the National Forests in Mississippi, National Forests and Grasslands in Texas, Kisatchie National Forest in Louisiana, and Ouachita and Ozark-St. Francis National Forests in Arkansas. Quotes are due October 25th, 2021 at 2:00PM Central Time and shall be submitted electronically to the named point of contact. 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 an award.

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Solicitation 12444221R0034.pdf PDF
Exhibit B.pdf PDF

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Text version

12444221R0034 Archaeological/Cultural Heritage 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 .