F15PS00279_Attach_10-_Local_Clause_10181.22.docx

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Landscape IDIQ contracts for the Pacific Region of the Fish and Wildlife Service
Solicitation number
F15PS00279
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Local Clause 10181.22

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Solicitation No. F15PS00279 Attachment 10 Title: MATOC IDIQ for Landscape Architect-Engineering Services for USFWS

Local clause 10181.22 Questionnaire of Offerors Responsibility

Offerors Name, Address:Telephone #
______________________________________Facsimile #
______________________________________E-Mail Address
______________________________________Duns#

How long in present business? ________________________________________________ Type of Organization:[ ] Individual [ ] Individual doing business as a Firm[ ] Partnership [ ] Joint Venture[ ] Corporation, Incorporated under the laws of the State of _________ [ ] Non-Profit Organization

Names of Officers, Owners, or Partners:Owners or Partners:________________________________ President: _____________________ Vice President: ___________________ Treasurer: _____________________ Secretary: _______________________

Individuals and their telephone numbers authorized to sign bids, offers, and contracts in your name:

1. ________________________________________________________________

2. ________________________________________________________________

Bonding Company: Telephone number and point of contact for Bonding company. ____________________________________________________________________________

Financial Position: Net Worth: ____________________ Date: ________________ Name, address. telephone number, account number, and point of contact for Financial Institutions that you do business with ___________________________________________________________________

Amount of money available and set aside purchasing supplies and paying employees until first payment is received under this contract $____________________________________

WORK PERFORMANCE: Current Construction Projects:

Contact Person/Tel. # Type of Construction $ Amount 1.____________________________________________________________________________

2. ____________________________________________________________________________

Past Construction Projects completed during the past three years. (Preferably Government Type - (Federal, State, County):

Contact Person/Tel. # Type of Construction $ Amount

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. _________________________________________________________________________(

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