Attch_17_-_Preaward_Survey.pdf

PREAWARD SURVEY OF PROSPECTIVE

CONTRACTOR

(TECHNICAL)

SERIAL NUMBER (For surveying activity use)

PROSPECTIVE CONTRACTOR

OMB Control Number: 9000-0011 Expiration Date: 7/31/2017

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0011. We estimate that it will take 24 hours to read the instructions, gather the facts, and answer the questions.

Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S.

General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

1. RECOMMENDED

2. NARRATIVE (Include the following information concerning key personnel who will be involved with the prospective contract: (1) Names, qualifications/experience and length of affiliation with prospective contractor; (2) Evaluate technical capabilities with respect to the requirements of the proposal contract or item classifications); (3) Description of any technical capabilities which the prospective contractor lacks. Comment on the prospective contractor's efforts to obtain the needed technical capabilities.)

a. COMPLETE AWARD b. PARTIAL AWARD c. NO AWARD(Quantity: )

4. SURVEY

MADE BY

3. FIRM HAS AND/OR UNDERSTANDS (Give explanation for any items marked "NO" in 2. Narrative)

a. SPECIFICATIONS

c. DRAWINGS

5. SURVEY

REVIEWING

OFFICIAL

a. SIGNATURE AND OFFICE (Include typed or printed name) b. TELEPHONE NUMBER (Include area code)

c. DATE SIGNED

a. SIGNATURE AND OFFICE (Include typed or printed name) b. TELEPHONE NUMBER (Include area code)

c. DATE REVIEWED

IF CONTINUATION SHEETS

ATTACHED - MARK HERE

STANDARD FORM 1404 (REV. 1/2014)

Prescribed by GSA - FAR (48 CFR) 53.209-1(b)

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is usable.

YES NO

d. TECHNICAL DATA

REQUIREMENTS

b. EXHIBITS YES

YES NO

NO

YES NO

PREAWARD SURVEY OF PROSPECTIVE

CONTRACTOR

(TECHNICAL)

SERIAL NUMBER (For surveying activity use)

PROSPECTIVE CONTRACTOR

OMB Control Number: 9000-0011 Expiration Date: 7/31/2017 Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0011. We estimate that it will take 24 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

1. RECOMMENDED

2. NARRATIVE (Include the following information concerning key personnel who will be involved with the prospective contract: (1) Names, qualifications/experience and length of affiliation with prospective contractor; (2) Evaluate technical capabilities with respect to the requirements of the proposal contract or item classifications); (3) Description of any technical capabilities which the prospective contractor lacks. Comment on the prospective contractor's efforts to obtain the needed technical capabilities.)

a. COMPLETE AWARD

b. PARTIAL AWARD

c. NO AWARD (Quantity:

4. SURVEY

MADE BY

3. FIRM HAS AND/OR UNDERSTANDS (Give explanation for any items marked "NO" in 2. Narrative)

a. SPECIFICATIONS

c. DRAWINGS

5. SURVEY

REVIEWING

OFFICIAL

a. SIGNATURE AND OFFICE (Include typed or printed name)

b. TELEPHONE NUMBER(Include area code)

c. DATE SIGNED

a. SIGNATURE AND OFFICE (Include typed or printed name)

b. TELEPHONE NUMBER(Include area code)

c. DATE REVIEWED

IF CONTINUATION SHEETS

ATTACHED - MARK HERE

STANDARD FORM 1404 (REV. 1/2014) Prescribed by GSA - FAR (48 CFR) 53.209-1(b)

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is usable.

YES

NO

d. TECHNICAL DATA

REQUIREMENTS

b. EXHIBITS

YES

YES

NO

NO

YES

NO

8.2.1.4029.1.523496.503679