FPI9999 Business Management Questionnaire.pdf

This is a Business Management Questionnaire (Form FPI 9999.999-9) used as a federal contracting form to assess contractor responsibility and past performance.

Section I requires prospective contractors to provide information about the last five Government contracts performed that are similar to the solicitation requirements, or commercial contracts if fewer than five Government contracts have been performed. For each contract, contractors must submit: customer name and address, cognizant Contracting Officer name, telephone number, contract type, contract number, contract amount, contract status (active or complete), percent of facility devoted to the contract, and percent of staff devoted to the contract. The form provides space for five separate contract entries (labeled A through E).

Section II requires disclosure of any contracts awarded to the firm in which the firm was defaulted within the last 36 months, including customer name and address, cognizant Contracting Officer name, telephone number, contract type, contract number, contract amount, and reason for default. Section III requests a bank reference with the bank name and address, point of contact, and telephone number. The questionnaire explicitly states it will be used to assist the Government in determining if a prospective contractor is responsible in accordance with Federal Acquisition Regulation Part 9.