Telecom Response Template.doc

Defense Security Service

Telecom Response Template

RFQ HS0021-11-P-0052

General Information

Business Name:

DUNS:

Address:

City:

State:

Zip:

Years Experience doing tasks in the SOW: FORMDROPDOWN

Years Experience doing similar tasks for the Federal Government: FORMDROPDOWN

Years Experience doing similar tasks for DoD: FORMDROPDOWN

Managed Multiple locations for same entity: FORMCHECKBOX Yes FORMCHECKBOX No Equipment is 508 compliant: FORMCHECKBOX Yes FORMCHECKBOX No

Where can 508 information be found: FORMDROPDOWN

URL:

Specific Experience and Past Performance References Specific Experience (1)

Agency or Business:

Contract Number:

Period of Performance:

Narrative of Work Accomplished:

Name of person familiar with your performance:

Position within the entity:

Telephone Number:

Email:

Specific Experience (2)

Period of Performance:

Specific Experience (3)

Period of Performance:

Solution Summary Basic Solution: FORMDROPDOWN

If PBX, Make & Model:

Make and Model of Phones:

Number of phones provided: FORMDROPDOWN

If PRI included, how many: FORMDROPDOWN

DID for every phone: FORMCHECKBOX Yes FORMCHECKBOX No If not, how many: FORMDROPDOWN

Digital or Analog system but VOIP Capable: FORMCHECKBOX Yes FORMCHECKBOX No

BRI: FORMCHECKBOX

Analog FORMCHECKBOX Digital How Many BRIs: FORMDROPDOWN

Confirm alarm, Fax, and BRI lines not running thru PBX: FORMCHECKBOX Yes

Local Carrier:

Long Distance Carrier:

Acknowledgement of Amendments as of response date (If any):

FORMCHECKBOX

Amendment 0001 Subject:

Amendment 0002

Amendment 0003

Terms & Conditions:

Agree to all terms and conditions as stated in the RFQ � If this question is answered affirmatively, then list this work as one of your experience/past performance references. If the work of managing multiple offices for a single entity involves multiple contract numbers enter “multiple” instead of an actual contract number.