J.5 - Organization Information.docx

DOCX document 22 KB Posted

Attached to
Long-Term Pavement Performance Data Collection Services Federal contract opportunity
Solicitation number
693JJ323R000009
Issued by
Department of Transportation Federal Highway Administration

About this file

This document contains an organizational information checklist for a federal contract proposal. The proposal requests information on the offeror's company name, address, DUNS number, and tax ID to match the information registered in SAM.gov. Contact information is also requested for the primary point of contact. The checklist asks the offeror to confirm whether their proposal includes an executed SF-33 form acknowledging any amendments, a complete active SAM.gov registration, and a subcontracting plan for other than small businesses. It also requests confirmation that labor rates have been provided for all five years for all labor categories.

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Text version

Attachment J.5: Other Financial / Organizational Information

I. BACKGROUND:

A. Offeror Information:

The Offeror shall provide the official Company Name, Address, DUNS Number, and TIN Number of the legal bidding entity as specified on the SF 33. The DUNS Number must be located in the SAM.gov and the Company’s Official Name and Address must match the Company’s Name and Address with the corresponding DUNS Number.

Official Company Name:

Official Company Address:

DUNS Number:

Federal Tax ID Number (TIN) (Nine Digits)

B. Primary Point of Contact:

The Offeror shall provide the contract information of an authorized representative.

Name:

Title:

Office Phone:

Mobile Phone:

E-Mail:

Mailing Address

II. CHECKLIST:

The Offeror shall answer each question by checking only one box. If the answer is NO, the Offeror shall provide an explanation.

1. Does your offer include an executed SF 33 and acknowledges all amendments issued (if applicable)?

YES |_|

NO |_|

2. Is the Offeror registered in the SAM.gov Database AND have an active registration?

YES |_|

NO |_|

NOTE: If the Offeror does not have an active registration in the SAM database at the time of proposal submission, the proposal may be deemed unresponsive and removed from the competition.

3. Does your offer include a Subcontracting Plan? (Required for Other Than Small Business Concerns only)

YES |_|

N/A |_| (Small Business Concern)

4. Does your offer include a complete Attachment J.1. with labor rates for ALL labor categories for all five (5) years in?

YES |_|

NO |_|

File details come from the government source that posted it. Updated .