ATT_4_PROPOSAL_SUBMISSION_PACKAGE.pdf

SOLICITATION P17PS00694: ATTACHMENT #4

PROPOSAL SUBMISSION PACKAGE

INSTRUCTIONS: The following forms should be used to prepare proposals for the subject solicitation as applicable.

CONTENTS:

For Technical Volume:

1. Past Performance Questionnaire

For Business & Price Volume:

1. Hazardous Materials & Proposed Equals

PAST PERFORMANCE QUESTIONNAIRE

I. CONTRACT IDENTIFICATION

CONTRACTOR NAME: CONTRACT NO:

CONTRACTOR ADDRESS:

CONTRACT TYPE:

[ ] FIRM-FIXED-PRICE

[ ] COST REIMBURSEMENT

[ ] OTHER____________________________

[ ] ACTIVE [ ] COMPLETED

[ ] ROUTINE [ ] COMPLEX

DATES OF PERFORMANCE: AWARD AMOUNT $___________________

TOTAL WITH MODS $___________________

PROJECT DESCRIPTION:

II. AGENCY (CUSTOMER) IDENTIFICATION

AGENCY/CLIENT (CUSTOMER) NAME:

TITLE/PHONE:

HAZARDOUS MATERIALS IDENTIFICATION LISTING

In accordance with Clause 52.223-3, Hazardous Material Identification and Material Safety Data, of the Contract, contractor is required to identify any hazardous materials that will be delivered under this contract.

List below all known hazardous materials to be used in performance of the work and submit with the proposal/bid. If material components are unknown at the time of submission, respond with a statement to that effect.