Questionnaire_Of_Bidders_Responsibility_-_4584131.doc

QUESTIONNAIRE OF BIDDERS RESPONSIBILITY

Trash collection, Public restroom and Visitor Center/Office facilities

Janitorial Services

U.S. Fish and Wildlife Service

Vieques National Wildlife Refuge

Vieques, Puerto Rico

Bidder's Name, Address

Telephone #: ________________________

Facsimile #: ________________________ How long in present business? ________________________________ Type of Organization:

[ ] Individual

[ ] Individual doing business as a Firm [ ] Partnership

[ ] Joint Venture [ ] Corporation, Incorporated under the laws of the State of _______________________ [ ] Non-Profit Organization Names of Officers, Owners, or Partners:

Owners or Partners: ___________________________________ President: _________________________________ Vice President: ____________________________ Treasurer: _________________________________ Secretary: ________________________________ Individuals and their telephone numbers authorized to sign bids, offers, and contracts in your name:

1. _____________________________________________________

2. _____________________________________________________ Name, address, and telephone number of persons for organization of similar projects completed during the past three years. (Preferably Government Type - (Federal, State, County):

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________ Name and telephone number of person for organization of similar projects in progress:

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________