Business_Questionare_Attach_II.docx
DOCX document 12 KB Posted
- Attached to
- Community Treatment Services in Akron, Ohio area
- Solicitation number
- RFQ-CTS-026-16
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Business Questionnaire
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| Amendment.docx | DOCX document | |
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ATTACHMENT II
BUSINESS MANAGEMENT QUESTIONNAIRE
(a) Provide the work distribution, by percentage, among commercial contracts and Government contracts (including prime and subcontracts).
COMMERCIAL:_________percent GOVERNMENT:_________percent
(b) List the last three contracts awarded to your firm which are of a related nature, indicating for each the following:
(1) (a) Customer & Address _____________________________
(Phone) _____________________________
(b) Contract Number _____________________________
(c) Person to Contact ______________________________
(Phone) ______________________________
(d) Type of Work _____________________________
(e) Amount of Contract $_____________________________
(f) Contract Status [__] Active [__] Complete
(2) (a) Customer & Address ______________________________
(Phone) ______________________________
(b) Contract Number ______________________________
(c) Person to Contact _______________________________
(Phone) _______________________________
(d) Type of Work ________________________________
(e) Amount of Contract $______________________________
(f) Contract Status [__] Active [__] Complete___
(3) (a) Customer & Address ______________________________
(Phone) _______________________________
(b) Contract Number _____________________________
(c) Person to Contact ________________________________
(Phone) _____________________________
(d) Type of Work _____________________________
(e) Amount of Contract $___________________________
(f) Contract Status [__] Active [__] Complete
(4) Bank Reference:
(a) Name of Bank _____________________________________
(b) Address _____________________________________
(Phone) ______________________________________
(c) Person to Contact ________________________________
Phone:___________________ Email– Address:____________________
(5) Total estimated amount of work under this contract that your firm will complete (excluding subcontractors): _______percent
(6) Please provide your DUNS (Data Universal Numbering System) number
(7) If applicable, please provide your Parent Company's DUNS (Data Universal Numbering System) number ________________________
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