Business_Management_Questionnaire.pdf

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Community Treatment Services in Dayton, OH
Solicitation number
RFQ-CTS-040-16
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Business Management Questionnaire

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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) Contract Number

(b) Customer & Address

(c) Person to Contact

(Phone)

(Email)

(d) Type of W ork

(e) Amount of Contract $

(f) Contract Status [__] Active [__] Complete

(2) (a) Contract Number

(Email)

(d) Type of W ork

(e) Amount of Contract $

(f) Contract Status [__] Active [__] Complete

(3) (a) Contract Number

(Email)

(d) Type of W ork

(e) Amount of Contract $

(f) Contract Status [__] Active [__] Complete bop41398 Typewritten Text Attachment II

(4) Bank Reference:

(a) Name of Bank:

(b) Person to Contact:

Address:

Phone:

Email:

(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

(8) Please provide a contact person for your company for us to contact with questions:

Name:

Telephone:

Email address:

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