Attachment_7_Business_Management_Questionnaire.pdf

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Prison Rape Elimination Act (PREA) Compliance Audits
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Business Management Questionnaire

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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 Contract: _________________________________

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 Contract: __________________________________

Phone: ___________________________________________

(d) Type of Work: ______________________________________

(e) Amount of Contract: $___ _____________________________

(3) (a) Customer & Address:_________________________________

Phone: ___ ________________________________

(b) Contract Number: ___________________________ ___

(c) Person to Contact: _ ________________________________

Phone: __________________________________________

(d) Type of Work: _____________________________________

(e) Amount of Contract: $_______________________________

(4) Bank Reference:

(a) Name of Bank: _____________________________________

(b) Address: __________________________________________

Phone: _____________________________ _____________

(c) Person to Contact: __________________ _______________

Phone: __________________________________________

(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 number.

(8) Please provide your Tax Identification Number (TIN)

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