Business Management Questionnaire.docx
DOCX document 16 KB Posted
- Attached to
- SV0131-23 Admin Kits Federal contract opportunity
- Solicitation number
- SV0131-23
About this file
This document contains a business management questionnaire for federal contract opportunity SV0131-23 Admin Kits with the Department of Justice Bureau of Prisons Correctional Facilities. The questionnaire requests information on the last five similar government contracts performed by the firm, including customer name and address, contract number, amount, status and percentage of facility and staff devoted to the contract. It also asks if the firm has ever defaulted on a federal contract in the last 36 months and requests a bank reference. The questionnaire will be used to determine the prospective contractor's responsibility in accordance with the Federal Acquisition Regulation Part 9.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FY23 New ADMKIT Contract - Estimated Qty for 3 years.xlsx | XLSX spreadsheet | |
| SV0131-23.pdf |
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Text version
FPI9999.999-9 1
Business Management Questionnaire I. Provide the following information pertaining to the last five Government contracts performed by your firm which are similar to the requirements of this solicitation. If you have not performed fiver government contracts, you may include commercial contracts.
| A.1. | Customer Name: | _______________________________________________________________________ | ||
| A.2. | Customer Address: | ________________________________________________________________________ | ||
| ________________________________________________________________________ | ||||
| A.3. | Telephone Number: | ________________________________________________________________________ | ||
| A.4. | Type of Contract: | ________________________________________________________________________ | ||
| A.5. | Contract #: | ________________________________________________________________________ | ||
| A.6. | Amount of Contract: | ________________________________________________________________________ | ||
| A.7. | Contract Status: | ________________________________________________________________________ | ||
| A.8. | Percent of Facility Devoted to Contract: | ___________________________________________________________ | ||
| A.9. | Percent of Staff Devoted to Contract: | ___________________________________________________________ | ||
| A.10 | Name of Cognizant Contracting Officer:___________________________________________________________ |
| B.1. | Customer Name: | _______________________________________________________________________ | ||
| B.2. | Customer Address: | ________________________________________________________________________ | ||
| ________________________________________________________________________ | ||||
| B.3. | Telephone Number: | ________________________________________________________________________ | ||
| B.4. | Type of Contract: | ________________________________________________________________________ | ||
| B.5. | Contract #: | ________________________________________________________________________ | ||
| B.6. | Amount of Contract: | ________________________________________________________________________ | ||
| B.7. | Contract Status: | ________________________________________________________________________ | ||
| B.8. | Percent of Facility Devoted to Contract: | ___________________________________________________________ | ||
| B.9. | Percent of Staff Devoted to Contract: | ___________________________________________________________ | ||
| B.10. | Name of Cognizant Contracting Officer: | ___________________________________________________________ |
| C.1. | Customer Name: | _______________________________________________________________________ | ||
| C.2. | Customer Address: | ________________________________________________________________________ | ||
| ________________________________________________________________________ | ||||
| C.3. | Telephone Number: | ________________________________________________________________________ | ||
| C.4. | Type of Contract: | ________________________________________________________________________ | ||
| C.5. | Contract #: | ________________________________________________________________________ | ||
| C.6. | Amount of Contract: | ________________________________________________________________________ | ||
| C.7. | Contract Status: | ________________________________________________________________________ | ||
| C.8. | Percent of Facility Devoted to Contract: | ___________________________________________________________ | ||
| C.9. | Percent of Staff Devoted to Contract: | ___________________________________________________________ | ||
| C.10. | Name of Cognizant Contracting Officer: | ___________________________________________________________ |
| D.1. | Customer Name: | _______________________________________________________________________ | ||
| D.2. | Customer Address: | ________________________________________________________________________ | ||
| ________________________________________________________________________ | ||||
| D.3. | Telephone Number: | ________________________________________________________________________ | ||
| D.4. | Type of Contract: | ________________________________________________________________________ | ||
| D.5. | Contract #: | ________________________________________________________________________ | ||
| D.6. | Amount of Contract: | ________________________________________________________________________ | ||
| D.7. | Contract Status: | ________________________________________________________________________ | ||
| D.8. | Percent of Facility Devoted to Contract: | ___________________________________________________________ | ||
| D.9. | Percent of Staff Devoted to Contract: | ___________________________________________________________ | ||
| D.10. | Name of Cognizant Contracting Officer: | ___________________________________________________________ |
| E.1. | Customer Name: | _______________________________________________________________________ | ||
| E.2. | Customer Address: | ________________________________________________________________________ | ||
| ________________________________________________________________________ | ||||
| ________________________________________________________________________ | ||||
| E.3. | Telephone Number: | ________________________________________________________________________ | ||
| E.4. | Type of Contract: | ________________________________________________________________________ | ||
| E.5. | Contract #: | ________________________________________________________________________ | ||
| E.6. | Amount of Contract: | ________________________________________________________________________ | ||
| E.7. | Contract Status: | ________________________________________________________________________ | ||
| E.8. | Percent of Facility Devoted to Contract: | ___________________________________________________________ | ||
| E.9. | Percent of Staff Devoted to Contract: | ___________________________________________________________ | ||
| E.10. | Name of Cognizant Contracting Officer: | ___________________________________________________________ |
II. Provide the following information pertaining to any contracts awarded to your firm in which your firm was defaulted in the last 36 months. Provide the information identified below for each contract defaulted by any Federal Agency. If more space is needed, provide the information and include it as an attachment.
| 1. Customer Name: | ________________________________________________________________________ | |
| 2. Address: | ________________________________________________________________________ |
| 3. Telephone Number: | ________________________________________________________________________ |
| 4. Type of Contract: | ________________________________________________________________________ |
| 5. Contract Number: | ________________________________________________________________________ |
6. Amount of Contract:_______________________________________________________________________
7. Reason Contract Defaulted: _________________________________________________________________
III. Provide a bank reference to include the following information:
| 1. Bank Name: | ________________________________________________________________________ |
| 2. Bank Address: | ________________________________________________________________________ |
3. Point of Contact: ________________________________________________________________________
4. Telephone Number:________________________________________________________________________
Questionnaire will be used to assist the government in determining if a prospective contractor is responsible in accordance with Federal Acquisition Regulation Part 9.
(End of Section)
File details come from the government source that posted it. Updated .