Business Management Questionnaire.pdf
PDF 73 KB Posted
- Attached to
- SV0150-24 SCU Controllers
- Solicitation number
- SV0150-24
About this file
This document is a Business Management Questionnaire that is part of a federal contract solicitation. The questionnaire requests the offeror to provide information on their past performance on up to five similar government or commercial contracts, including customer name, contract type and number, contract amount, contract status, and percentage of facility and staff devoted to the contract. The questionnaire also asks the offeror to provide information on any contracts in which they were defaulted in the last 36 months, as well as to provide a bank reference. This questionnaire will be used by the government to determine the offeror's responsibility in accordance with Federal Acquisition Regulation Part 9.
The related federal contract opportunity is for a one-year base period with a one-year option to purchase 8 SCU Controllers for the Department of Justice Bureau of Prisons Correctional Facilities. This is a Request for Quote, and the government intends to award a single firm-fixed-price IDIQ contract to the responsible offeror representing the best value. Offerors must be registered in SAM.gov and acknowledge all amendments. No phone calls will be accepted, and no copies of the solicitation will be mailed.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 002 Extension.pdf | ||
| Amendment 001 SV0150-24 Q-A.pdf | ||
| 1600001664.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: ___________________________________________________________
FPI9999.999-9 2
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)
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