Pre award Survey.pdf

SERVICE CONTRACTS

PRE-AWARD SURVEY OF PROSPECTIVE CONTRACTORS

It is the general policy of the Department of Defense that contracts shall be awarded to responsbile prospective contractors only.

No contracts shall be awarded to any person or firm unless the contracting officer first makes an affirmative determination that the prospective contractor is responsible within the meaning of procurement regulations.

Before making a determination of responsibility, the contracting officer shall have in his possession, or obtain, information sufficient to satisfy himself that a prospective contractor currently meets the minimum standards set forth in procurement regulations.

In order to make the required determination and also to expedite the contract award, it is request that the following information be furnished as with your cost/price proposal:

a. Latest financial statement, including the names of banks or other financial institutions with which you conduct business. If the financial statement is more than 60 days old, a certificate should be attached stating that the financial condition is substantially the same, or if not the same, the changes that have taken place. Such statement and information submitted will be treated as confidential.

b. Complete in its entirety the attached Contractor Experience Data form with supplemental schedules A-C.

DEPARTMENT OF THE ARMY

SACRAMENTO DISTRICT

CORPS OF ENGINEERS

ATTN: CONTRACTING DIVISION (Eddie Alfaro)

1325 J STREET

SACRAMENTO, CA 95814-2922

CONTRACTOR EXPERIENCE DATA DATE: Solicitation:

Firm Name:

Main Office Address:

Branch Office Address:

Organization: Individual Joint Venture Partnership Corporation

Date Organized: Date Incorporated & State:

Names of Officers and Other Key Personnel

I- Present Payroll Personnel (list number of each category below)

Partner

Officer

Other Key

Remainder

TOTAL

Sub-Total Permanent

Maximum Personnel Any

Time

II Equipment Owned III Financial Data As Of (date)______________

Present Value

Acquisition Cost ($)

Current Assets Current Liabilities

Net Worth

IV Total Contract Value of Contracts In Past Six Years Exclusive of Joint Ventures

2011_____________ 2010_____________ 2009_____________ 2008_____________ 2007_____________ 2006_____________

Largest Job in Past Six Years:

Contract Amount: Date:

Description:

Owner:

V- Largest Job Ever Contracted (If other than in the past six years) Contract Amount: Date:

Description:

Owner:______________________________

VI – Type of Work In Which Firm Specializes

Cognizant Defense Contract Management Area Operations Office, if applicable

DCMAO Office: DCMAO Point of Contact (POC)

DCMAO POC Telephone:

VII – Cost Reimbursement Type Contracts

Agency or Owner Date Description Amount

Typed name and Position or Title of Person Signing

SIGNATURE

(See Attached Schedules A, B, and C)

SCHEDULE A

EXISTING COMMITMENTS

CONTRACT

NO

AND AMT

DESCRIPTION

OF WORK

FOR WHOM

PERFORMED*

PERFORMANCE

PERIOD

% SUBLET

* PLEASE PROVIDE NAME OF ORGANIZATION, POINT OF CONTACT, AND TELEPHONE

NUMBER FOR CONTACT

SCHEDULE B

EXPERIENCE DATA

List below the principal projects your firm has completed within the past 5 years.

CONTRACT NO

AND AMT

DESCRIPTION

OF WORK

CONTACT PERSON

AND PHONE

NUMBER

% SUBLET

SCHEDULE C

EQUIPMENT AND PERSONNEL

Provide a statement below as to the availability of plant/personnel/equipment needed in order to perform the work in accordance with the statement of work.