Attachment D Service Contractor Data Information Sheet_10-R-0098 12 Dec.docx

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MAES Small Business
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W912DR-10-R-0098
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Attachment D Revised Service Contractor Data Information Sheet

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Solicitation W912DR-10-R-0098, Attachment D, Service Contractor Data Information Sheet Revised 12-02-10

SERVICE CONTRACTOR DATA INFORMATION SHEET

TO BE USED IN CONJUNCTION WITH THE PRE-AWARD SURVEY

OF PROSPECTIVE PRIME CONTRACTORS FOR SERVICE CONTRACTS

All Prime contractors shall fill out this form. However, if you are part of a Joint Venture then both parties must fill out the form. Be sure to include any contract you have had with the Baltimore District, Corps of Engineers, within the last 12-months.

SERVICE CONTRACTOR DATA - EXISTING COMMITMENTS

Provide a list of the service contracts your firm currently has under way and for which you have been selected but have not yet received an award. For each contract or prospective contract listed, provide the following information:

Contract Number Amount Description of Work For Whom Performed Name Of Organization Point of Contact Telephone Number for Contact

SERVICE CONTRACTOR DATA – COMPLETED CONTRACTS

Provide a list of the major contracts your firm has completed within the past three years. For each contract listed, provide the following information:

Contract Number Amount Description and Location of Work Percent Subcontracted For Whom Performed Name of Organization Point of Contact Telephone Number for Contact

SERVICE CONTRACTOR DATA – FACILITIES AND EQUIPMENT

Provide a list of the equipment and facilities owned for performing the work and its present status as to whether or not it is committed to existing contracts. For each listed item, provide the following information:

Description Quantity Condition Years of Service Present Status

THESE DOCUMENTS SHALL BE TREATED BY THE GOVERNMENT AS CONFIDENTIAL.

The Government will fill out the Pre-Award Survey.

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