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Pre-Award Form - For Informational Purposes Only.

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PRE-AWARD INFORMATION

SUBMIT THE FOLLOWING INFORMATION WITH YOUR BID

1. Company Name and Address:

2. Point of Contact Name:

Email address:

Telephone Number: Fax Number:

3. Electronic Transfer Payments will now be required for all new contracts. Do you currently receive Electronic Transfer

Payments from this agency? (agency codes 00005524/00006482) Yes No

4. Name of Bank and Branch:

Personal Banker:

Email address:

Telephone Number: Fax Number:

5. Name of Bonding Agent Company:

Agents Name:

Telephone Number: Fax Number:

6. Contractors are required, before receipt of contract award to ensure that their firm is registered in the government web site entitled System for Award Management (SAM) and that all information required is current and up to date.

https://www.sam.gov/portal/public/SAM/

Ensure that your company’s information is updated for the following areas:

• CORE DATA: Ensure that your business types are correctly filled in:

• What is your business type?

(Examples of Business types: Small Business (SB), Small Disadvantaged Business (SDB), Woman-Owned Small Business (WOSB), Historically Underutilized Business Zone (HUBZone), Veteran-Owned Small Business (VOSB), Service-Disabled Veteran-Owned Small Business (SDVOSB), and SBA 8(a)).

• DUNS Number:

• CAGE Code:

• TAX ID:

• REPS & CERTS: Ensure that you have certified the FAR and DFARs provisions (clauses) listed on the Reps &

Certs pages.

• CORE DATA – Business Types updated: Yes Date:

• REPS & CERTS – Certified Yes Date:

7. Please provide the following information; it will not be used to evaluate or rank bids. It will be used solely as a reference check for our internal files. List no more than three projects that are substantially complete or have been completed within the last ten years that are similar to this project. Projects should be listed in the following order: Federal projects, state projects, city/county projects, and then commercial projects. Use the following format:

a) Title & Location of Project:

Agency/Company:

Point of Contact (Name &Title):

Telephone Number: Award Amount: $ Yr of Completion:

b) Title & Location of Project:

Point of Contact (Name &Title):

c) Title & Location of Project:

Point of Contact (Name &Title):

8. List all outstanding uncompleted projects, in the following format:

a) Title of Project:

Agency/Company:

Award Amount: $ Est. Completion Date:

b) Title of Project:

Agency/Company:

Award Amount: $ Est. Completion Date:

c) Title of Project:

Award Amount: $ Est. Completion Date:

File details come from the government source that posted it. Updated .