PreAward_Survey_W912P6-15-B-0010.docx

PREAWARD SURVEY INFORMATION

(RE: Subparts 9.104-1 and 9.105-1 of the Federal Acquisition Regulation)

CONTRACTOR: ONEILL CONTRACTORS.

SOLICITATION: W912P6-15-B-0010, FT SHERIDAN RAVINE & COASTAL RESTORATION

Please complete the below form to assist in the completion of a Pre-award Survey:

1. Month and Year started in business:______________________

2. Year and State Incorporated:____________________________

3. Key Personnel:

President/Owner :__________________________________

Vice President/Partner:______________________________

Secretary/Treasurer:________________________________

4. Number of Full-Time Employees:________________________

5. Surety:

Agency:__________________________________________

Agent:____________________________________________

Address, City & State:_______________________________________

Telephone#:_______________________________________

6. Insurance Company:

Agency:__________________________________________

Agent:____________________________________________

Address, City & State:_______________________________________

Telephone#:_______________________________________

7. Financial Institution Information:

Name of Bank:_____________________________________

Contact Person:_____________________________________

Address, City & State:_______________________________________

Telephone#:________________________________________

8. References: Provide the names and contact information of three references. Information obtained from references will be used to determine if you have been diligent in the following areas: a) Quality of Work; b) Timely Performance; c) Effectiveness of Management; d) Compliance with Safety Standards; and e) Compliance with Labor Standards.

9. Does your company have any ongoing projects that may cause a problem with completing or beginning performance of the subject project?

END OF FORM