Contractor_Information_Sheet.pdf

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Attached to
Gate Attendants for 2013 - 2014 for JH Kerr, Philpott and WK Scott Projects.
Solicitation number
W912PM-13-T-0004
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CONTRACTOR INFORMATION SHEET

NAME:

Person #1: __________________________________ SSN: __________________

Person #2: __________________________________ SSN: __________________

IN THE EVENT OF AWARD, ISSUE PURCHASE ORDER TO (This must the exact information that is listed with the Central Contractor Registration):

Name: _____________________________ Home Phone #: ________________

Address: ______________________________ Cell Phone #: __________________

City: __________________________________ State: _____ Zip: _____________

E-mail address: ______________________________________

DUNS Number: ________________________ CAGE Code: ________________

PREVIOUS EXPERIENCE: (Dates, Location, Supervisor, Phone #)

OTHER WORK EXPERIENCE(S): (Attach resume for both persons with bid)

Person #1: ________________________ Person #2: ________________________

NRRS/COMPUTER EXPERIENCE: (check all that apply) Person #1 Person #2 Cash Register/Money Counting NRRS Software (Park Office, ORMS, Field Mgr) General Computer Experience Other: __________________________________

SIGNATURES:

Person #1: ________________________ Person #2: ________________________

**THIS SHEET MUST BE COMPLETED & RETURNED WITH YOUR BID

PACKAGE**

Person 1:
SSN:
Person 2:
SSN_2:
Name:
Home Phone:
Address:
Cell Phone:
City:
State:
Zip:
Email address:
DUNS Number:
CAGE Code:
PREVIOUS EXPERIENCE Dates Location Supervisor Phone 1:
PREVIOUS EXPERIENCE Dates Location Supervisor Phone 2:
PREVIOUS EXPERIENCE Dates Location Supervisor Phone 3:
Person 1 1:
Person 1 2:
Person 2 1:
Person 2 2:
NRRSCOMPUTER EXPERIENCE check all that apply Person 1:
Person 2_2:
undefined:
undefined_2:
undefined_3:
undefined_4:
Other:
undefined_5:
undefined_6:
Person 1_2:
Person 2_3:

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