B.)_Contractor_Information_Sheet.pdf

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W. Kerr Scott Gate Attendant Services
Solicitation number
W912PM-18-T-0064
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Contractor Information Sheet - Please fill out entirely

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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 in System for Award Management profile):

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 quote) 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 QUOTE**

NRRS/COMPUTER EXPERIENCE: (check all that apply) Person #1 Person #2
Cash Register/Money Counting

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