Solicitation Survey

SOLICITATION SURVEY

Solicitation No.: W912WJ27QA003

**ALL INFORMATION MUST BE PROVIDED TO BE COMPLIANT WITH SOLICITATION. Failure

to provide a completed solicitation survey will result in quote being deemed non-responsive and removed from consideration**

Company Name:

SAM CAGE Code:

Address:
POC Name/Phone/Email:
Type of Business:
(describe):

Corporation

LLC

Sole Proprietor

Other

INFORMATION SUBMITTED BELOW SHALL BE THAT OF THE VENDOR (PRIME)

SUBMITTING THE QUOTE, NOT THAT OF A SUBCONTRACTOR UNLESS THE ITEM

INDICATES THAT SUBCONTRACTOR INFORMATION MAY BE SUBMITTED. Vendors that

list information that is not substantiated by their SAM registration assertions (i.e., number of employees), may be deemed unacceptable and removed from consideration. 1) How many years’ of experience does your business have in these services? Note: Do not include subcontractor experience.
2) List number of years’ of experience in contracting your business has as a prime contractor

.

3) How many of these years were for Federal Government contracts? 4) Have you ever failed to complete any work awarded to you or been issued a termination? Yes No . If “yes” specify reasons why in the space provided below. The Government may contact the point of reference for the failed/terminated work to confirm circumstance(s). Vendors that check “No”, but who have a termination associated with their company may be removed from consideration.

5) Are you self-performing this work (if you select yes, respond to a-c below, if you select no, move to #6)? Yes
No
a) How many employees will be needed to complete this work? b) Are employees regularly on your payroll? Yes

No

c) Will you need to hire additional employees to complete this work? Yes

No

6) If you are a prime contractor hiring a Subcontractor, provide the name, POC, and location of the subcontractor (vendors that state “to be determined” or “information provided upon request” will be deemed non-responsive and removed from consideration). If self-performing, enter "NONE":
7) Attach documentation of your teaming arrangement with the subcontractor identified in #6 above if available (documentation shall be considered a signed confirmation from the subcontractor that they are willing to complete the work required by this solicitation in conjunction with your company).
Vendors that state “teaming arrangement available upon request” or otherwise do not include the teaming arrangement with their quote may be rated lower than vendors that do include suitable signed teaming arrangements.