GSA Schedule Questionnaire

By: Admin | Date: 2019-02-13

The average firm with a GSA Schedule contract does over $1MM per year in federal contracting. The catch is that firms need to be prequalified in order to eliminate many of the hassles that prevent most firms from engaging in government contracting. Below is a questionnaire which reviews many of the questions the GSA uses to determine your firms eligibility for a GSA Schedule as all firms are not eligible.

Questionnaire

  1. General Business Information

DUNS Number, Federal Tax ID Number, and Business Contact Information

  1. Security Clearances

The Contractor has personnel with current security clearances or has personnel with inactive clearances eligible for reinstatement.

Yes ___ No ___

  1. Accounting System

An adequate and auditable labor hour recording and invoicing system is required for all awarded accepting labor-hour or time-and materials task orders. Awardees must possess such a system at the time of award. This accounting system will be subject to review and examination by the Government as appropriate. Please identify below the accounting system used by your firm and state if it meets these requirements.

Accounting System: __________________________________________

Capable of meeting requirements noted above: ___ Yes ___ No

  1. Business Size – Check those that apply

X

Small Business

X

“Not for Profit” Organization

X

HUBZone Small Business

X

8(a) Firm

X

Veteran Owned Small Business

X

Small Disadvantaged Business

X

Joint Venture

X

Service-Disabled Veteran-Owned Small Business

 

 

X

Woman Owned Small Business

X

Woman Owned Small Business

 

 

  1. Government-wide Commercial Purchase Card

Clause 552.232-79, PAYMENT CREDIT CARD, requires all contractors to accept the Government-wide Commercial Purchase Card for purchases at or below the mirco-purchase threshold ($2,500.00). Please indicate if you will accept the government credit card for purchases above the micro-purchase threshold.

  1. Select SIN Codes

List all the SIN Codes in which your company provides goods and services.This varies from industry to industry.

  1. Scope of Contracts
    1. Contractors will provide domestic and overseas delivery.
    2. Contractor will provide overseas delivery only.
    3. Contractor will provide domestic delivery only.
  2. Information Regarding Responsibility Matters

The offeror ___ has ____ does not have current active Federal contracts and grants with total value greater than $10,000,000.

  1. Disaster Recovery Purchasing Program

Do you agree to voluntarily participate in the Recovery Purchasing Program as described in GSAR 552.238-80, “Use of Federal Supply Contracts by Certain Entities-Recovery Purchasing “in this solicitation?”

Yes ___ No___

  1. Exceptions to Terms and Conditions

Do you take exceptions to any of the Terms and Conditions (Contract Clauses) presented in Part III of the Solicitation Document?

Yes ___ No ___

  1. Verification of Reps and Certs

Do you verify that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications – Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation.

Yes ___ No ___ (If no is selected, you must submit an attachment listing the paragraph(s) which have changed and identify, aftereach paragraph, what has changed.)

  1. Industrial Funding Fee – POC

Is your Point-of-Contact (POC) for the Industrial Funding FEE (IFF) different than the Primary Contract Administrator provided in Contact for Contract Administration section?

No ___ Yes ___ (If Yes’ is selected; you must provide an additional IFF POC here.)

  1. American Recovery and Reinvestment Act of 2009 (ARRA)

In order for Contractors to accept orders placed with funds, in whole or in part, allocated to the “American Recovery and Reinvestment Act of 2009”, clauses 52.203-15 and 52.204-11 must be incorporated by reference under clause 52.212-5.Do you hereby agree to have clauses 52.203-15 and 52.204-11 in the contract:

Yes ___ No ___

  1. Ordering Information
    1. Do you elect to receive orders placed by GSA’s Federal Supply Service (FSS) by either facsimile transmission or ___ computer-to-computer Electronic Data Interchange (EDI) interface.
    2. If you elect to receive computer-to-computer EDI please indicate below the name address and telephone number of the representative to be contacted regarding establishment of and EDI interface.

Name

 

Address

 

Telephone Number

 

  1. If you elect to receive orders by facsimile transmission is requested to indicate below the telephone number(s) for facsimile transmission equipment where orders should be forwarded.

FACSIMILE NUMBER(S): _____________________________________

  1. For mailed orders, please include the postal mailing address(es) where paper form orders should be mailed.

MAILING ADDRESS

 

 

 

  1. If you will be marketing through dealers please indicate below whether those dealers will be participating in the proposed contract.

Yes ___ No ___

  1. CONTRACTOR’s REMITTANCE (PAYMENT) ADDRESS

Payment by electronic funds transfer (ETF) is the preferred method of payment.However, under certain conditions, the ordering activity may elect to make payment by check.Please indicate below the payment address to which checks should be mailed for payment of proper invoices submitted under a resultant contract.

PAYMENT ADDRESS

 

 

 

 

  1. Delivery Prices

Businesses are requested to furnish below the geographic area(s)/countries/zones which are intended to be covered.

GEOGRAPHIC AREA(S)/COUNTRIES/ZONES

 

 

 

Indicate below whether or not prices submitted cover delivery f.o.b. destination in Alaska, Hawaii, and the Commonwealth of Puerto Rico.

 

Yes

No

Alaska

 

 

Hawaii

 

 

Puerto Rico

 

 

  1. Pathway to Success Training

This must be completed and the applicant must provide a certificate of completion with offer.

  1. Financial Information

Please provide a copy of last two (2) years’ Balance Sheet and Income Statement.

  1. Current Commercial Price List/Rate Sheet.

Please provide a copy of your most current Price List / Rate Sheet offered to your commercial customers.

  1. Past Performance Evaluation:

Please Provide Your Customer References for an Open Rating Report through DNB.

  1. LENGTH OF TIME IN BUSINESS:

Your firm should have at least 2 years of business experience in the industry in which you wish to participate in a GSA Schedule Contract.

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