Standard Form 1406 - Preaward Survey Prospective Contractor Quality Assurance - 1997

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SERIAL NO. (For surveying activity use)
OMB No.: 9000-0011
PREAWARD SURVEY PROSPECTIVE CONTRACTOR
Expires:
06/30/2013
QUALITY ASSURANCE
PROSPECTIVE CONTRACTOR
Public reporting burden for this collection of information is estimated to average 24 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the FAR Secretariat (MVR), Federal Acquisition Policy Division, GSA, Washington, DC 20405.
SECTION I - RECOMMENDATION
1. RECOMMEND:
AWARD
NO AWARD (Provide full substantiation for recommendation in 4. NARRATIVE)
YES
NO
2. IF PROSPECTIVE CONTRACTOR RECEIVES AWARD, A POST AWARD CONFERENCE IS RECOMMENDED.
3. AN ON-SITE SURVEY WAS PERFORMED.
YES
NO
4. NARRATIVE
IF CONTINUATION SHEETS
ATTACHED - MARK HERE
5. SURVEY MADE BY
6. SURVEY REVIEWING OFFICIAL
A. SIGNATURE
B. DATE SIGNED
A. SIGNATURE
B. DATE SIGNED
C. NAME
C. NAME
D. OFFICE
D. OFFICE
E. AREA CODE
F. TELEPHONE NUMBER
G. EXT.
E. AREA CODE
F. TELEPHONE NUMBER
G. EXT.
AUTHORIZED FOR LOCAL REPRODUCTION
STANDARD FORM 1406
(REV. 11-97)
Previous edition is not usable.
Prescribed by GSA FAR (48 CFR) 53.209-1(d)

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