Form Eta-9043c - Business Confidential Data Request - 2009
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3Business Confidential Data Request
U.S. Department of Labor
Firms Who Work on a Contractual
Trade Adjustment Assistance Program
OMB No. 1205-0342
Basis
Expires: 1/31/2010
Compliance Date:
TA-W-
SUBJECT FIRM:
LOCATION:
A. LOST BIDS / CONTRACTS FOR ARTICLES
List the major projects for which the subject firm submitted unsuccessful bids during the last two years. Reproduce and
attach sheet(s) if needed to provide information for major contracts lost.
FIRM/AGENCY AWARDING BID
PROJECT DESCRIPTION
PROJECT INFORMATION
NAME:
PRODUCT:
ID#:
ADDRESS:
AMOUNT OF BID:
QUANTITY:
DATE OF AWARD:
CONTRACTING AGENT:
AWARDEE (IF KNOWN):
PHONE/FAX:
PERIOD OF PERFORMANCE:
FIRM/AGENCY AWARDING BID
PROJECT DESCRIPTION
PROJECT INFORMATION
NAME:
PRODUCT:
ID#:
ADDRESS:
AMOUNT OF BID:
QUANTITY:
DATE OF AWARD:
CONTRACTING AGENT:
AWARDEE (IF KNOWN):
PHONE/FAX:
PERIOD OF PERFORMANCE:
FIRM/AGENCY AWARDING BID
PROJECT DESCRIPTION
PROJECT INFORMATION
NAME:
PRODUCT:
ID#:
ADDRESS:
AMOUNT OF BID:
QUANTITY:
DATE OF AWARD:
CONTRACTING AGENT:
AWARDEE (IF KNOWN):
PERIOD OF
PHONE/FAX:
PERFORMANCE:
Page 2 of 4
ETA-9043c
For more information, visit our Web site at
Rev. 4/09
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