Do you or any of the above named members of your firm operate a business on or adjacent to the Marine
Corps Air Ground Combat Center Twentynine Palms, CA, at the present time? ________ If yes, where?
Have you or any of the above members of your firm previously operated an activity or business on a military
If yes, where, when, and what type?
Are you or any of the above named members of your firm at present indebted to any non-appropriated
fund?___________ If so, explain
Are you a citizen of the United States? ________ If not, have you declared intentions?
Are the above named members of your firm citizens of the United States? _______ If not, have you declared
Assuming award of a contract, what are your intended sources for obtaining personnel to perform work on the
It is understood and agreed that the foregoing answers are considered necessary for proper evaluation of
Title of Authorized Representation of Quoter
Full Name and Address of Quoter