4. Is your organization otherwise licensed and authorized to conduct business in Pennsylvania?
Yes
No
Not Applicable
Yes
No
5. Are you a certified M/W/DBE?
If “YES”, list certification number and classification:
6. Indicate whether you anticipate subcontracting any portion of these services, and the names and addresses of any proposed subcontractors:
7. List any and all other legal and DBA names under which your firm has operated during the past ten (10) years, including dates when used and the reasons for the subsequent change in name(s):
8. State whether any firm owner, partner or officer has operated a similar business in the past ten (10) years. Include the names and addresses of each such business:
QUALIFICATIONS
1. List a minimum of three (3) contracts for the operation of vending or foodservice operations that your organization has performed in the last five years, at least one (1) of which you are currently performing:
CONTACT NAME,PHONE NUMBER & EMAIL ADDRESS
NAME
ADDRESS
DATES
GROSS ANNUAL SALES
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