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#22-002588-0091
Supplemental Questionnaire

Last Name
First Name

 

***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***


1.

Do you have prior experience as the primary implementer and/or monitor of a complex services, facilities, or construction contract (preferably in health care or long term care) in excess of $100,000,000, including responsibility for enforcing contractor performance guarantees or service level agreements? If yes, please describe this experience including employer names, dates of employment, and relevant job duties. This information must be included in your application to receive credit. If no, enter N/A.

2.

Do you have prior experience in government procurement for the State of Maryland, the Federal Government, or a Maryland county government, that included preparing solicitations for major services, facilities, or construction contracts in excess of $50,000,000, or preparing modifications to such contracts? If yes, please describe this experience including employer names, dates of employment, and relevant job duties. This information must be included in your application to receive credit. If no, enter N/A.

3.

Do you have prior experience drafting, modifying and/or enforcing legal contracts? If yes, please describe this experience including employer names, dates of employment, and relevant job duties. This information must be included in your application to receive credit. If no, enter N/A.

4.

Please describe your experience working with Microsoft Office Suite. Include in your response employer names, dates of employment, and relevant job duties. This information must be reflected in your application to receive credit. If you do not possess this experience, please respond N/A.


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