Attachment 1 EXPERIENCE QUESTIONNAIRE.docx
DOCX document 19 KB Posted
- Attached to
- Woods Creek Fence Removal Amendment 0002 Federal contract opportunity
- Solicitation number
- 1118718
- Issued by
- Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire for a federal contract opportunity with the USDA Forest Service. The questionnaire requests information about the contractor's business, including the number of years of experience, prior projects completed, concurrent contractual commitments, equipment and personnel available, and the experience of key individuals involved in the contract.
The related federal contract opportunity is for the removal and disposal of approximately 27,885 feet of range fencing on National Forest System Lands. The work includes roll-up and removal of all fencing material, which may involve the use of chainsaws to remove downed trees on fences prior to removing the fences. The contract is being solicited by the Department of Agriculture Forest Service.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF 30 Woods Creek Fence Removal 0002.pdf | ||
| Woods Creek Fence Removal Q-A 0002.docx | DOCX document | |
| SF 30 Woods Creek Fence Removal.pdf | ||
| CombSyn Woods Creek Fence Amended.docx | DOCX document | |
| Woods Creek Fence Removal Q-A 08APR2024.docx | DOCX document | |
| WoodsCreekFireEastRemovalTopoMap.pdf | ||
| CombSyn Woods Creek Fence.docx | DOCX document | |
| Attachment 2 Woods Creek Fence Removal Maps.pdf | ||
| Attachment 3 Wage Determination.pdf |
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Text version
EXPERIENCE QUESTIONNAIRE
USDA Forest Service
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 11, Remarks, if extra space is needed to answer any item below, Mark “X: in appropriate boxes.
1. Contractor Name, Address, Telephone Number & Email
2. Submitted to (Office Name and Address)
3. Business [ ] Company [ ] Co-partnership [ ] Corporation [ ] Individual [ ] Non-profit Organization
4. How many years do you or your firm have in the line of work contemplated by this solicitation?
5. How many years experience have you or your business had as a (a) prime contractor ____ and/or (b) sub-contractor ____?
6. List below the projects your business has completed within the last three years:
| Contract Amount |
| Type of Project |
| Date Completed |
| Name, Address, and Telephone No. of Owner/Person to Contact for Project Information |
7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:
| Contract Number |
| Dollar Amt. of Award |
| Name, Address, and Telephone No. of Business/Government Agency Involved |
| Awarded (Units) |
| Percent Completed |
| Date Contract Complete |
8a. Have you ever failed to complete any work awarded to you? [ ] Yes [ ] No 8b. Has work ever been completed by performance bond? [ ] Yes [ ] No 8c. Did you look at the project site(s) on-the-ground? [ ] Yes [ ] No 8d. If “Yes” to either item 8a. or 8b., specify location(s) and reason(s) why:
EXPERIENCE QUESTIONNAIRE CONTINUED
9. Employees and equipment that will be available for this project:
a. (1) Minimum number of employees: _____ and (2) Maximum number of employees: _____
b. Are employees regularly on your payroll: [ ] Yes [ ] No
c. Specify equipment available for this contract:______________________________________________________
d. Estimate rate of progress below (such as 2.0 acres/man/day):
(1) Minimum progress rate:________________ and (2) Maximum progress rate: _________________________
10. List below the experience of the principal individuals of your business. (Who will directly be involved in this contract?)
| Individual’s Name |
| Present Position |
| Years of Experience |
| Magnitude and Type of Work |
11. Remarks -- Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question.):
NOTE: PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT WILL HELP EVALUATE YOUR ABILITY TO SUCCESSFULLY COMPLETE THIS PROJECT.
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge, and that any persons named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.
12a. CERTIFYING OFFICIAL’S NAME AND TITLE
| b. SIGNATURE (Sign in ink) |
| 13. DATE |
File details come from the government source that posted it. Updated .