6-1204T018R0005-ExperienceQuestionnaire.pdf
PDF 16 KB Posted
- Attached to
- Chetco River Bridge Rehabilitation Federal contract opportunity
- Solicitation number
- 1204T018R0005
About this file
Experience Questionnaire
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1204T018R0005-Amendment2.pdf | ||
| FBO-Amendment1.pdf | ||
| 3-1204T018R0005-ProjectSpecifications.pdf | ||
| 4-1204T018R0005-ProjectPlansDrawings.pdf | ||
| 1-1204T018R0005-SolicitationPacket.pdf | ||
| 5-1204T018R0005-ConstructionWageRates.pdf | ||
| 7-SF24-BidBond.pdf | ||
| 2-1204T018R0005-ReturnPacket.pdf |
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Text version
USDA Forest Service
EXPERIENCE QUESTIONNAIRE
(Ref. FSH 6309.31 and 41 USC 11)
Instructions: See Box 11, remarks, if extra space is needed to answer any of them below.
Mark “X” in appropriate boxes.
1. CONTRACTOR NAME, ADDRESS AND TELEPHONE NUMBER
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 in contracting have you or your business had as a (a) prime contractor_____ and/or (b) subcontractor_____
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
AMOUNT
DOLLAR AMT.
OF AWARD
NAME, ADDRESS AND TELEPONE NO. OF
BUSINESS/GOVERNMENT AGENCY INVOLVED
AWARDED
(UNITS)
PERCENT
COMPLETED
DATE
CONTRACT
COMPLETED
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
* If “Yes” to either 8a or 8b specify location(s) and reason(s) why:
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