EXPERIENCE QUESTIONNAIRE.docx
DOCX document 18 KB Posted
- Attached to
- Tipsaw-Saddle Mowing
- Solicitation number
- 12363N25Q4014
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form that potential contractors must complete to demonstrate their qualifications for the Tipsaw-Saddle Mowing project for the Department of Agriculture Forest Service. The form requires detailed information about the contractor's business structure, years of experience both as prime and subcontractor, past performance on similar projects within the last three years, and current contract commitments.
The questionnaire specifically requests information about organizational capacity, including minimum and maximum employee counts, equipment availability, expected progress rates, and key personnel experience. Notable requirements include experience with handheld GPS, Shapefile, and/or Avenza systems, which aligns with the project's GPS navigation requirements for the 48.5-acre mowing project. The form also requires contractors to disclose any past performance issues, including failed contracts or performance bond completions, and must include their TIN and DUNS numbers. A work plan description is required to demonstrate how the contractor will accomplish the mowing tasks.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 001_Tipsaw-Saddle Mowing.pdf | ||
| Tipsaw-Saddle Mowing _12363N25Q4014.docx | DOCX document | |
| Tipsaw-Saddle Mowing _12363N25Q4014.docx | DOCX document | |
| Saddle Lake Bush Hog Mowing 2025 Project Site.pdf | ||
| Attachment D_ FAR 52_212_3.docx | DOCX document | |
| Wage Determination_1981-1257.pdf | ||
| Saddle Lake and Tipsaw Bush Hog Mowing 2025 Vicinity Map.pdf | ||
| Tipsaw Bush Hog Mowing 2025 Project Site.pdf | ||
| Attachment C_FAR 52_212_1 Commercial Items (Addenda).docx | DOCX document |
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Text version
EXPERIENCE QUESTIONNAIRE
1. Contractor’s Name, Address & Telephone #.
2. Type of Business
___Company ___Co-Partner ___Corporation ___Individual ___Non-profit Organization
| 3. How many years experience do you have related to this line of work? _______ years |
| 4. How many years experience as a prime contractor? ________years |
Subcontractor? _______
5. List all the similar projects your business has completed in the last three (3) years.
| CONTRACT AMOUNT |
| TYPE OF CONTRACT WORK |
| DATE COMPLETED |
| Contact Name, Address and Tele. # |
6. List all of your firms’ current contract commitments
| CONTRACT NUMBER |
| AWARD AMOUNT |
| Contact Name, Address & Tele. # |
| Percent Completed |
| Date Contract Completed |
| 7a. Have you ever failed to complete any work awarded to you? | ___yes | ___no | ||
| 7b. Has work ever been completed by performance bond? | ___yes | ___no |
7c. If “yes” to either item 7a or 7b above, specify reason(s) and location(s) why.
8. Organization structure that will be available for this project:
| a. Minimum No. of employees: _____ | and Maximum No. of employees:_____ | ||
| b. Are employees regularly on your payroll? | ___yes | ___no |
c. Specify equipment to be used for this contract:
d. Estimate rate of progress (exp. 100 feet, 1/8 mile a day, etc…):
Progress Rate of _______________
9. List the experience of the principal individuals of your business tied to this project
| NAME |
| PRESENT POSITION |
| YRS EXP. |
| TYPE OF WORK |
10. Hand Held GPS and Shapefile experience, And/or Avenza Experience:
11. Work plan: Describe plan how to accomplish task.
TIN#__________________ Duns#_______________ CERTIFICATION: I certify that all of the statements made by me are complete and correct to be 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.
| __________________________ | ___________________________ | ___________________ | ______ | ||
| Signature | Print or Typed Name | Title | Date |
File details come from the government source that posted it. Updated .