EXPERIENCE QUESTIONNAIRE.docx
DOCX document 18 KB Posted
- Attached to
- Houston Bush Hog
- Solicitation number
- 12363N25Q4015
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form that contractors must complete to demonstrate their qualifications and capabilities for the Houston Bush Hog project on the Hoosier National Forest. The form requires detailed information about the contractor's business structure, relevant work experience, and operational capacity, including years of experience as both prime and subcontractors, similar projects completed in the last three years, and current contract commitments. Specific technical qualifications requested include experience with handheld GPS and Shapefile/Avenza systems, which aligns with the project requirement to navigate designated boundary areas.
The questionnaire seeks information about the contractor's organizational structure, including minimum and maximum employee numbers, available equipment, and estimated progress rates. It requires details about key personnel's experience and a work plan description. The form also asks about any past performance issues, including failed contracts or performance bond completions. The document concludes with fields for the contractor's TIN and DUNS numbers, along with a certification statement requiring signature.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Map 4 Unit 27-33.pdf | ||
| Attachment C_FAR 52_212_1 Commercial Items (Addenda).docx | DOCX document | |
| Houston Bush Hog _12363N25Q4015.docx | DOCX document | |
| Map 2 Units 18-21.pdf | ||
| Map 3 Unit 22-26.pdf | ||
| Wage Determination_1981-1257.pdf | ||
| Map 1 Units 1-17.pdf | ||
| Attachment D_ FAR 52_212_3.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .