Experience Questionnaire.pdf
PDF 19 KB Posted
- Attached to
- Janatorial Services - Snoqualmie Ranger District Federal contract opportunity
- Solicitation number
- 1240BE25Q0049
About this file
The document is a USDA Forest Service Experience Questionnaire designed to gather detailed information about a potential contractor's qualifications, experience, and capabilities for a specific solicitation. The form requires contractors to provide comprehensive details including years of experience in the relevant work, past project history, current contractual commitments, organizational capacity, available employees and equipment, and key personnel experience. Critical sections include listing completed projects within the last three years, current contractual commitments, minimum and maximum employee numbers, available equipment, progress rates, and principal individuals' experience.
The questionnaire serves as a thorough vetting tool for the Janitorial Services contract for the Snoqualmie Ranger District (Solicitation Number 1240BE25Q0049), which is a Total Small Business Set-Aside procurement. Contractors must demonstrate their capability to perform the work by detailing their business structure, contracting history, and providing a self-certification of the information's accuracy. The form requires contractors to describe their inspection procedures, maintenance plans, and provide contact references that can verify their capability to execute the project. The solicitation targets small businesses in the Janitorial Services category (NAICS code 561720) with a small business size standard of $22 million.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1240BE25Q0049 0001.pdf | ||
| Synopsis Solicitation 1240BE25Q0049.pdf | ||
| NB_Map_Janitorial.pdf | ||
| Schedule of Items.pdf | ||
| Performance Work Statement and QASP.pdf | ||
| Wage Determination 1995-0221 rev 70.pdf |
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Text version
USDA – Forest Service
EXPERIENCE QUESTIONNAIRE
(Ref. FSH 6309.31 and 41 USC 1)
INSTRUCTIONS: See Box 11, Remarks, if extra space is needed to answer any questions below. Mark “X” in appropriate boxes.
1. CONTRACTOR NAME, ADDRESS, AND TELEPHONE NO.
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 of experience in contracting 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
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 8c. If “Yes” to either item 8a or 8b specify location(s) and reason(s) why:
Previous edition is obsolete (OVER) FS-6300-27 (3/00)
9. Organization and work that will be available for this project.
a. (1) Minimum number of employees: _____ and a(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:
INDIVIDUAL’S NAME
PRESENT
POSITION
YEARS
OF EXP.
MAGNITUDE AND TYPE OF WORK
11. List all the equipment (including vehicles) you plan to use on this contract. Provide a detailed description of the Equipment including your maintenance plan.
12. Contractor Inspection. Describe Contractor Self Inspection Procedures which you will use to insure quality for this contract.
13. Remarks. Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question):
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any person’s name 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
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