1240LN21B0001ExperienceQuestionnaire.pdf
PDF 90 KB Posted
- Attached to
- HELENA-LEWIS & CLARK NATIONAL FOREST -Campground and Trailhead Deferred Maintenance and Improvements
- Solicitation number
- 1240LN21B0001
- Issued by
-
Department of Agriculture Forest Service
About this file
This document contains an experience questionnaire and federal contract opportunity notice. The experience questionnaire requests information from contractors regarding their experience, past performance, available equipment and personnel for a campground and trailhead deferred maintenance and improvements project on the Helena-Lewis and Clark National Forest. Details requested include the number of employees, experience as a prime contractor and subcontractor, references for similar past projects, bonding history, and principal staff qualifications.
The related federal contract opportunity is a pre-solicitation notice for a requirements contract estimated between $250,000 to $500,000 to perform campground, trailhead and cabin feature deferred maintenance replacement and improvements across multiple locations on the Helena-Lewis and Clark National Forest. Work will include clearing, structure removal, replacement of amenities and signage, and installation of hitching posts and water infrastructure. The full solicitation will be posted on July 22, 2021.
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Other files
| File | Type | Posted |
|---|---|---|
| 1240LN21B0001Amendment001.pdf | ||
| 1240LN21B0001.pdf | ||
| 1240LN21B0001Drawings.pdf | ||
| 1240LN21B0001WD.pdf |
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Text version
USDA Forest Service (1/00)
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 10, Remarks, if extra space is needed to answer any item below. Mark “x” in appropriate boxes.
1. Contractor Name, Address, and Telephone Number
2. Submitted to (Office Name & 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) sub-contractor ______?
6. List below the projects your business has completed within the last three years (or currently working) where we can confirm that your company has experience in similar work.
Contract Amount
Type of Project Ongoing or
Date Completed
Name, Address, and Telephone No.
of Owner/Person to Contract for
Project Information
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 specify location(s) and reason(s) why:
8. 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
9. List below the experience of the principal individuals of your business:
Individual’s Name
And City of Residence Present Position Years of
Exp.
Magnitude and Type of Work
10. Remarks—Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above questions):
11. 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
12b. Signature (Sign in Ink) 13. Date
File details come from the government source that posted it. Updated .