1240LN22Q0037Attach2ExperienceQuestionnaire.pdf
PDF 90 KB Posted
- Solicitation number
- 1240LN22Q0037
- Issued by
-
Department of Agriculture Forest Service
About this file
This document contains an experience questionnaire and details of a federal contract opportunity for mastication services on the Dakota Prairie Grasslands. The experience questionnaire requests information from contractors on their experience, past performance, available equipment and personnel to evaluate their ability to complete juniper mastication on at least 90% of the designated areas greater than one foot tall. Contractors are asked to list relevant past projects with contact information for references. The related federal contract opportunity is solicited by the U.S. Department of Agriculture Forest Service for the Dantz Creek Juniper Mastication Project to remove juniper from designated units on the Dakota Prairie Grasslands, retaining some juniper on north-facing slopes over 30% grade and within 10 feet of streams. Up to 20% of areas may be inaccessible to equipment and will require hand lopping and scattering. Material in drainages must be cut to pieces no longer than two feet.
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Other files
| File | Type | Posted |
|---|---|---|
| 1240LN22Q0037Amend001.pdf | ||
| 1240LN22Q0037Amend001VicinityMap.pdf | ||
| 1240LN22Q0037Attach1WD.pdf | ||
| 1240LN22Q0037.pdf | ||
| 1240LN22Q0037Attach4PrescriptionSummaryChart.pdf | ||
| 1240LN22Q0037Attach3Map.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
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