Experience Questionaire.PDF
PDF 37 KB Posted
- Solicitation number
- 1240LP24Q0039
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire from the USDA Forest Service, which is intended to evaluate the capabilities and past experience of a contractor for a federal contract opportunity. The questionnaire asks the contractor to provide details on their company, years of relevant experience, past projects completed, current contractual commitments, equipment and staffing resources, and key personnel. The contractor must certify the accuracy of the information provided.
The related federal contract opportunity is for janitorial services at the National Grasslands Visitor Center in Wall, South Dakota. The contract is for a one-year base period with four option years and requires services three days per week, with biannual and annual deep cleanings. The facility is approximately 3,270 square feet, with 2,300 square feet of carpet and the remaining being linoleum. No site visit is scheduled, but interested bidders can contact the Contracting Officer to tour the facility. Responses to the full solicitation package are required.
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Other files
| File | Type | Posted |
|---|---|---|
| VC Map.pdf | ||
| Nebraska_Janitorial_Solicitation 12 April 2024.pdf | ||
| WD 2015-5377_23.txt | TXT text file |
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Text version
USDA Forest Service
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 11, 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 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 experience 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:
Number
Dollar Amt.
of Award
Name, Address, and Telephone No. of Business/Government Agency Involved
Awarded (Units)
Percent Completed
Date
Complete
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. Did you look at the project site(s) on-the-ground? [ ] Yes [ ] No 8d. If “Yes” to either item 8a. or 8b., specify location(s) and reason(s) why:
EXPERIENCE QUESTIONNAIRE CONTINUED
9. Employees and equipment that will be available for this project:
a. (1) Minimum number of employees: _____ and (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. (Who will directly be involved in this contract?)
Individual’s Name Present Position Years of Experience
Magnitude and Type of Work
11. Remarks -- Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question.):
NOTE: PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT WILL HELP EVALUATE YOUR ABILITY TO
SUCCESSFULLY COMPLETE THIS PROJECT.
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
b. SIGNATURE (Sign in ink) 13. DATE
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