1240LS23Q0111 Humboldt-Toiyabe NF 6 Fire Vehicle Upfit Exhibit No. 1 Experience and Equipment Questionnaire.pdf

Exhibit #1 – Experience and Equipment Questionnaire

EXPERIENCE & EQUIPMENT QUESTIONNAIRE

1. Contractor Name, Address, & Telephone Number

EXPERIENCE

3. How many years does your business have in the line of work contemplated by this solicitation?

4. How many years’ experience in contracting has your business had as a:

(a) Prime Contractor_____ (b) Sub-contractor _____

Is this time concurrent? [ ] YES [ ] NO

5a. List Below all Vehicle Upfit projects you or your business has completed within the last three (3) years:

Contract

Amount Type of Project Date

Completed

Name, Address & Telephone Number of Owner/Person to Contact for Information

5b. List below the Projects that are incomplete:

Contract No. Dollar Amount of

Award

Name, Address & Phone No. of Agency

Involved

Percent

Completed

Dated Completed

6a. Have you ever failed to complete any work awarded to you? [ ] YES [ ] NO

6b. If “yes” to item 6a specify location(s), reason(s) why and COR: (Attach separate sheet of paper)

EQUIPMENT

7. Number of employees available for this project:

a. Minimum No. of employees ______ & Maximum No. of employees______

b. Are Employees regularly on your payroll? [ ]YES [ ]NO

8. Specify Equipment available for this project (if required as part of the contract):

9. List Experience of Employees intended to perform on this project:

Individual Name Present Position Years of Exp. Magnitude & Type of Work

Certification: I certify that all of the statements made by me are complete and correct to the best of my knowledge. That any persons named as references area authorized to furnish the Forest Service with information needed to verify my capability to perform this project.

Signature Date

Contractors are strongly encouraged to use this form and supplement it with additional narrative to fully address the evaluation criteria detailed in Section- Evaluation-Commercial Supplies and Commercial Services.

Exhibit #1 Experience and Equipment Questionnaire – Bio-Based Product Information

List here the bio-based product information that you will use in the performance of this contract.