1240LS26Q0003 Black Ave. Furnace Replacement_Exhibit #1 Past Performance and Equipment Questionnaire.pdf
PDF 133 KB Posted
- Attached to
- Black Avenue Furnace Replacement
- Solicitation number
- 1240LS26Q0003
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Past Performance and Equipment Questionnaire for an HVAC Repair project solicitation, likely issued by the Forest Service. The form requires contractors to provide detailed information about their business experience, including years of contracting as a prime or sub-contractor, completed HVAC repair projects in the last three years, and ongoing projects. Contractors must also specify available employees, their experience, and equipment for the project.
The solicitation indicates an anticipated award date of 01/30/2026, with repairs expected to be completed no later than 04/15/2026. Contractors are required to confirm their ability to meet this timeline or provide the earliest possible completion date. The form includes sections for listing project details, employee qualifications, and a certification of the accuracy of the provided information. Contractors must also indicate whether they have previously failed to complete any awarded work and are encouraged to supplement the form with additional narrative to address evaluation criteria.
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Text version
Exhibit #1 – Past Performance and Equipment Questionnaire (Contractor Required to Fill Out and Return)
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 Items.
PAST PERFORMANCE & EQUIPMENT QUESTIONNAIRE
1. Contractor Name, Address, & Telephone Number
EXPERIENCE
2. How many years does your business have in the line of work contemplated by this solicitation?
3. How many years’ experience in contracting has your business had as a: (a) Prime Contractor___ (b)Sub-contractor__
Is this time concurrent? [ ] YES [ ] NO
4. List Below all HVAC Repair 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
5. 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 either item 6a or 6b 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
8a. Specify Equipment available for this project (if required as part of the contract that will not be supplied by the government as specified):
9. List Experience of Employees intended to be used on this project:
Individual Name Present Position Years of Exp. Magnitude & Type of Work
10. Did the quoter examine the area(s) for which this quote has been submitted? [ ]YES [ ]NO
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
Exhibit #1 – continued-Schedule Narrative
Indicate ability to complete repairs no later than 04/15/2026 based on an anticipated award date of
01/30/2026 Y OR N:___________.
If unable to complete repairs by this date, indicate earliest possible completion date based on anticipated award date:____________.
Provide Outline of Schedule Anticipated to Complete the Work Required by this Solicitation.
File details come from the government source that posted it. Updated .