3- Experience_Questionaire.doc

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Nez Perce-Clearwater NF Salmon River Seed Orchard Well Drilling
Solicitation number
1240LU25Q0037
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The document is an Experience Questionnaire for a federal contract opportunity related to well drilling at the Salmon River Seed Orchard. The form requires potential contractors to provide detailed information about their organizational capabilities, including minimum and maximum number of employees, equipment availability, and progress rates. The questionnaire also requests a detailed listing of principal individuals' experience, with fields for their names, current positions, years of experience, and the magnitude and type of work they have performed.

The accompanying federal contract opportunity involves drilling a well to provide potable water for a nursery within the Nez Perce-Clearwater National Forests, located in Section 23, Township 26N, Range 1E. The project is valued between $100,000 and $250,000, with a performance period from October 15, 2025, to October 15, 2026. The solicitation includes provisions for drilling up to two wells if the first well does not meet specifications, with the contractor expected to visit the site and familiarize themselves with the location prior to bidding.

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9. 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:_______________________________________________

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:

Individual’s Name
Present Position
Years of Exp.
Magnitude and Type of Work

11. Remarks—Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above questions):

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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