Attach_3__-_EXPERIENCE.pdf
PDF 166 KB Posted
- Attached to
- Recreational Site Operational Grounds Services Federal contract opportunity
- Solicitation number
- 12414619Q0002
About this file
ATTACH 3 - EXPERIENCE QUESTIONAIRE
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|---|---|---|
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| CONECUH_-_QUESTIONS_AND_ANSWERS.pdf | ||
| Attach_2_-_Cleaning_Recreation_Sites.pdf | ||
| 12414619Q0002_-_SF1449_-_CONECUH.pdf | ||
| Attach_5_-_Wage_Determination.pdf | ||
| Attach_1_-_REC_OPS-_CONECHUH_SOW.pdf | ||
| Attach_4_-_PAST_PERFORMANCE_QUESTIONAIRE.pdf |
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12414619Q0002 - Recreational Site Operational Ground Services Attach 3 - Page 1 of 2
ATTACHMENT 3 –EXPERIENCE QUESTIONNAIRE
Instructions: See Box 8, remarks, if extra space is needed to answer any item below. Additional sheets may be attached.
1. Contractors Name, Address & Telephone No.
2. Type of Business __Company __Co-Partner __Non-profit __Corporation __Individual
3. How many years experience do you have in this line of work____Yrs
4. How many years experience as a prime contractor_____ subcontractor___
5. LIST OF PROJECTS YOUR BUSINESS HAS COMPLETED WITHIN THE LAST 3 YEARS
NOTE: The description of work performed should be in sufficient detail for the Government to determine what the work included. (i.e.
Grounds maintenance, cleaning services. List the services performed and quantities involved (SF/Acreage/Facility size) and any other types of facility supports services or other similar work accomplished).
Use of only a project title does not usually provide enough detail for the Government to make an evaluation.
Project & Location ______________________________________________________________________________________________
Contract Number:_______________________________ Award Amount: ________________________________________________
Period of Performance and/or completion date: ________________________________________________________________________
Client/Company’s Name/Address: __________________________________________________________________________________
Contact Name, email and Telephone number: ________________________________________________________________________
Description of Services (refer to note in No. 5 type of grounds maintenance, cleaning services performed, etc.)
Project & Location ______________________________________________________________________________________________
Contract Number:_______________________________ Award Amount: ________________________________________________
Period of Performance and/or completion date: ________________________________________________________________________
Client/Company’s Name/Address: __________________________________________________________________________________
Description of Services (refer to note in No. 5 type of grounds maintenance, cleaning services performed, etc.)
Project & Location ______________________________________________________________________________________________
Contract Number:_______________________________ Award Amount: ________________________________________________
Period of Performance and/or completion date: ________________________________________________________________________
Client/Company’s Name/Address: __________________________________________________________________________________
Contact Name, email and Telephone number: ________________________________________________________________________
Description of Services (refer to note in No. 5 type of grounds maintenance, cleaning services performed, etc.)
12414619Q0002 - Recreational Site Operational Ground Services Attach 3 - Page 2 of 2
6a. Have you ever failed to complete any work awarded to you? __yes __ no
6b. Has work ever been completed by performance bond? __yes __ no
6. If "yes" to either item 6a or 6b specify location(s) and reason(s) why
7. Information required to complete a responsibility determination, if necessary, of the apparent successful offeror. (Additional information may be requested once a contractor is selected for award. Moreover, the contractor might need to provide additional authorization from a creditor to grant access.)
a. Credit References
Company Name/Address Point of Contact Telephone number Materials/Services Provided
b. Banking Information.
Company Name/Address Point of Contact Telephone number Account No.
8. REMARKS (Additional sheets may be attached to the experience questionnaire)
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:
Name:
Title: Date:
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:
Name:
Title: Date:
ATTACHMENT 3 –Experience Questionnaire
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