Attach 004 - Experience Questionnaire.pdf
PDF 241 KB Posted
- Solicitation number
- 12443926Q0004
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form that offerors must complete as part of Solicitation No. 12443926Q0004 (Attachment No. 004), a Request for Quotation. The form is submitted to the Forest Service and is designed to evaluate a contractor's qualifications and capacity to perform work.
The questionnaire requires offerors to provide two primary sections of information. First, offerors must furnish experience documentation including the number of years they have operated as a prime contractor and a detailed listing of contract experience in the relevant work type completed over the past three years. For each past contract, offerors must provide the contract amount, type of project, date completed, and contact information (name, address, email, and telephone number) for the project owner or person who can verify the work. Second, offerors must list major equipment that will be utilized full-time on the project, specifying the number available, equipment type, description, size, capacity, condition, and whether each piece is owned or rented. The form concludes with a certification statement in which the offeror attests that all provided information is complete and correct and authorizes the Forest Service to contact named references to verify capability to perform the project. The authorized representative must sign the certification, providing their name, title, and date.
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Text version
Solicitation No: 12443926Q0004 Attachment No: 004
EXPERIENCE QUESTIONNAIRE
OFFERORS SHALL FURNISH THE FOLLOWING INFORMATION AS IT PERTAINS TO THIS
REQUEST FOR QUOTATION.
(1) Furnish the following experience information:
a) How many years of experience as a prime contractor do you have?
b) List your contract experience in this type of work over the past 3 years.
CONTRACT
AMOUNT
TYPE OF
PROJECT
DATE
COMPLETED
NAME, ADDRESS, EMAIL, AND TELEPHONE
NO. OF OWNER/PERSON TO CONTACT FOR
PROJECT INFORMATION
(2) Furnish the following equipment information:
a) List below the major equipment that will be utilized full time on this project:
NUMBER
AVAILABLE
EQUIPMENT
TYPE
DESCRIPTION, SIZE,
CAPACITY, ETC.
CONDITION OWNED/RENTED
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:
File details come from the government source that posted it. Updated .