12444023Q0008_Attach_5_Experience_Questionnaire.docx

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Under Bridge Inspection Truck Rental
Solicitation number
12444023Q0008
Issued by

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This document contains an experience questionnaire and details of an under bridge inspection truck rental solicitation. The experience questionnaire requests information from offerors such as years of experience, relevant past projects completed within the last three years, current contract commitments, bonding and completion history, available personnel and equipment, and references. The related solicitation provides additional context, seeking under bridge inspection truck rental and related services to conduct fracture critical bridge inspections on bridges located primarily on aggregate surface roads in remote areas of the Ouachita National Forest. The base period of performance is from June 1, 2023 to May 31, 2024 with four optional one-year extensions. Delivery and acceptance will occur at 100 Reserve Street in Hot Springs, Arkansas. The soliciting agency is the United States Department of Agriculture Forest Service.

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12444023Q0008_Attach_4_SCA Wages Various locations.pdf PDF
12444023Q0008_Attach_1_SOW_UBIT Rental.docx DOCX document
12444023Q0008_Attach_3_Pricing Exhibit_08FEB23.xlsx XLSX spreadsheet
124444023Q0008_Attach_2_List of Bridges UBIT Rental Multiple Forests.docx DOCX document
12444023Q0008_Combined_Synopsis_Solicitation_.docx DOCX document

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EXPERIENCE QUESTIONNAIRE

Instructions: See Box 11, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.

1. Contractors Name, Address & Telephone No. Email
2. Type of Business
CompanyCo-Partner Non-profit

Corporation Individual

3. How many years of experience do you have in this line of work Yrs.?

4. How many years of experience as a prime contractor/subcontractor?

5. List no more than 3 most relevant projects your business has performed within 3 years of this solicitation issuance date:

CONTRACT NUMBER
AWARD AMOUNT
NAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION.
DATE CONTRACT COMPLETED
DESCRIPTION OF WORK PERFORMED

6. List all your firm’s current contract commitments

CONTRACT NUMBER
AWARD AMOUNT
NAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION.
PERCENT

7a. Have you ever failed to complete any work awarded to you? Yes or No 7b. Has work ever been completed by performance bond? Yes or No

7c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why Solicitation No: 12444023Q0008 Under Bridge Inspection Truck Rental Attachment 5

8. Organization information available for this project:

a. Minimum # of employees: and Maximum # of employees:

b. Are employees regularly on your payroll: yes no

c. Specify equipment available for this contract:

d. Estimate rate of progress (such as 2.0 acres per day):

1. Minimum progress rate: Maximum progress rate

9. List the experience of the principal individuals of your business

INDIVIDUALS NAME
PRESENT POSITION
YRS EXP
TYPE OF WORK

10. Information required to complete a responsibility determination if the apparent successful offeror.

a. Credit References

Company Name/Address
Point of Contact
Telephone number
TYPE OF WORK

b. Banking Information.

Company Name/Address
Point of Contact
Telephone number
TYPE OF WORK

11. REMARKS

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 .