02 Past Performance Experience Questionnaire.pdf

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Attached to
USDA Forest Service Janitorial Services on the Blacksburg/New Castle WC, Jefferson NFs, VA
Solicitation number
12444026Q0063
Issued by

About this file

This is an Experience Questionnaire form used to evaluate contractor qualifications and past performance in federal contracting.

The form requires contractors to provide basic company information including name, address, telephone number, email, and business type (company, corporation, co-partner, non-profit, or individual). Contractors must document their years of experience in their line of work and specify experience as either a prime contractor or subcontractor. The questionnaire requests documentation of no more than three of the contractor's most relevant projects completed within three years of the solicitation issuance date, including contract number, award amount, client contact information, completion date, and a description of work performed. Contractors must also list all current contract commitments with contract numbers, award amounts, client contact information, and the percentage of company resources allocated to each commitment. The form includes two critical questions regarding contractor performance history: whether the contractor has ever failed to complete awarded work and whether any work has been completed under performance bond. If the contractor answers affirmatively to either question, they must provide specific locations and reasons for the circumstances. Box 11 is referenced for additional remarks or extra space needed to answer any items on the questionnaire.

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Text version

7c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why

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

Company Co-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 of your firms 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 no 7b. Has work ever been completed by performance bond? yes no

File details come from the government source that posted it. Updated .