C04_03 Past Performance Experience Questionnaire_12444026Q0090.pdf
PDF 112 KB Posted
- Solicitation number
- 12444026Q0090
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form used to evaluate a contractor's qualifications and past performance in federal contracting opportunities.
The form requires contractors to provide basic company information including business type (company, corporation, co-partner, non-profit, or individual) and contact details. Respondents must disclose their total years of experience in their line of work and specify experience as either a prime contractor or subcontractor. The questionnaire requests documentation of up to three of the contractor's most relevant projects completed within three years of the solicitation issuance date, including contract numbers, award amounts, contact information for references, completion dates, and descriptions of work performed. Additionally, contractors must list all current contract commitments with associated contract numbers, award amounts, contact references, and the percentage of firm resources allocated to each commitment.
The form includes two critical compliance questions: 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 detailed explanations specifying the location(s) and reason(s) for the failure or performance bond invocation. Extra space for responses is available in Box 11 (remarks section) of the document. This questionnaire serves as a standard evaluation tool to assess contractor capability, reliability, and capacity before federal contract award.
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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
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