Attachment 4 - Experience Questionaire.docx

DOCX document 71 KB Posted

Attached to
Saucier HEF Janitorial Federal contract opportunity
Solicitation number
12444725Q0020
Issued by
Department of Agriculture Forest Service

About this file

The attached file is an Experience Questionnaire for a janitorial services solicitation (No. 12445025Q0005) for Bent Creek. The document requires potential contractors to provide detailed information about their business experience, including years in the industry, previous contract work, current commitments, organizational capacity, and key personnel qualifications. Contractors must list up to three most relevant projects completed within the past three years, disclose current contract commitments, and provide information about their employee workforce and available equipment.

The related federal contract opportunity is a janitorial services solicitation (No. 12444725Q0020) for the Harrison Experimental Forest (HEF) in Saucier, Mississippi, issued by the Department of Agriculture Forest Service. A mandatory site visit is scheduled for May 27, 2025, at 10:30 a.m. Central Time, with Denise Bates as the point of contact. The contract will cover janitorial services for one base year with four potential option years, requiring the contractor to provide all necessary personnel, equipment, labor, supervision, transportation, supplies, and materials to perform services as specified in the Statement of Work.

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Text version

Solicitation No: 12445025Q0005 Bent Creek Janitorial Services

EXPERIENCE QUESTIONNAIRE

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

1. Contractor’s 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?

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 firm’s current contract commitments NAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION.

PERCENT

AWARD AMOUNT

CONTRACT

NUMBER

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

6c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why

7. 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:

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

INDIVIDUALS NAME
PRESENT POSITION
YRS EXP
TYPE OF WORK

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 .