12444725Q0021_Experience Questionaire.docx
DOCX document 58 KB Posted
- Solicitation number
- 12444725Q0021
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire for a pest control services contract at Grey Towers National Historic Site. The solicitation (12444725Q0021) is issued by the Department of Agriculture Forest Service and requires a contractor to provide comprehensive Integrated Pest Management (IPM) services for eleven federally owned historic and modern buildings. The contractor must supply all materials, labor, equipment, transportation, supervision, and management to perform routine and non-routine pest control services for both interior and exterior building spaces, including emergency response and preventative measures.
The questionnaire seeks detailed information from potential contractors, including business type, years of experience, current contract commitments, employee organization, equipment availability, and principal individuals' qualifications. Contractors are required to list up to three most relevant projects completed within the past three years, provide contact information for references, and certify the accuracy of their submitted information. A pre-bid conference and onsite visit will be conducted at Grey Towers National Historical Site located in Milford, PA, with Katelynn Ulmer serving as the point of contact.
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Text version
12444725Q0021Attachment 06 Grey Towers Pest Control 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. 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 CONTRACTNAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION.
PERCENT
AWARD AMOUNT
NUMBER
7. Have you ever failed to complete any work awarded to you? yes no
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:
9. List the experience of the principal individuals of your business
| INDIVIDUALS NAME |
| PRESENT POSITION |
| YRS EXP |
| TYPE OF WORK |
10. 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 .