12445023Q0052_Attach5_Experience Questionnaire_9Aug23.docx
DOCX document 68 KB Posted
- Attached to
- SRS Cordesville Janitorial Services Federal contract opportunity
- Solicitation number
- 12445023Q0052
- Issued by
- Department of Agriculture Forest Service
About this file
This Experience Questionnaire is seeking information from offerors for the Solicitation Number 12445023Q0052 for Cordesville Janitorial Services from the Department of Agriculture Forest Service. The questionnaire requests details on the offeror's experience, including the number of years in business and as a prime contractor, the three most relevant past projects with contact information, current contract commitments with percentages and contacts, and whether they have failed to complete work or had work completed by a performance bond with explanations. It also seeks organizational information like employee numbers and equipment available, estimated progress rates, principal staff names and experience, and references for determining responsibility. The offeror must certify that all statements are complete and correct to the best of their knowledge.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Cordesville Janitorial_QandA_as_of_30Aug23.pdf | ||
| Cordesville_Janitorial_QandA_as_of_28Aug23.pdf | ||
| 12445023Q0052_Combined_SS_Stoneville Janitoral Services.pdf | ||
| 12445023Q0052_Attach3_Schedule of Items_Cordesville Janitorial_8Aug23.xlsx | XLSX spreadsheet | |
| 12445023Q0052_Attach1_Cordesville Janitorial PWS_8Aug23.pdf | ||
| 12445023Q0052_Attach2_Building Maps_9Aug23.pdf | ||
| 12445023Q0052_Attach6_DRAFT QASP_22May23.pdf | ||
| 12445023Q0052_Attach4_SCLS Wage Determination_9Aug23.pdf |
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Text version
Solicitation No: 12445023Q0052 Cordesville 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 | |
| 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 firm’s current contract commitments CONTRACTNAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION.
PERCENT
AWARD AMOUNT
NUMBER
| 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 |
7c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why
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 .