Attachment 3 Experience Form.docx
DOCX document 70 KB Posted
- Solicitation number
- 12445024Q0037
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Attachment 3 Experience Questionnaire for a solicitation issued by the USDA Forest Service for janitorial services at their Nacogdoches, Texas Wildlife Lab. The solicitation number is 12445024Q0037.
The questionnaire requires the contractor to provide details on their business type, years of experience, relevant past projects, current contract commitments, and key personnel. The contractor must certify the accuracy of the information provided. The solicitation is for a federal contract opportunity, with the USDA Forest Service as the procuring agency. The contract will be for janitorial services at the Nacogdoches Wildlife Lab facility.
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Text version
Solicitation: USDA FS-Southern Research Station, Nacogdoches Janitorial Attachment 3
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: | Years |
| 4. How many years of experience as a prime contractor | subcontractor |
5. List 3 of the most relevant projects your business has performed within the last 3 years of this solicitation issuance date: 8/26/2024
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:
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 .