12445026Q0028_Attach4_Experience Questionaire.docx
DOCX document 58 KB Posted
- Solicitation number
- 12445026Q0028
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form required for submission in response to Solicitation 12445026Q0028 for grounds maintenance services at the International Institute of Tropical Forestry (IITF). The questionnaire serves as a qualifications and capability assessment tool for prospective contractors and must be completed by all bidders.
The form requests comprehensive information about the contractor's background and capacity to perform the required work. Key sections include contractor identification and business type; years of experience in grounds maintenance work and as a prime or subcontractor; up to three relevant projects completed within three years of solicitation issuance with contract numbers, award amounts, completion dates, and client contact information; all current contract commitments with associated percentages and award amounts; employment capacity (minimum and maximum employee counts and payroll status); available equipment for the project; and experience details of principal business individuals including names, positions, years of experience, and work types. The form also includes a certification requirement in which the contractor attests to the accuracy and completeness of all provided information and authorizes the Forest Service to verify capability through named references. This questionnaire is specifically designed for the EDWOSB set-aside acquisition and supports the agency's evaluation of contractor responsibility and technical capability to perform grounds maintenance services including green roof maintenance, pressure washing, ditch cleaning, and bamboo removal.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
12445026Q0028 Attachment 04 IITF Grounds Maintenance
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 .