ATT B - Questionnaire_Experience and Past Performance.pdf
PDF 188 KB Posted
- Attached to
- Elevator Maintenance and Repair Services Federal contract opportunity
- Solicitation number
- 127EAT24Q0034
- Issued by
- Department of Agriculture Forest Service
About this file
This document is an experience questionnaire related to a federal contract opportunity for elevator maintenance and repair services. The solicitation is a 100% Small Business Set-Aside under NAICS code 238290, with a small business size standard of $22M. The contract period is one year with three option years. The key details are:
The experience questionnaire requests information on the contractor's company, years of experience, use of subcontractors, references, emergency response, technician locations, equipment experience, key personnel, past performance, and current contractual commitments. Offerors must submit a completed copy of the Offeror Representations and Certifications. The contract will be awarded based on a comparative evaluation of Technical Capability and Price. Quotes are due by April 26, 2024 at 5:00 PM Pacific Time. The contract will be issued by the Department of Agriculture Forest Service for elevator maintenance and repair services at the Region 5 Regional Office in Vallejo, CA.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 127EAT24Q0034 0002.pdf | ||
| 127EAT24Q0034 0001.pdf | ||
| Wage Determination No 2015-5655.pdf | ||
| ATT A- Statement of Work.pdf | ||
| 127EAT24Q0034.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Experience Questionnaire
1. Contractor Name, Address, Telephone Number, and Email Address:
2. COMPANY INFORMATION
DUNS or UEI: __________________ Small Business: Yes No
Primary NAICS Code: _____________
3. How many years of experience do you or your company have in performing this work? _____________
4. Will you be using a subcontractor? Yes No
5. Please provide references for the last three (3) companies where you performed elevator inspection/maintenance services.
Company and Name of Person Email Address/Phone # Description of Work and Length of Contract
6. Describe how you would respond to an Emergency in the case of an elevator failure.
7. Do you have technicians located within 50 miles? Yes No
8. Describe the types of elevators you have performed maintenance and repairs on.
9. List below the proposed key personnel who will be performing the work:
Individual’s Name Present Position Years of Experience
Education/Certifications
10. Past Performance - List below the contracts your business has completed within the last five (5) years for Preventative Maintenance, Routine and Non-Routine Service, and Emergency Repair on Elevators.
Contract Number Contract Amount Location of Work Names, Telephone No., and Email of Owner/Person to contact for Project Information
Description of Project
Contract Number Contract Amount Location of Work Names, Telephone No., and Email of Owner/Person to contact for Project Information
Description of Project
Contract Number Contract Amount Location of work Names, Telephone No., and Email of Owner/Person to contact for Project Information
Description of Project
11. List below all of your firm's contractual commitments running concurrently with the work contemplated by this solicitation:
Contract # Dollar Amount Name, Tel, Email of Business/Govt Agency Involved
Location of work When will contract be completed?
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 Government with any information needed to verify my capability to perform this project.
13a. CERTIFYING OFFICIAL'S NAME AND TITLE
13b. SIGNATURE 14. DATE
| 1 Contractor Name Address Telephone Number and Email Address: |
| DUNS or UEI: |
| Primary NAICS Code: |
| 3 How many years of experience do you or your company have in performing this work: |
| Company and Name of PersonRow1: |
| Email AddressPhone Row1: |
| Description of WorkRow1: |
| Company and Name of PersonRow2: |
| Email AddressPhone Row2: |
| Description of WorkRow2: |
| Company and Name of PersonRow3: |
| Email AddressPhone Row3: |
| Description of WorkRow3: |
| undefined: |
| undefined_2: |
| 8 What types of equipment do you have experience working with that is relevant to this contract: |
| Individuals NameRow1: |
| Present PositionRow1: |
| Years of ExperienceRow1: |
| Type of WorkRow1: |
| Contract NumberRow1: |
| Contract AmountRow1: |
| Location of WorkRow1: |
| Names Telephone No and Email of OwnerPerson to contact for Project InformationRow1: |
| Description of Project: |
| Contract NumberRow1_2: |
| Contract AmountRow1_2: |
| Location of WorkRow1_2: |
| Names Telephone No and Email of OwnerPerson to contact for Project InformationRow1_2: |
| Description of ProjectRow1: |
| Description of Project_2: |
| Contract Row1: |
| Dollar AmountRow1: |
| Name Tel Email of BusinessGovt Agency InvolvedRow1: |
| Location of workRow1: |
| When will contract be completedRow1: |
| Contract Row2: |
| Dollar AmountRow2: |
| Name Tel Email of BusinessGovt Agency InvolvedRow2: |
| Location of workRow2: |
| When will contract be completedRow2: |
| Contract Row3: |
| Dollar AmountRow3: |
| Name Tel Email of BusinessGovt Agency InvolvedRow3: |
| Location of workRow3: |
| When will contract be completedRow3: |
| 13a CERTIFYING OFFICIALS NAME AND TITLE: |
| 13b SIGNATURE: |
| 14 DATE: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Text5: |
| Text6: |
| Text7: |
| Text8: |
| Text9: |
| Text10: |
| Text11: |
| Text12: |
| Text13: |
| Text14: |
| Text15: |
| Text16: |
| Text17: |
| Text1: |
File details come from the government source that posted it. Updated .