A8_PastPerfQuest127EAS26Q0023.pdf
PDF 875 KB Posted
- Solicitation number
- 127EAT26Q0023
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a Past Performance Questionnaire form required by the USDA Forest Service for contract solicitation 127EAT26Q0023, concerning hazardous tree removal at the Rincon Station in Santa Barbara Ranger District. The form is submitted to the USDA Forest Service contact Klenise Wallace at klenise.wallace@usda.gov.
The questionnaire requires contractors to provide comprehensive past performance documentation including: contractor name, address, and telephone number; business structure classification (company, corporation, co-partnership, individual, or non-profit organization); years of experience in the line of work contemplated by the solicitation; years of experience as a prime contractor and/or subcontractor; a detailed list of projects completed within the last three years with contract amounts, project types, completion dates, and owner/contact information for reference verification; disclosure of any failure to complete awarded work with reasons for non-completion; and a certification statement affirming the accuracy and completeness of all submitted information. The certifying official must sign the form in ink and provide their name, title, and the submission date. Additional remarks and explanations may be provided in designated space or on attached sheets as needed.
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Other files
| File | Type | Posted |
|---|---|---|
| A7. A9_Reps and Certs.1_FILLABLE.docx | DOCX document | |
| A7. A1_SF30&Terms-127EAT26Q0023-0001.pdf | ||
| A9_Reps and Certs_FILLABLE.docx | DOCX document | |
| A4_ Photos-LPFRinconERTreeRemoval_092025.pdf | ||
| A3_ SOI_127EAT26Q0023.xlsx | XLSX spreadsheet | |
| A6_SCA WD1977-0727_v79AZ_20251203.pdf | ||
| A2_SOW - LPFRinconERTreeRemoval_012026.pdf | ||
| A1_SF1449andTerms-127EAT26Q0023.pdf | ||
| A7_Proposal Form 127EAT26Q0023.docx | DOCX document | |
| A5_ MAPS_Rincon Sycamore Tree Removal.pptx | PPTX presentation |
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Text version
USDA – Forest Service
PAST PERFORMANCE QUESTIONNAIRE
(Ref. FSH 6309.31 and 41 USC 1)
INSTRUCTIONS: See Box 11, Remarks, if extra space is needed to answer any questions below. Mark “X” in appropriate boxes.
1. CONTRACTOR NAME, ADDRESS, AND TELEPHONE NO.
3. BUSINESS
Company Co-partnership Corporation Individual Non-profit Organization
4. How many years do you or your firm have in the line of work contemplated by this solicitation?
5. How many years of experience in contracting have you or your business had as a (a) prime contractor ____ and/or (b) sub-contractor ____?
6. List below the projects your business has completed within the last three years:
CONTRACT
AMOUNT TYPE OF PROJECT
DATE
COMPLETED
NAME, ADDRESS, AND TELEPHONE NO. OF
OWNER/PERSON TO CONTACT FOR PROJECT
INFORMATION
7a. Have you ever failed to complete any work awarded to you? Yes No 7b. If “Yes” to Item 8a type of project and reason(s) why:
8. Remarks. Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question):
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any person named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.
9a. CERTIFYING OFFICIAL’S NAME AND TITLE
b. SIGNATURE (Sign in ink) 10. DATE
2. SUBMITTED TO (office Name and Address) USDA Forest Service Attn: klenise.wallace@usda.gov Email: klenise.wallace@usda.gov
127EAT26Q0023 - LPF USFS Rincon Station - Santa Barbara RD ER Sycamore Hazardous Tree Removal
File details come from the government source that posted it. Updated .