A6 Experience Questionnaire.pdf

PDF 165 KB Posted

Attached to
PRD Developed Site Carbaryl Application Federal contract opportunity
Solicitation number
127EAV25Q0060
Issued by
Department of Agriculture Forest Service

About this file

Written by GovTribe AI ·

This Experience Questionnaire is for a PRD Developed Site Carbaryl Application contract (Solicitation Number 127EAV25Q0060) seeking an insecticide spraying services contractor. The document requires detailed information from potential contractors, including company details, California Qualified Applicator License status, years of experience, work progress rates, employee availability, past performance references, and current contractual commitments. Key requirements include providing information about key personnel qualifications, technical approach to performing the work (including equipment, safety plan, and schedule), and a comprehensive listing of similar projects completed in the last three years. The final page includes a certification section where the contractor must verify the accuracy of all provided information and authorize the government to verify the contractor's capability to perform the project.

View the file

Other files for this federal contract opportunity

Other files attached to PRD Developed Site Carbaryl Application, newest first.
File Type Posted
A6 Q_A 127EAV25Q0060.pdf PDF
A6 SOI 127EAV25Q0060.xlsx XLSX spreadsheet
A6 RFQ 127EAV25Q0060.pdf PDF
A6 WD2015_5635_07082025.pdf PDF
A6 SOI 127EAV25Q0060.xlsx XLSX spreadsheet

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
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Experience Questionnaire PRD Developed Site Carbaryl Application

127EAV25Q0060

1. Contractor Name:

2. POC:

3. Address:

4. Telephone Number:

5. Email Address:

6. UEI:

7. Small Business: Yes/No

2. Do you have a California Qualified Applicator License or Certificate (QAL/QAC)? Yes/No

3. How many years of experience do you or your company have in performing insecticide spraying services?

4. Estimate rate of progress (Such as acres/day, miles/day, or other rate):

Minimum progress rate: Maximum progress rate:

5. Employees that will be available for this work:

a. Minimum number of employees: and Maximum number of employees:

b. Are employees regularly on your payroll? Yes No

6. Please provide references for the last three (3) companies you have performed insecticide service:

Company and Point of Contract Email Address Phone Number

7. List the name (s) of the key personnel and qualifications who will be performing the insecticide spraying services:

8. Describe technical approach to performing the work – Equipment, safety plan and schedule. (Use another sheet of paper if additional space is needed).

9. Past Performance - List below the projects your business has completed within the last three (3) years which are similar in scope and scale to this job:

Contract Number

Contract Amount

Location of Work

POC Name, email, phone

Description of Project

Location of Work

Location of work

10. List below all of your firm's contractual commitments running concurrently with the work contemplated by this solicitation:

Contract # Dollar Amount Company/Agency Location of work When will the 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

POC:
Address:
Telephone Number:
Email Address:
UEI:
2 Do you have a California Qualified Applicator License or Certificate QALQAC YesNo:
3 How many years of experience do you or your company have in performing insecticide spraying services:
4 Estimate rate of progress Such as acresday milesday or other rate Minimum progress rate Maximum progress rate:
undefined:
undefined_2:
5 Employees that will be available for this work:
undefined_3:
and Maximum number of employees:
No:
Company and Point of ContractRow1:
Email AddressRow1:
Phone NumberRow1:
Company and Point of ContractRow2:
Email AddressRow2:
Phone NumberRow2:
Company and Point of ContractRow3:
Email AddressRow3:
Phone NumberRow3:
7 List the name s of the key personnel and qualifications who will be performing the insecticide spraying services:
8 Describe technical approach to performing the work Equipment safety plan and schedule Use another sheet of paper if additional space is needed:
Contract NumberRow1:
Contract AmountRow1:
Location of WorkRow1:
POC Name email phoneRow1:
Description of Project:
Contract NumberRow1_2:
Contract AmountRow1_2:
Location of WorkRow1_2:
POC Name email phoneRow1_2:
Description of Project_2:
Contract NumberRow1_3:
Contract AmountRow1_3:
Location of workRow1:
POC Name email phoneRow1_3:
Description of Project_3:
Contract Row1:
Dollar AmountRow1:
CompanyAgencyRow1:
Location of workRow1_2:
When will the contract be completedRow1:
Contract Row2:
Dollar AmountRow2:
CompanyAgencyRow2:
Location of workRow2:
When will the contract be completedRow2:
Contract Row3:
Dollar AmountRow3:
CompanyAgencyRow3:
Location of workRow3:
When will the contract be completedRow3:
Contract Row4:
Dollar AmountRow4:
CompanyAgencyRow4:
Location of workRow4:
When will the contract be completedRow4:
14 DATE:
Contractor Name:
13a CERTIFYING OFFICIALS NAME AND TITLE:

File details come from the government source that posted it. Updated .