Past_Performance_Questionaire.pdf
PDF 124 KB Posted
- Attached to
- USDA Forest Service - Collection Officer Auditor Federal contract opportunity
- Solicitation number
- 1291S818Q0007
About this file
Past Performance Questionnaire
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1291S819Q0007_Questions_&_Answers.pdf | ||
| Schedule_of_Services.xlsx | XLSX spreadsheet | |
| Wage_Determination.pdf | ||
| Sample_Audit_Package.pdf | ||
| 1291S819Q0007_Solicitation.pdf |
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Text version
SERVICE RFQ 1291S818Q0007
R5-Collection Officer Audits
Experience Questionnaire
Instructions: Mark X in the appropriate boxes. If extra space is needed please insert in “remarks section”.
| Contractors | Name, | Address | & | Telephone | No. | Type | of | Business |
| __Company | __Co‐Partner | |||||||
| __Corporation | __Individual |
__Non‐profit
License
How many years experience do you have in this line of work____Yrs
| How | many | years | experience | as | a | prime | contractor_____ | subcontractor___ | ||||||||
| PAST | PERFORMANCE/EXPERIENCE | INFORMATION | ||||||||||||||
| List | the | projects | your | business | has | completed | in | the | last | 3 | years | similar | in | size | and | scope. |
CONTRACT
NUMBER/
AMOUNT
| TYPE | OF | PROJECT | |
| (Acres | treated | and | type) |
PERIOD OF
PERFORMAN
CE
NAME, ADDRESS & TELEPHONE NO. TO CONTACT FOR
INFORMATION
List all of your firms current contract commitments
CONTRACT
NUMBER/
AMOUNT
| TYPE | OF | PROJECT | |
| (Acres | treated | and | type) |
PERIOD OF
PERFORMAN
CE
NAME, ADDRESS & TELEPHONE NO. TO CONTACT FOR
INFORMATION
| Have | you | ever | failed | to | complete | any | work | awarded | to | you? __yes | __ | no |
| Has | work | ever | been | completed | by | performance | bond? | __yes | __ | no | ||
| If | "yes" | to | either | item | above | specify | location(s) | and | reason(s) | why |
WORK FORCE: Work force composition (operator, laborer, etc) that will be used for this project:
SERVICE RFQ
Minimum No. of employees: and Maximum No. of employees:______
| Are | employees | regularly | on | your | payroll: | __yes | __ | no | |||||
| Do | you | have | any | partime | employees? | _____ | If | so | how | many? | _____ | ||
| Do | you | have | any | seasonal | employees? | _____ | If | so | how | many? | _____ | ||
| How | will | company | recruit | and | train | employees | who | will | be | working | on | this | contract.. |
EQUIPMENT:
Specify equipment to be used on this contract: (Tractor model, Horse power, etc.)
Indicate condition of equipment to be used on this contract.
Standard Operating procedures:
| KEY | PERSONNEL: | |||||||||||||
| List | the | experience | of | the | key | personnel | (foreman, | inspector, | operators)performning | on | this | contract | and | business. |
INDIVIDUALS NAME PRESENT POSITION YRS EXP TYPE OF WORK
| QUALITY | CONTROL | PLAN: | Provide | a | draft | quality | control | plan | addressing | how | the | Contractor | will | assure | quality | meets | the | |
| contract | specifications | (A | separate | document | should | be | submitted.): |
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: |
AG-046W-S-17-0045
R6-Collection Officer Audits
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