Amendment_0002_JANITORIAL_SERVICES_Experience_Questionnaire_(003).docx
DOCX document 64 KB Posted
- Attached to
- Janitorial Services, Riverside, CA (to include Option Years) Federal contract opportunity
- Solicitation number
- 129AD618R0002
About this file
Experience Questionnaire
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF30_Amendment_0002_Janitorial_Services.pdf | ||
| Amendment_0002_JANITORIAL_SERVICES_52.212-4.docx | DOCX document | |
| Amendment_0002_JANITORIAL_SERVICES_Evaluation_Criterion_update.doc | DOC document | |
| Amendment_0001_for_Riverside_Janitorial_Svcs..pdf | ||
| Section_J_-_Wage_Determination_No._2015-5629.pdf | ||
| SF1449_Janitorial_Services_for_PSW_Riverside.pdf | ||
| Riverside_Janitorial_Solicitation_Package_FY_2018.doc | DOC document |
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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 experience do you have in this line of work | Yrs |
| 4. How many years experience as a prime contractor | subcontractor |
5. List the projects your business has completed in the last 3 years
CONTRACT
NUMBER
AWARD
AMOUNT
NAME ADDRESS & PHONE
NO. TO CONTACT FOR INFO.
PERCENT
COMPLETED
DATE CONTRACT
COMPLETED
6. List all of your firms current contract commitments CONTRACTPERCENT COMPLETED
NAME ADDRESS & PHONE NO. TO CONTACT FOR INFO.
AWARD AMOUNT
NUMBER
| 7a. Have you ever failed to complete any work awarded to you? | yes | no |
| 7b. Has work ever been completed by performance bond? | yes | no |
7. If "yes" to either item 7a or 7b specify location(s) and reason(s) why
129AD618R0002
RIVERSIDE, CA
AMENDMENT 0002
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:
d. Estimate rate of progress (such as 2.0 acres per day):
1. Minimum progress rate: Maximum progress rate
9. List the experience of the principal individuals of your business
| INDIVIDUALS NAME |
| PRESENT POSITION |
| YRS EXP |
| TYPE OF WORK |
10. Information required to complete a responsibility determination if the apparent successful offeror.
a. Credit References
| Company Name/Address |
| Point of Contact |
| Telephone number |
| TYPE OF WORK |
b. Banking Information.
| Company Name/Address |
| Point of Contact |
| Telephone number |
| TYPE OF WORK |
11. 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: |
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