Atch_3_Experience_Questionnaire.xls
XLS spreadsheet 39 KB Posted
- Attached to
- MORU INSTALL FIRE SUPPRESSION SYSTEM QTS #51 Federal contract opportunity
- Solicitation number
- 140P6324Q0037
About this file
This document is an Experience Questionnaire that appears to be part of a federal contract opportunity. The key details are:
The federal contract opportunity is a Request for Quote (RFQ) to design and install a Fire Suppression System for Housing Quarters #51 at Mount Rushmore National Monument. The Contracting Agency is the Department of the Interior National Park Service Midwest Region.
The Experience Questionnaire collects information about the contractor, including years of relevant experience, past projects, current contract commitments, staffing and equipment resources, key personnel qualifications, and financial responsibility. Contractors must complete this form to demonstrate their capability to perform the required work. The form includes certification that the contractor intends to complete the project as specified and that the information provided is accurate.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P6324Q0037_Amd_0004.pdf | ||
| Atch_5_Questions_and_Answers_0004.pdf | ||
| Sol_140P6324Q0037_Amd_0003.pdf | ||
| Atch_5_Questions_and_Answers_0002.pdf | ||
| Sol_140P6324Q0037_Amd_0002.pdf | ||
| Atch_6_Site_Visit_-_Sign-in_Sheet_0001.pdf | ||
| Sol_140P6324Q0037_Amd_0001.pdf | ||
| Atch_5_Questions_and_Answers_0001.pdf | ||
| Sol_140P6324Q0037.pdf | ||
| Atch_4_DOL_Wage_Determination_SD20240029.pdf | ||
| Atch_1_SOW.pdf | ||
| Atch_2_Floor_Plan.pdf |
Show all 12
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Text version
Sheet1
| 1. Contractors Name, Address, & Telephone No.: | 2. Type of Business | ||||||
| Name: | |||||||
| Address: | Company | ||||||
| Corporation | |||||||
| Non-profit Org | |||||||
| Telephone No.: | Co-partner | ||||||
| SAM UEI No: | Individual | ||||||
| 3. How many years experience do you have in this line of work? | Years | ||||||
| 4. How many years experience as a prime contractor? | Years | ||||||
| 5. List relevant projects related to Fire Suppression installation Projects your business has completed in the last 3 years: | |||||||
| CONTRACT | |||||||
| AMOUNT | TYPE OF | ||||||
| PROJECT | DATE | ||||||
| COMPLETED | NAME, ADDRESS & TELEPHONE NO.TO |
CONTACT FOR INFORMATION
| 6. List all of your firms current contract commitments: | |||||
| CONTRACT | |||||
| NUMBER | AWARD | ||||
| AMOUNT | NAME, ADDRESS, & PHONE NO. | ||||
| TO CONTACT FOR INFORMATION | PERCENT | ||||
| COMPLETED | DATE |
COMPLETED
| 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 | ||||||||||||
| 7c. If "Yes" to either item 7a or 7b, specify locations and reason why: | ||||||||||||||
| 8. Organization that will be available for this project: | ||||||||||||||
| a. Minimum No. of employees: | and maximum No. of employees: | |||||||||||||
| b. Are employees regularly on your payroll? | Yes | No | ||||||||||||
| c. Specify equipment available for this project: | ||||||||||||||
| 9. List the experience of principal individuals with proper qualifications/certifications to be used on this project: | ||||||||||||||
| INDIVIDUALS | ||||||||||||||
| NAME | PRESENT | |||||||||||||
| POSITION | YEARS | |||||||||||||
| EXPERIENCE | TYPE OF WORK | |||||||||||||
| 10. Financial Responsibility: | ||||||||||||||
| (in lieu of this, you may submit a letter from your | ||||||||||||||
| financial institution that addresses the status and standing of your accounts) | ||||||||||||||
| Name of Financial Institution | ||||||||||||||
| Address: | ||||||||||||||
| Contact Name | ||||||||||||||
| Contact Phone Nbr | ||||||||||||||
| 11. Remarks | ||||||||||||||
| CERTIFICATION: I certify that I intend to complete the project as specified and that my offer conforms to the specifications of the solicitation without deviation unless I provide an alternative proposal. All 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 National Park Service with any information needed to verify my capability to perform this project. | ||||||||||||||
| SIGNATURE | TITLE | DATE |
EXPERIENCE QUESTIONNAIRE
Instructions: This form may be completed manually or by using MS Excel. See Box 11, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.
Sheet2
Sheet3
File details come from the government source that posted it. Updated .