3- Experience_Questionaire.doc

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Beaverhead-Deerlodge NF Hollow Disaster Relief Fence Reconstruction
Solicitation number
1240LU25Q0041
Issued by

About this file

The document is an Experience Questionnaire form for a federal contract related to fence reconstruction on the Beaverhead-Deerlodge National Forest. The form requires contractors to provide detailed information about their organizational capacity, including minimum and maximum number of employees, equipment availability, and progress rates. Section 10 requests a listing of principal individuals' experience, with details on their current positions, years of experience, and the magnitude and type of work they have performed.

The questionnaire is part of a solicitation (1240LU25Q0041) issued by the Department of Agriculture Forest Service for a disaster relief fence reconstruction project. The contract scope involves removing and reconstructing 4-wire fencing, including specific pay items for mobilization, wire post and stay removal/replacement, brace removal/replacement, and gate installation (14ft swing gate and 12ft wire gate). The Forest Service will provide fence materials, and the contractor is responsible for furnishing labor, equipment, tools, transportation, and supplies necessary to complete the project successfully.

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9. Organization and work that will be available for this project:

a. (1) Minimum number of employees:__________ and a (2) Maximum number of employees:__________

b. Are employees regularly on your payroll? _____ Yes _____ No

c. Specify equipment available for this contract:_______________________________________________

d. Estimate rate of progress below (such as 2.0 acres/man/day):

(1) Minimum progress rate: __________ and (2) Maximum progress rate: __________

10. List below the experience of the principal individuals of your business:

Individual’s Name
Present Position
Years of Exp.
Magnitude and Type of Work

11. Remarks—Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above questions):

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.

12a.Certifying Official’s Name and Title

12b. Signature (Sign in Ink)
13. Date

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