5. Experience Questionnaire.doc

DOC document 54 KB Posted

Attached to
Sage Hen Reservoir Road Improvements
Solicitation number
1240LT24Q0045
Issued by

About this file

This document is an Experience Questionnaire that appears to be part of a federal contract opportunity. The key details are:

The questionnaire asks the contractor to provide information on the organization and work that will be available for the project, including the minimum and maximum number of employees, whether employees are regularly on the payroll, and the equipment available. The contractor is also asked to estimate the minimum and maximum progress rate for the work. Additionally, the contractor is requested to list the experience of the principal individuals of the business.

The related federal contract opportunity is for the Sage Hen Reservoir Road Improvements project, which involves crack sealing, patching asphalt, and chip sealing approximately 4.65 miles of roadway. The work is to be performed in compliance with the contract documents and FP-14 and supplemental project specifications. The contractor is responsible for providing 3rd party inspection and testing for all aspects of the chip seal work. Allowed road closures and disruptions are included in the Forest Service Supplemental Specifications.

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Text version

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 500 ft2/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 or Digitally)
13. Date

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