5. Experience Questionnaire.doc
DOC document 54 KB Posted
- Solicitation number
- 1240LT25Q0040
- Issued by
-
Department of Agriculture Forest Service
About this file
The document is an Experience Questionnaire template for a federal contract opportunity related to reroofing housing units. The form is designed to collect detailed information about a contractor's organizational capabilities, including employee count, equipment availability, work progress rates, and key personnel experience. The template requires contractors to provide certification of the information's accuracy and allows space for documenting the company's qualifications for performing the roofing project.
The associated federal contract opportunity, solicitation number 1240LT25Q0040, is issued by the Department of Agriculture Forest Service for the Caribou-Targhee Dubois Reroofing of Housing Units project. The scope involves removing and replacing metal roofs on 7 housing units (5 dwellings and 2 garages), which includes tearing off existing roofing, disposing of materials, and installing new metal roofing with associated components like flashing, ridge vents, ice and water shield, vented soffit, and fascia. The solicitation includes a provision for potential additional sheathing replacement if damage is discovered during the project.
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Other files
| File | Type | Posted |
|---|---|---|
| 2. Dubois Specifications.pdf | ||
| 3. Dubois Roofs Drawings.pdf | ||
| 0. 1240LT25Q0040 - Solicitation.pdf | ||
| 1. Dubois Consolidated SOI.xlsx | XLSX spreadsheet | |
| 4. Davis-Bacon Act WD # ID20250023 - Clark County.pdf |
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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 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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