A02 22Q0042 Attachment A - Contractor mowing Experience Questionnaire.pdf

Attachment A: Contractor’s Experience

CONTRACTOR QUESTIONNAIRE

SOLICITATION NUMBER: ___________________________________

PROJECT TITLE: __________________________________________________

PLEASE COMPLETE ALL REQUESTED INFORMATION

Name: _______________________________________________________

Company name: ________________________________________________

Street Address: _____________________________________________________

City: ____________________________ State: ________ Zip: _________

Phone number: ___________________________________________

DUNS: _________________________________ CAGE Code: ______________

Will you be performing this Work?

_____ Yes (list experience)

_____ Yes, with help of Subcontractor (Please list experience of your firm and Subcontractor)

Employee / Subcontractor’s Name: ___________________________________________

** FAR 52.219-14 requires that at least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern.

Number of Employees who will be working on this contract:

Full Time: _____________ Part Time: ___________ Seasonal: ___________

Do you and your Subcontractor have Commercial Mowing Experience?

________ Yes Years: ____________ Months: __________

_________ No

EXPERIENCE #1

Self or Subcontractor? ___________________________________________

Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

Reference Telephone Number: ___________________________________

Additional Information:

EXPERIENCE #2

Self or Subcontractor? ___________________________________________

Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

Reference Telephone Number: ___________________________________

Additional Information:

EXPERIENCE #3

Self or Subcontractor? __________________________________________

Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

Reference Telephone Number: ___________________________________

Additional Information:

Please return this questionnaire sheet along with your Quote.