A06_Attachment 3 - Experience Questionnaire.pdf
PDF 134 KB Posted
- Attached to
- Illustrator Services/Visual Information Specialist Combined Synopsis Solicitation Federal contract opportunity
- Solicitation number
- 12441923Q0152
- Issued by
- Department of Agriculture Forest Service
About this file
This document is an experience questionnaire for potential contractors to submit with their proposals for Solicitation Number 12441923Q0152. The solicitation is seeking illustrator services and visual information specialist support from the Department of Agriculture Forest Service. The experience questionnaire requests information on the contractor's years of experience, past project details and references from the last three years, current contract commitments, any past failures to complete work, staffing information for the project, and resumes of principal staff. It requires the contractor official to certify the accuracy of the information provided.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A07_12441923Q0152_Amendment 02.pdf | ||
| A07 _Attachment 1 - Statement of Work (Updated).pdf | ||
| A07_12441923Q0152_Amendment 01_v1.pdf | ||
| A06_12441923Q0152_RFQ.pdf | ||
| A06 _Attachment 2 - SCA Wage Determination 2015-5393.pdf | ||
| A06_Attachment 4 - Required_Desired Skills.pdf | ||
| A06 _Attachment 1 - Statement of Work.pdf |
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Text version
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 10, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.
1. Contractors Name, Address, Telephone No. & Email
2. Type of Business ___Company ___Co-Partner ___Non-profit
___Corporation ___Individual
3. Howmany years experience do you have in this line of work? ____________Years
4. How many years experience as a Prime Contractor___________ Subcontractor____________
5. List the projects your business has completed in the last 3 years from the solicitation issuance date
CONTRACT
NUMBER
AWARD
AMOUNT
NAME ADDRESS & PHONE
NO. TO CONTACT FOR INFO.
PERCENT
COMPLETED
DATE CONTRACT
COMPLETED
6. List all of your firms current contract commitments
CONTRACT
NUMBER
AWARD
AMOUNT
NAME ADDRESS & PHONE NO. TO CONTACT
FOR INFO.
PERCENT
COMPLETED
7. Have you ever failed to complete any work awarded to you? ____yes __ _no 7a. If "yes" specify location(s) and reason(s) why:
8. Organization information available for this project:
a. Minimum # of employees: ____________ and Maximum # of employees: ______________
b. Are employees regularly on your payroll: ___yes __ _no
c. Specify Applications/tools used for similar projects:
d. Planning & Scheduling:
1. How do you intend to plan scheduling for other concurent projects listed in box 6 (if applicable).
9. List the experience of the principal individuals of your business that will be used to perform this solicitation:
INDIVIDUALS NAME PRESENT POSITION YRS EXP TYPE OF WORK
10. REMARKS
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:
Name:
Title: Date:
File details come from the government source that posted it. Updated .