A06 Experience Questionaire.docx
DOCX document 71 KB Posted
- Attached to
- Bent Creek Janitorial Services
- Solicitation number
- 12445025Q0005
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form related to solicitation #12445025Q0005 for Bent Creek Janitorial Services. The questionnaire requires contractors to provide detailed business information including their company type, years of experience as prime and subcontractors, and up to three relevant projects completed within the past three years of the solicitation date.
The form requests specific details about current contract commitments, organizational capacity (including minimum/maximum number of employees), available equipment, and experience of key personnel. Contractors must disclose any history of incomplete work or performance bond completions. The questionnaire is designed to evaluate contractor capabilities for providing janitorial services at the Bent Creek Experimental Forest Administrative Site in Asheville, NC, where the contractor will be responsible for cleaning administrative spaces, halls, restrooms, labs, and other designated areas.
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Text version
Solicitation No: 12445025Q0005 Bent Creek Janitorial Services
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 11, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.
| 1. Contractor’s Name, Address & Telephone No. Email | |
| 2. Type of Business | |
| Company | Co-Partner Non-profit |
Corporation Individual
3. How many years of experience do you have in this line of work?
4. How many years of experience as a prime contractor? Subcontractor?
5. List no more than 3 most relevant projects your business has performed within 3 years of this solicitation issuance date:
CONTRACT
NUMBER
AWARD
AMOUNT
| NAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION. |
| DATE |
CONTRACT
COMPLETED
DESCRIPTION OF WORK PERFORMED
6. List all of your firm’s current contract commitments NAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION.
PERCENT
AWARD AMOUNT
CONTRACT
NUMBER
6a. Have you ever failed to complete any work awarded to you? yes no
6b. Has work ever been completed by performance bond? yes no
6c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why
7. 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 equipment available for this contract:
7. List the experience of the principal individuals of your business
| INDIVIDUALS NAME |
| PRESENT POSITION |
| YRS EXP |
| TYPE OF WORK |
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 .