A06 Experience Questionaire.docx

DOCX document 71 KB Posted

Attached to
Audio Transcription Services Federal contract opportunity
Solicitation number
12445025Q0009
Issued by
Department of Agriculture Forest Service

About this file

This document is an Experience Questionnaire for a potential janitorial services contract with the Department of Agriculture Forest Service. The form requires detailed information from potential contractors, including business type, years of experience, current contract commitments, and organizational capabilities. Specifically, contractors must list up to three most relevant projects completed within the past three years, provide details about their current contract commitments, and disclose information about their workforce, including minimum and maximum number of employees and available equipment. The questionnaire also requests information about the principal individuals in the business, their experience, and requires a certification of the accuracy of the provided information. The solicitation number referenced is 12445025Q0005 for Bent Creek Janitorial Services, which appears distinct from the related Audio Transcription Services opportunity (solicitation number 12445025Q0009) also involving the Forest Service.

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File Type Posted
A06 Experience Questionaire.docx DOCX document
A01-Performance Work Statement Final.docx DOCX document
A06 Final Combined SS RFQ Audio Transcription Services.pdf PDF

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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
CompanyCo-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 .