Experience Equipment Questinnaire.pdf

EXPERIENCE, EQUIPMENT QUESTIONNAIRE

ATTACHMENT 4

Name of Contractor: ________________________

Attention: Completion of this Questionnaire is required in order for your proposal to be considered “Responsive”. Please attach additional sheets as needed.

Please list in the table below your work experience over the last three years.

Type of Project

Dollar Amount

Date Completed

Customer/Reference Information Name Address Phone

Please list in the table below the equipment that will be utilized on this project.

Type of Equipment

Model Number/Size Overall

Condition Owned or Rented

Please answer the following questions.

How many years experience do you have with this type of work? ___________________________________

Do you have any other contractual commitments that may run concurrently with this solicitation? _________

If the answer to the above is yes, please list these projects here.______________________________________

EXPERIENCE, EQUIPMENT QUESTIONNAIRE

ATTACHMENT 4

Please complete the following table for the employees that will be working on this project.

Employee Name

Employee Classification

Employment Status Permanent Seasonal

Years Experience

Have you ever been defaulted on any Federal Government contract? ______________________

If the answer to the above is yes, explain the circumstances and list the name of the Contracting Officer.