AG03K0S150004ExperienceQuestionnaire.pdf
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- Solicitation number
- AG-03K0-S-15-0004
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Experience Questionnaire
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| File | Type | Posted |
|---|---|---|
| AG03K0S150004.pdf | ||
| AG03K0S150004Drawings.pdf | ||
| AG03K0S150004WD.pdf | ||
| AG03K0S150004FSSS.pdf |
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EXPERIENCE
QUESTIONNAIRE
1. CONTRACTOR NAME, ADDRESS, & TELEPHONE NUMBER
2. BUSINESS TYPE
[ ] COMPANY
[ ] INDIVIDUAL
[ ] CORPORATION
[ ] CO-PARTNERSHIP
[ ] NON-PROFIT
ORGANIZATION
HOW MANY YEARS DOES YOUR BUSINESS HAVE IN THE LINE OF
WORK CONTEMPLATED BY THIS SOLICITATION?
4. HOW MANY YEARS EXPERIENCE IN CONTRACTING HAS YOUR BUSINESS HAD AS AN (a) PRIME CONTRACTOR __________ AND/OR (b) SUB-CONTRACTOR __________? IS THIS TIME CONCURRENT?
5a. LIST BELOW SIMILAR PROJECTS YOUR BUSINESS HAS COMPLETED WITHIN THE LAST THREE
YEARS:
CONTRACT
AMOUNT
TYPE OF PROJECT DATE
COMPLETED
NAME, ADDRESS & TELEPHONE NUMBER OF
OWNER/PERSON TO CONTACT FOR INFO.
5b. LIST BELOW THE PROJECTS THAT ARE INCOMPLETE:
CONTRACT
NUMBER
DOLLAR AMT.
OF AWARD
NAME, ADDRESS & PHONE
NO.
OF AGENCY INVOLVED
PERCENT
COMPLETED
DATE
COMPLETED
UNITS
AWARDED
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 6a OR 6b, SPECIFY LOCATION(S) AND REASONS(S) WHY:
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