FARRIER_experience_questionnaire_rfq.doc
DOC document 56 KB Posted
- Attached to
- Spotted Bear Ranger District Farrier Services Federal contract opportunity
- Solicitation number
- AG-03R6-S-17-0035
About this file
Farrier Experience Questionnaire
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 2017_SBRD_Farrier_Solicitation.pdf | ||
| Flathead_food_storage.pdf | ||
| Wage_Determination_No.2015-5401_Revision_No._1_Dated_01252017.pdf | ||
| Schedule_of_Items.pdf |
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USDA Forest Service
FARRIER SERVICES EXPERIENCE QUESTIONNAIRE
INSTRUCTIONS: See Box 11, Remarks, if extra space is needed to answer any item below, Mark “X: in appropriate boxes.
1. CONTRACTOR NAME, ADDRESS, AND TELEPHONE NUMBER
2. SUBMITTED TO (Office Name and Address)
3. BUSINESS
[ ] Company [ ] Co-partnership
[ ] Corporation [ ] Individual
[ ] Non-profit Organization
4. How many years do you or your firm have in Farrier services?
5. How many years experience have you or your business had as a (a) prime contractor ____ and/or (b) sub-contractor ____ in janitorial services?
6. List below the farrier service projects your business has completed within the last three years:
| CONTRACT AMOUNT |
| TYPE OF PROJECT |
| DATE COMPLETED |
| NAME, ADDRESS & TELEPHONE # OF OWNER/PERSON TO CONTACT FOR PROJECT INFORMATION |
7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:
| CONTRACT NUMBER |
| DOLLAR AMT. OF AWARD |
| NAME, ADDRESS, AND TELEPHONE NO. OF BUSINESS/GOVERNMENT AGENCY INVOLVED |
| AWARDED (UNITS) |
| PERCENT COMPLETE |
| DATE CONTRACT COMPLETED |
8a. Have you ever failed to complete any work awarded to you? [ ] Yes [ ] No
8b. Has work ever been completed by performance bond? [ ] Yes [ ] No
8c. If “Yes” to either item 8a. or 8b., specify location(s) and reason(s) why:
(OVER)
9. Organization and work that will be available for this project:
a. (1) Minimum number of farrier employees: _____ and a (2) Maximum number of janitorial employees: _____?
b. Are janitorial employees regularly on your payroll: [ ] Yes [ ] No
c. Specify janitorial equipment available for this contract:______________________________________________________
d. Estimate rate of progress below (such as 2.0 acres/man/day):
(1) Minimum progress rate:________________ and (2) Maximum progress rate: _________________________
| INDIVIDUAL’S NAME |
| PRESENT POSITION |
| YEARS OF Farrier EXPERIENCE |
| MAGNITUDE AND TYPE OF WORK |
11. REMARKS-SPECIFY BOX NUMBERS (Attach sheets if extra space is needed to fully answer any above question.):
NOTE: PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT WILL HELP EVALUATE YOUR
ABILITY TO SUCCESSFULLY COMPLETE THIS PROJECT.
CERTIFICATION
I certify that all of the statements made by me are complete and correct t 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.
12a. CERTIFYING OFFICIAL’S NAME AND TITLE
| b. SIGNATURE (Sign in ink) |
| 13. DATE |
10. List below the experience of the principal individuals of your business: (Who will directly be involved in this contract?)
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