Experience_questionnaire_Revised.doc
DOC document 52 KB Posted
- Attached to
- Paving Coal Road & Saint Mary's Road
- Solicitation number
- AG-3395-S-15-0024
About this file
Acknowledgement not required. Original Experience Questionnaire has been revised to show correct Submitted to Address. Return Questionnaire with your proposal.
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Other files
| File | Type | Posted |
|---|---|---|
| OGB_Clarification.docx | DOCX document | |
| Amendment1.pdf | ||
| AG3395S150024.pdf | ||
| AllAttachments.pdf | ||
| SubmittalCopy.pdf |
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Text version
Experience Questionnaire Contractor name, address, telephone, fax, e-mail
Submitted to:
Cherokee National Forest
Attn: Nina Barrow
2800 North Ocoee Street Cleveland, TN 37312
How many years’ experience do you or your firm have in the line of work contemplated by this solicitation? ______
How many years’ experience in contracting have your or your business had as:
(a) a prime contractor __________ (b) a sub-contractor ____________
List below your most relevant projects completed within the past three years.
Use separate sheet for continuation.
| Awarding Agency/Owner |
| Contract Amount |
| Project Location |
| Date Begun |
| Contract Number |
| Date Completed |
Contracting Officer name and phone number
Project Engineer/COR/COTR name and phone number
Brief description of work
| Awarding Agency/Owner |
| Contract Amount |
| Project Location |
| Date Begun |
| Contract Number |
| Date Completed |
Contracting Officer name and phone number
Project Engineer/COR/COTR name and phone number
Brief description of work
| Awarding Agency /Owner |
| Contract Amount |
| Project Location |
| Date Begun |
| Contract Number |
| Date Completed |
Contracting Officer name and phone number
Project Engineer/COR/COTR name and phone number
Brief description of work
List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:
Use separate sheet for continuation.
| Name, address, and telephone number of business or government agency |
| Contract Number |
| Dollar amount |
| percent complete |
| expected completion date |
List below information for major subcontractors planned for this project.
| Name, address, and telephone number |
| type of work |
| dollar amount |
On a separate sheet provide a brief resume of principal individuals in your firm, including the proposed project manager and superintendent. Include at a minimum the individual’s name, present position, years of experience, years with your firm, and type of duties.
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.
Certifying Official’s Name and Title
| Signature |
| Date |
File details come from the government source that posted it. Updated .