Experience Questionnaire.pdf

AG-3604-S-12-0040

Experience Questionnaire

A. Past Performance History.

1. List below the projects completed by your business within the last three (3) years which most closely relate to this type of work:

Contract Contract Administrator's Date Amount Type of Project Administrator Phone Number Completed__

2. Have you failed to complete any project in the last three (3) years? [ ] Yes [ ] No If “yes”, list all contracts not completed, provide explanation of the circumstances, remedy of situation, and action taken to avoid recurrence.

B. Technical Capability.

1. Number of years this specific business entity has been doing this type of work.

Number of years experience under a different business name doing this type of work.

Name of business: ______________________________________________________________________

AG-3604-S-12-0040

Experience Questionnaire

2. Key personnel. (List all personnel who will be working on this project.)

Present Years of Magnitude and Individual’s Name Position Experience Type of Work

3. List supplies, tools, equipment, and facilities to be used.

4. Anticipated schedule and proposed daily production rate.

5. List firm’s contractual commitments running concurrently with the work contemplated by this solicitation.

C. Provide a work plan that utilizes local labor, local resources, or local subcontractors.