ATTACHMENT 3 4 in MS WOrd.doc
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- Attached to
- Tree Planting - NFsAL Federal contract opportunity
- Solicitation number
- AG-4146-S-12-0001
About this file
ATTACHMENTS 3 AND 4 IN WORD FOR EDITING
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Pre-Proposal conference notes 10-20-2011.pdf | ||
| Amend. 0000001 AG-4146-S-12-0001.pdf | ||
| Complete AG-4146-S-12-0001.pdf |
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Tree Planting –National Forest in Alabama
AG-4146-S-12-0001
Page | 3 Tree Planting –National Forests in Alabama
AG-4146-S-12-0001
ATTACHMENT 3
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 9, remarks, if extra space is needed to answer any item below. Additional sheets may be attached.
1. Contractors Name, Address & Telephone No.
2. Type of Business
__Company __Co-Partner __Non-profit
__Corporation __Individual
3. Howmany years experience do you have in this line of work____Yrs
4. How many years experience as a prime contractor_____ subcontractor___
5. LIST OF PROJECTS YOUR BUSINESS HAS COMPLETED WITHIN THE LAST 3 YEARS
NOTE: The description of work performed should be in sufficient detail for the Government to determine what the work included. (i.e., i.e. hand and/or machine planted, type of seedlings, acres and/or seedlings planted,.) Use of only a project title does not usually provide enough detail for the Government to make an evaluation.
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
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
6. If "yes" to either item 7a or 7b specify location(s) and reason(s) why
7. REMARKS (Additional sheets may be attached to the experience questionnaire)
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:
Name:
| Title: |
| Date: |
ATTACHMENT 4
PRESENT/PAST PERFORMANCE QUESTIONNAIRE
SECTION A: CONTRACTOR INFORMATION
A. Contractor’s Name and Address: ________________________________________________
B. Point of Contact: ______________________________________________________________
C. Phone #: ____________________________________________________________________
D. Contract Number: ______________________ Contract Type: ________________________
E. Project Title: _________________________________________________________________
F. Period of Performance: _________________________________________________________
G. Description of work performed: __________________________________________________
Use of only a project title does not usually provide enough detail to determine what work was performed.
H. Authorization is hereby granted to provide the information requested in SECTION B of this questionnaire.
Signature of Authorized Contractor Representative Date
Printed Name and Title of Authorized Contractor Representative
RESPONDENT INFORMATION:
A. Name:______________________________________
B. Position:________________
C. Telephone Number:_____________________ Fax Number: ______________
D. Address:___________________________
E. Relationship and Time Involved with Contractor:___________________
F. Date Questionnaire Completed:_______________________
| E |
| VG |
| S |
| N |
| M |
| U |
| Excellent |
| Very Good |
| Satisfactory |
| Neutral |
| Marginal |
| Unsatisfactory |
CONTRACT PERFORMANCE
| 1. |
| Working relationship with your Company |
| E |
| VG |
| S |
| N |
| M |
| U |
| 2. |
| Did the contractor provide experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements? If no, please explain. |
| Yes |
No
N/A
| 3. |
| Exhibited knowledge of and compliance with government (or other) regulations and industry standards |
| E |
| VG |
| S |
| N |
| M |
| U |
| 4. |
| Did the contractor provide and properly maintain operational equipment throughout the term of the contract? If no, please explain. |
| Yes |
No
N/A
| 5. |
| Did the contractor demonstrate the ability to hire, maintain, and replace, if necessary qualified personnel during the contract? If no, please explain. |
| Yes |
No
N/A
| 6. |
| Does the contractor provide timely and accurate records? |
| Yes |
No
N/A
| 7. |
| How well did the contractor comply with Environmental, safety, health and security requirements |
| E |
| VG |
| S |
| N |
| M |
| U |
| 8 |
| Would you award similar contracts to this contractor (If no, Please explain in remarks) |
| Yes |
No
N/A
| 9. |
| Contractor’s Overall Performance |
| E |
| VG |
| S |
| N |
| M |
| U |
QUALITY OF SERVICE/CONTROL
| 1. |
| Contractor’s accomplishment in meeting the quality standards |
| E |
| VG |
| S |
| N |
| M |
| U |
| 2. |
| Did the contractor provide an effective quality control plan or inspection procedures to meet contract requirements? If no, please explain. |
| Yes |
No
N/A
| 3. |
| Overall Quality of Service/Control |
| E |
| VG |
| S |
| N |
| M |
| U |
TIMELINESS OF PERFORMANCE
| 1. |
| Was the job/contract started and completed on time? If not, explain |
| Yes |
No
N/A
| 2. |
| Did the contractor have a system or method to track progress on all work in progress? |
| Yes |
No
N/A
REMARKS: If additional remarks are necessary, please attach an additional sheet.
File details come from the government source that posted it. Updated .