Experience_questionnaire.doc

Experience Questionnaire Contractor name, address, telephone, fax, e-mail

DUNS #:__________________________________

Submitted to:

USDA Forest Service

Cherokee National Forest

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.

Note: List only projects that are relevant to the work being solicited. Describe work in detail; a project title is not sufficient.

Contracting Officer name and phone number

Project Engineer/COR/COTR name and phone number

Brief description of work

Contracting Officer name and phone number

Project Engineer/COR/COTR name and phone number

Brief description of work

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.

List below information for major subcontractors planned for this project.

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, number of 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