Experience_Questionnaire_Oconee_Mowing_and_Cleaning_7_FY_2016_CRD.doc

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Oconee Ranger District FY16 Recreation Maintenance, Mowing & Cleaning 7 Recreational Sites
Solicitation number
AG-435H-S-16-0008
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Experience Questionaire

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Solicitation_Oconee_Mowing_and_Cleaning_7_Recreational_Sites_FY16.pdf PDF
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Experience Questionnaire Contractor name, address, telephone, fax, e-mail

Submitted to:

USDA Forest Service

Chattahoochee-Oconee National Forest

1755 Cleveland Highway

Gainesville, GA 30501

How many years 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 (provide enough information to explain how the work relates to the current solicitation)

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 (provide enough information to explain how the work relates to the current solicitation)

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 (provide enough information to explain how the work relates to the current solicitation)

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

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