Experience_Capability Statement.doc
DOC document 56 KB Posted
- Attached to
- RECOVERY: DEFERRED ROAD MAINTENANCE AND WATERSHED HEALTH II, ALLEGHENY NF, ATV TRAILHEAD PAVING
- Solicitation number
- AG-4419-S-09-0142
About this file
Experience/Capability Statement
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Other files
| File | Type | Posted |
|---|---|---|
| ATV_Trailhead_Paving_Work Description.doc | DOC document | |
| ATV_Trailhead_Paving_Vicinity_Map.pdf | ||
| ATV_Trailhead_Paving_Spec List.doc | DOC document | |
| Schedule_of_Items.xls | XLS spreadsheet | |
| ATV_Trailhead_Paving_Construction_detail.pdf | ||
| SF1442cvr.pdf | ||
| ATV_Trailhead_Paving_SOW.pdf | ||
| FS ARRA SIGN DETAILS 2apr09.pdf | ||
| ATV_Trailhead_Paving_Sign Plan.doc | DOC document | |
| DBA_WD.pdf | ||
| SF 1442 Cont_0142.pdf |
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Text version
CIM-0919-8R-378-0919-01 ANF DEFERRED ROAD MTCE AND WATERSHED HEALTH II
(ANF Timberline ATVTrailhead Paving)
Company Name
Date
Contractor’s Name
Company Address
Phone number
Cell phone number
Fax number
Duns Number
Tax ID Number Instructions: Mark “X” in the appropriate boxes. Please list NA for inapplicable items.
1. Type of Business
(Please check appropriate line.)
Company
Corporation
Non-profit Organization
Co-partner
Individual
2. How many years of experience do you have in this line of work? ______________________
3. How many years of experience as a prime contractor? _________ subcontractor? ________
4. List the projects your business has completed in the last 3 years.
Contract
Amount
| Type of Project |
| Date |
Completed Name and Telephone Number to
Contact for Information/Reference
5. List all of your firm’s current contract commitments.
Contract
Number Contract
Amount
| Type of Project |
| Est. Date of |
Completion Name and Telephone Number to
Contact For Information/Reference
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
6c. If “yes” to either Question 6a. or 6b., please specify location(s) and reason(s):
7. Organization that will be available for this project:
a. Minimum No. of employees:_________ Maximum No. of employees:________
b. Are employees regularly on your payroll? ____yes ____no
c. If applicable, estimate rate of progress (i.e., acres per day):
Minimum progress rate: _______________ Maximum progress rate: ____________
8. List the experience of the principal individuals of your business.
| Individual’s Name |
| Present Position |
| Years Experience |
| Type of Work |
9. List of Equipment proposed for this project:
| Make |
| Model |
10. Remarks:
CERTIFICATION: I certify that all of the statements made above 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.
Signature
Title
Date
PAGE
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