ATTACHMENT 2 - Experience Questionnaire.docx

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Unarmed Security Guard Services
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AG-5680-S-10-0001
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Attachment 2 - Experience Questionnaire

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ATTACHMENT 2

SECURITY GUARD SERVICES—FOREST PRODUCTS LABORATORY (FPL-05-002)

EXPERIENCE QUESTIONNAIRE

Instructions: See Item No. 10, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.

1. Contractors Name, Address & Telephone No.

2. Type of Business __Company __Co-Partner __Corporation __Individual __Non-profit

3. How many years experience do you have in this line of work____Yrs

4. How many years experience as a prime contractor_____ subcontractor___

5. List the relevant current/past projects for your business in the last 3 years:

a. Project (Location): ____________________________________________________________________________________

Contract Amount $______________________________________ Period of Performance______________________________

Description of Services (i.e. Number of buildings, square footage, acreage, number of guards, type of laboratory equipment monitored, type of alarm systems monitored) ___________________________________________________________________

Name, Address & Telephone Number for Point of Contact for Information:

b. Project (Location): ____________________________________________________________________________________

Contract Amount $______________________________________ Period of Performance______________________________

Description of Services (i.e. Number of buildings, square footage, acreage, number of guards, type of laboratory equipment monitored, type of alarm systems monitored) ___________________________________________________________________

Name, Address & Telephone Number for Point of Contact for Information:

c. Project (Location): ____________________________________________________________________________________

Contract Amount $______________________________________ Period of Performance______________________________

Description of Services (i.e. Number of buildings, square footage, acreage, number of guards, type of laboratory equipment monitored, type of alarm systems monitored) ___________________________________________________________________

Name, Address & Telephone Number for Point of Contact for Information:

Attach supplemental sheets if space is not sufficient above

6. Have you ever failed to complete any work awarded to you? __yes __ no

If "yes" to the question above, specify location(s) and reason(s) why

7. Organization that will be available for this project:

a. Minimum No. of employees: and Maximum No. of employees:

b. Are employees regularly on your payroll: __yes __ no

c. Specify equipment available for this contract:

8. List the experience of the principal individuals of your business

INDIVIDUALS NAME
PRESENT POSITION
YRS EXP
TYPE OF WORK

9. Information required to complete a financial responsibility determination if the apparent successful offeror.

a. Credit References

Company Name/Address
Point of Contact
Telephone number
TYPE OF WORK

b. Banking Information.

Company Name/Address
Point of Contact
Telephone number
TYPE OF WORK

10. REMARKS: (PLEASE NOTE ADDITIONAL SHEETS MAY BE ATTACEHD TO SUPPLEMENT THIS FORM)

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:
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 security procedures and compliance with contract specifications? If no, please explain.
E
VG
S
N
M
U
4.
Did the contractor properly use and supply the proper equipment for use by its personnel? Did they implement electronic guard monitoring system throughout the term of the contract? If no, please explain.
Yes

No

N/A

5.
Did the contractor demonstrate the ability to hire, train, maintain, and replace, if necessary qualified personnel during the contract? If no, please explain.
Yes

No

N/A

6.
Does the contractor provide the proper equipment for personnel to provide timely and accurate records? Did they provide timely and accurate records? If no, please explain.
Yes

No

N/A

7.
Did the contractor perform the necessary drug testing and background checks? If no, please explain.
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.
Were there any issues with the contractor’s oversight or quality control? If yes, please explain.
Yes

No

N/A

4.
Overall Quality of Service/Control
E
VG
S
N
M
U

TIMELINESS OF PERFORMANCE

1.
Did guards report for duty on time? If not, explain
Yes

No

N/A

2.
Were patrols completed in a timely manner?
Yes

No

N/A

REMARKS: If additional remarks are necessary, please attach an additional sheet.

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