Experience QuestionnaireAmend 1.doc
DOC document 49 KB Posted
- Attached to
- RECOVERY - Boulder Creek Culvert Replacement
- Solicitation number
- AG-82B1-S-09-0035
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experience questionnaire
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| General Site Plan.pdf | ||
| Road and Channel Details.pdf | ||
| Road and Culvert Profiles.pdf | ||
| Culvert Details.pdf | ||
| AG-82B1-S-09-0035.rtf | RTF text file | |
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Text version
EXPERIENCE QUESTIONNAIRE
Name of Contractor: __________________________
Please provide information that is relevant to this project.
Please list in the table below your work experience over the last three years.
| Type of Project |
| Dollar |
Amount Date
Completed Customer/Reference Information
Name Address Phone
Please list in the table below the equipment that will be utilized on this project.
| Type of Equipment |
| Model Number/Size |
| Overall |
Condition Owned or Rented
Please answer the following questions.
· How many years experience do you have with this type of work? ___________________________________
· Do you have any other contractual commitments that may run concurrently (if awarded a contract) under this solicitation? _________________
· If the answer to the above is yes, please list these projects here.______________________________________________________________
Please complete the following table for the employees that will be working on this project.
Employee
Name Employee
Classification Employment Status
Permanent OR Seasonal
| Years Experience |
| Is Employee |
Qualified?
· Have you ever been defaulted on any Federal Government contract? ______________________
· If the answer to the above is yes, explain the circumstances and list the name of the Contracting Officer.
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