Past Performance Questionaire.doc

EXPERIENCE QUESTIONNAIRE

I. Prior Work Commitment The offeror shall state the present status of all uncompleted contracts to which he/she or any member of the offer-submitting organization is a party.

II. Previous Work Experience The offeror shall list recent experience in this type of work: (within the past 3 years)

Date Contracting Agency or Employer

Contact Name Phone Number

III. Past Performance

Provide details on quality of work performed on the above projects. Address specific performance failures, quality, timeliness, and working relationships with the Government (If needed, attach separate document).

III. Technical Approach

Provide a quality control plan, list of equipment, crew size .,and production rates. (If needed attach separate document).

IV. Subcontracting

Offeror must indicate whether or not he plans to subcontract any part of this contract.

Yes________ No________ If yes, please state the name of the subcontractor:________________________________________ VI. Forest Service Employment Has the offeror ever worked for the Forest Service? Yes________ No________ If yes, please state date of employment, Forest, District and State: ________________________ Offeror's Signature: _______________________________________________ Offeror's Phone Number: _________________________________________