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Experience Questionnaire

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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.

File details come from the government source that posted it. Updated .