Expierence Questionnaire.doc

DOC document 46 KB Posted

Attached to
Replacement Lighting, Powell Compound Federal contract opportunity
Solicitation number
AG-82B1-S-10-0295
Issued by
Department of Agriculture Forest Service Washington Office Economic Recovery Operations Center Intermountain

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Expierence Questionnaire

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Other files for this federal contract opportunity

Other files attached to Replacement Lighting, Powell Compound, newest first.
File Type Posted
AG-82B1-S-10-0295 Body.pdf PDF
AG-82B1-S-10-0295 SF 18.pdf PDF
Lighting Spreadsheet.xls XLS spreadsheet
AG-82B1-S-10-0295 Drawings.pdf PDF

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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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