Attachment 4-Experience Questionnaire.pdf
PDF 47 KB Posted
- Attached to
- SPECIAL NOTICE Federal contract opportunity
- Solicitation number
- AG-82B1-S-10-0362
About this file
Attachment 4-Experience Questionnaire
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Hubzone Notification.PDF | ||
| Attachment 1-Special Project Specification.pdf | ||
| AG-82B1-S-10-0362.pdf | ||
| Attachment 2-Road and Bridge Plans Drawings.pdf | ||
| Attachment 3-DOL General Decision Number ID080015.pdf |
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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.
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