Atch_2_Experience_Questionaire.xls

XLS spreadsheet 38 KB Posted

Attached to
BADL FIRE SUPPRESSION TESTING AND SERVICE Federal contract opportunity
Solicitation number
140P6324Q0007
Issued by
Department of the Interior National Park Service Midwest Region

About this file

This document contains an experience questionnaire and details of a Request for Quotes (RFQ) for fire suppression testing and service at Badlands National Park. The questionnaire collects information on the contractor's experience, past performance, financial responsibility, and available personnel and equipment for the project. The RFQ seeks these services for Badlands National Park and is issued by the Department of the Interior National Park Service Midwest Region. Respondents are required to demonstrate a minimum of three years of relevant work experience and list current and past similar projects. The solicitation number is 140P6324Q0007 and responses are due by the date specified in the RFQ.

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Atch_1_SOW.pdf PDF
Atch_5_DOL_Wage_Determination_2015-5367.pdf PDF
Sol_140P6324Q0007.pdf PDF

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Text version

Sheet1

1. Contractors Name, Address, & Telephone No.:2. Type of Business
Name:
Address:Company
Corporation
Non-profit Org
Telephone No.:Co-partner
Individual
3. How many years experience do you have in this line of work?Years
4. How many years of experience doing Fire Suppression Testing and Service?Years
5. List the projects your business has completed in the last 3 years:
CONTRACT
AMOUNTTYPE OF
PROJECTDATE
COMPLETEDNAME, ADDRESS & TELEPHONE NO.TO

CONTACT FOR INFORMATION

6. List all of your firms current contract commitments:
CONTRACT
NUMBERAWARD
AMOUNTNAME, ADDRESS, & PHONE NO.
TO CONTACT FOR INFORMATIONPERCENT
COMPLETEDDATE

COMPLETED

7a. Have you ever failed to complete any work awarded to you?YesNo
7b. Has work ever been completed by performance bond?YesNo
7c. If "Yes" to either item 7a or 7b, specify locations and reason why:
8. Organization that will be available for this project:
a. Minimum No. of employees:and maximum No. of employees:
b. Are employees regularly on your payroll?YesNo
c. Specify equipment available for this project:
9. List the experience of principal individuals to be used on this project:
INDIVIDUALS
NAMEPRESENT
POSITIONYEARS
EXPERIENCETYPE OF WORK
10. Financial Responsibility:
(in lieu of this, you may submit a letter from your
financial institution that addresses the status and standing of your accounts)
Name of Financial Institution
Address:
Contact Name
Contact Phone Nbr
11. Remarks
CERTIFICATION: I certify that all the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the National Park Service with any information needed to verify my capability to perform this project.
NAMETITLEDATE

EXPERIENCE QUESTIONNAIRE

Instructions: This form may be completed manually or by using MS Excel. See Box 11, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.

Sheet2

Sheet3

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