Atch_2_Experience_Questionaire.xls
XLS spreadsheet 31 KB Posted
- Attached to
- BRCA BPA PROPANE Federal contract opportunity
- Solicitation number
- 140P1226Q0032
About this file
This is a Technical Experience Questionnaire form designed for contractors bidding on propane delivery services for Bryce Canyon National Park under a Blanket Purchase Agreement (BPA).
The questionnaire requires contractors to provide comprehensive background information including company structure (corporation, non-profit, or individual), years of experience in propane deliveries, and prime contractor history. Contractors must document relevant completed propane delivery contracts from the past three years with contract amounts, project types, completion dates, and reference contacts. The form also requires disclosure of all current contract commitments, including contract numbers, award amounts, completion percentages, and completion dates. Sections address performance history, including whether the contractor has failed to complete awarded work or required performance bonds, with detailed explanations if applicable. Additional requirements include specifications of available workforce (minimum and maximum employees), confirmation of regular payroll status, and a list of equipment available for the project. The form mandates submission of principal personnel qualifications and certifications relevant to propane delivery operations, along with financial responsibility documentation either through direct financial institution information or a letter verifying account status and standing. Contractors must certify their intent to complete the project as specified and acknowledge that all statements are accurate to the best of their knowledge. The National Park Service retains the authority to verify contractor capability through named references.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Atch_1_SOW_BRCA_Propane.docx | DOCX document | |
| Sol_140P1226Q0032.pdf | ||
| Atch_3_Price_Schedule.docx | DOCX document |
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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 | ||||||
| SAM DUNS No: | Individual | ||||||
| 3. How many years experience do you have in this line of work? | Years | ||||||
| 4. How many years experience as a prime contractor? | Years | ||||||
| 5. List the contracts your business has completed for Propane Deliveries in the last 3 years: | |||||||
| CONTRACT | |||||||
| AMOUNT | TYPE OF | ||||||
| PROJECT | DATE | ||||||
| COMPLETED | NAME, ADDRESS & TELEPHONE NO.TO |
CONTACT FOR INFORMATION
| 6. List all of your firms current contract commitments: | |||||
| CONTRACT | |||||
| NUMBER | AWARD | ||||
| AMOUNT | NAME, ADDRESS, & PHONE NO. | ||||
| TO CONTACT FOR INFORMATION | PERCENT | ||||
| COMPLETED | DATE |
COMPLETED
| 7a. Have you ever failed to complete any work awarded to you? | Yes | No | ||||||||||||
| 7b. Has work ever been completed by performance bond? | Yes | No | ||||||||||||
| 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? | Yes | No | ||||||||||||
| c. Specify equipment available for this project: | ||||||||||||||
| 9. List the experience of principal individuals with proper qualifications/certifications to be used on this project: | ||||||||||||||
| INDIVIDUALS | ||||||||||||||
| NAME | PRESENT | |||||||||||||
| POSITION | YEARS | |||||||||||||
| EXPERIENCE | TYPE 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 I intend to complete the project as specified and that my offer conforms to the specifications of the solicitation without deviation unless I provide an alternative proposal. 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. | ||||||||||||||
| SIGNATURE | TITLE | DATE |
TECHNICAL-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.
File details come from the government source that posted it. Updated .