Atch_2_Experience_Questionaire.xls

XLS spreadsheet 31 KB Posted

Attached to
BRCA BPA PROPANE Federal contract opportunity
Solicitation number
140P1226Q0032
Issued by
Department of the Interior National Park Service Intermountain Region

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.

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Other files for this federal contract opportunity

Other files attached to BRCA BPA PROPANE, newest first.
File Type Posted
Atch_1_SOW_BRCA_Propane.docx DOCX document
Sol_140P1226Q0032.pdf 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
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 with proper qualifications/certifications 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 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.
SIGNATURETITLEDATE

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 .