Atch_2_Experience_Questionnaire.xls

XLS spreadsheet 31 KB Posted

Attached to
Hot Springs NP-Paint Exterior Reserve Street Bldgs Federal contract opportunity
Solicitation number
140P6326Q0007
Issued by
Department of the Interior National Park Service Midwest Region

About this file

This is an Experience Questionnaire form required for contractors bidding on the Hot Springs National Park exterior painting project (Solicitation 140P6326Q0007). The form is a template designed to be completed manually or using MS Excel and serves as an appendix to evaluate contractor qualifications.

The questionnaire requests comprehensive information about the contractor's business background and capacity to perform the work, including: company name, address, and business structure; years of experience in the line of work and as a prime contractor; detailed listing of projects completed in the past three years with contract amounts, project types, completion dates, and reference contacts; current contract commitments with contract numbers, award amounts, completion percentages, and contact information; history of work completion failures or performance bond requirements; organizational capacity including minimum and maximum employee availability and equipment available for the project; experience profiles of principal individuals assigned to the project including their positions, years of experience, and work type; and financial responsibility documentation through either a letter from the contractor's financial institution or direct submission of financial institution details. The form also includes certification language requiring the contractor to attest that all statements are complete and correct. Contractors may use the Remarks section (Box 11) if additional space is needed to fully answer any item on the questionnaire.

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Other files for this federal contract opportunity

Other files attached to Hot Springs NP-Paint Exterior Reserve Street Bldgs, newest first.
File Type Posted
Sol_140P6326Q0007_Amd_0002.pdf PDF
Sol_140P6326Q0007_Amd_0001.pdf PDF
Atch_3_DOL_Wage_Determination_AR20260028_1_2_26.pdf PDF
Atch_1_SOW.pdf PDF
Sol_140P6326Q0007.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 experience as a prime contractor?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 .