Atch_2_Experience_Questionnaire.xls
XLS spreadsheet 38 KB Posted
- Attached to
- BADL EV CHARGING STATION INSTALL Federal contract opportunity
- Solicitation number
- 140P6324Q0028
About this file
This document is an Experience Questionnaire that is part of a Request for Quotes (RFQ) for the installation of electric vehicle charging stations at Badlands National Park. The questionnaire requests information from potential contractors about their business type, years of experience, relevant past projects, current contract commitments, staffing and equipment resources, key personnel qualifications, and financial responsibility. The RFQ is being issued by the Department of the Interior National Park Service Midwest Region, with a Solicitation Number of 140P6324Q0028. The questionnaire asks contractors to certify their intent to complete the project as specified and that their offer conforms to the solicitation requirements. Contractors must provide this completed questionnaire as part of their response to the RFQ.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P6324Q0028_Amd_0005.pdf | ||
| Atch_2_Experience_Questionnaire-Update_0005.xls | XLS spreadsheet | |
| Atch_8_Section_M-Update_0005.pdf | ||
| Sol_140P6324Q0028_Amd_0004.pdf | ||
| Atch_6_Questions_and_Answers_0004.docx | DOCX document | |
| Sol_140P6324Q0028_Amd_0003.pdf | ||
| Atch_7_Federal_HWY_Reg_0002.pdf | ||
| Atch_6_Questions_and_Answers_0002.docx | DOCX document | |
| Sol_140P6324Q0028_Amd_0002.pdf | ||
| Site_Visit_Sign-in_Sheet_0001.pdf | ||
| Sol_140P6324Q0028_Amd_0001.pdf | ||
| Sol_140P6324Q0028.pdf | ||
| Atch_5_Specifications_Submittal_List.xls | XLS spreadsheet | |
| Atch_1_SOW_Div-01.pdf | ||
| Atch_3_DOL_WD_2015-5377_Oglala_Lakota-Jackson.pdf | ||
| Atch_4_DOL_WD_2015-5367_Pennington.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 | ||||||
| SAM UEI 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 relevant projects related to electric vehicle charging station(s) installation your business has completed 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 |
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 .