Atch_2_Experience_Questionnaire.xls
XLS spreadsheet 49 KB Posted
- Attached to
- THRO Clean Three Impounded Stone Culverts Federal contract opportunity
- Solicitation number
- 140P6325Q0008
About this file
The document is an Experience Questionnaire form for a potential contractor bidding on a National Park Service project (Solicitation Number 140P6325Q0008) to clear three culverts at Theodore Roosevelt National Park. The comprehensive form requires detailed information about the contractor's business, including years of experience, past project history, current contract commitments, organizational capacity, and key personnel qualifications. The questionnaire collects critical information such as the number of employees, equipment availability, principal individuals' experience, and financial responsibility through either direct completion or a financial institution letter.
The form is structured to provide a holistic assessment of the contractor's capabilities, with sections addressing past performance (including any failed contract completions), organizational resources, and key personnel expertise. Contractors must certify the accuracy of their submitted information, with space provided for additional remarks and a signature of attestation. The form is designed to help the National Park Service evaluate a contractor's readiness and competence for the specific culvert clearing project, requiring detailed documentation of the company's professional background, technical capacity, and financial standing.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P6325Q0008_Amd_0001.pdf | ||
| B09_Atch_1_Questions_Answers_0001.pdf | ||
| Atch_1_SOW.pdf | ||
| Sol_140P6325Q0008.pdf | ||
| Atch_3_DOL_Wage_Determination_2015-5381.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 | |||||||
| 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 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 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. | ||||||||||||||
| NAME | 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
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