Atch_2_Technical-Experience_Questionnaire.xls
XLS spreadsheet 38 KB Posted
- Attached to
- WABA REPLACE LIFE/SAFETY SYSTEMS
- Solicitation number
- 140P1226Q0018
About this file
This is a Technical/Experience Questionnaire form used to evaluate contractor qualifications for the Washita Battlefield National Historic Site Fire Alarm System Replacement, Intrusion Alarm System Replacement, CCTV System Replacement, and Installation of a Door Access Control System project (Solicitation Number 140P1226Q0018) issued by the Department of the Interior National Park Service Intermountain Region.
The questionnaire requires contractors to provide comprehensive information about their capability to perform the work, including: years of experience in this line of work and as a prime contractor; detailed listings of similar Fire Alarm System, Intrusion Alarm System, CCTV System Replacement, and Door Access Control System projects completed within the last three years with contract amounts, project types, completion dates, and references; current contract commitments with award amounts and percent completion status; disclosure of any work failures or projects requiring performance bonds; organizational capacity including minimum and maximum employee availability and equipment specifications; experience and qualifications of principal individuals who will work on the project; and financial responsibility documentation from a financial institution or alternative letter addressing account status. The form also includes certification language where the contractor confirms intent to complete the project as specified and warrants that all statements are complete and correct to the best of their knowledge.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Atch_11_Questions_and_Answers_0003.docx | DOCX document | |
| Sol_140P1226Q0018_Amd_0003.pdf | ||
| Atch_10_FAR_Clause_52_222-90_0002.docx | DOCX document | |
| Sol_140P1226Q0018_Amd_0002.pdf | ||
| Atch_6_Washita_Battlefield_Center_FA_Inspection_-_8_25_25-Redacted_0001.pdf | ||
| Atch_9_Motion_and_Glass_Zones_0001.pdf | ||
| Atch_7_Site_Visit_Sign_In_0001.pdf | ||
| Atch_5_Questions_and_Answers_0001.docx | DOCX document | |
| Atch_8_WABA_VC_Drawings_0001.pdf | ||
| Sol_140P1226Q0018_Amd_0001.pdf | ||
| Atch_4_DOL_WD_2015-5327__Rev_29.pdf | ||
| Atch_3_Price_Schedule.docx | DOCX document | |
| Atch_1_PWS.pdf | ||
| Sol_140P1226Q0018.pdf |
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Text version
Sheet1
| 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. | ||||||||
| 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 Fire Alarm System, Intrusion Alarm System, CCTV System Replacement, and installation of a Door Access Control System projects completed within 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 service: | ||||||||||||||
| 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 |
Sheet2
Sheet3
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