Atch_2_Technical-Experience_Questionnaire.xls
XLS spreadsheet 38 KB Posted
- Attached to
- SAAN REPAIR SAJO COMPOUND TIMBER GATES
- Solicitation number
- 140P1226Q0022
About this file
This is a Technical/Experience Questionnaire form designed to evaluate contractor qualifications and capability for federal contracting opportunities with the National Park Service.
The form requires contractors to provide comprehensive background information including business structure, years of experience in their field, and prime contractor history. Contractors must document gate installation and repair projects completed within the last three years, including contract amounts, project types, completion dates, and references for verification. The questionnaire also requests a detailed list of current contract commitments with award amounts, contact information, and percent completion status. Additionally, contractors must disclose any history of incomplete work or performance bond requirements, specify the organization's staffing capacity (minimum and maximum employees) and equipment availability, and identify principal individuals assigned to the project with relevant qualifications and certifications. The form includes a financial responsibility section requiring either bank account information from a financial institution or a letter addressing the contractor's financial standing. All responses require certification that the contractor intends to complete the work as specified and that all statements are accurate and complete to the best of the contractor's knowledge, authorizing the National Park Service to verify capability to perform the project.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140P1226Q0022.pdf | ||
| Atch_3_Price_Schedule.xlsx | XLSX spreadsheet | |
| Atch_4_DOL_WD_2015-5253_Rev_28.pdf | ||
| Atch_1_SOW_Repair_SAJO_Compound_Timber_Gates_-_Updated.docx | DOCX document |
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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 Gate installation and repair 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
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