Atch_2_Technical-Experience_Questionnaire.xls
XLS spreadsheet 38 KB Posted
- Attached to
- IMRO THREATT FILLING STATION NHL NOMINAT
- Solicitation number
- 140P1226Q0033
About this file
This is a Technical/Experience Questionnaire template designed for contractors bidding on federal contract opportunities with the National Park Service (NPS), specifically for the Threatt Filling Station National Historic Landmark (NHL) nomination project under solicitation 140P1226Q0033 issued by the Department of the Interior National Park Service Intermountain Region.
The questionnaire requires contractors to provide comprehensive information about their qualifications and capacity to perform NHL nomination work. Key submission requirements include: contractor identification and business type (corporation, non-profit, individual, or co-partner); years of general experience and experience as a prime contractor; a detailed listing of NHL nomination contracts completed within the last five years, including contract amounts, project types, completion dates, and reference contacts; all current contract commitments with award amounts and completion percentages; disclosure of any failed project completions or work completed under performance bonds with supporting explanations; organizational capacity information including minimum and maximum available employees, payroll status, and equipment availability; names, positions, years of experience, and type of work for principal individuals with required qualifications and certifications; and financial responsibility documentation from a financial institution or alternative letter addressing account status and standing. The form includes a certification statement in which the contractor attests to their intent to complete the project as specified, their conformance to solicitation specifications, the accuracy and completeness of all statements provided, and authorization for references to verify capability.
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Other files
| File | Type | Posted |
|---|---|---|
| Atch_7_Questions_and_Answers_0002.docx | DOCX document | |
| Sol_140P1226Q0033_Amd_0002.pdf | ||
| Sol_140P1226Q0033_Amd_0001.pdf | ||
| Atch_6_Threatt_Filling_Station_Letter_of_Inquiry_-_NPS_Response_3-20-2025_0001.pdf | ||
| Atch_5_Threatt_Service_Station_LOI_FINAL_0001.pdf | ||
| Atch_3_Price_Schedule.docx | DOCX document | |
| Sol_140P1226Q0033.pdf | ||
| Atch_4_DOL_WD_2015-5315_Rev_29.pdf | ||
| Atch_1_Statement_of_Work.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 National Historic Landmark (NHL) nomincation contracts: inclusive of consulting, coordinating, and preparing key components of the NHL nominations in the last 5 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 |
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