Atch_2_Technical-Experience_Questionnaire.xls

XLS spreadsheet 31 KB Posted

Attached to
LYJO MONTHLY PEST CONTROL SERVICES Federal contract opportunity
Solicitation number
140P1226Q0034
Issued by
Department of the Interior National Park Service Intermountain Region

About this file

This is a Technical/Experience Questionnaire form designed to evaluate contractor qualifications for pest control service contracts with the National Park Service.

The form collects comprehensive information about contractor capability and experience, including general business details (company type, SAM UEI number), years of experience in pest control work and as a prime contractor, and a listing of pest control contracts completed within the last three years with project amounts, types, dates, and reference contacts. Contractors must disclose current contract commitments, including contract numbers, award amounts, completion percentages, and expected completion dates. The form requires disclosure of any failed work completion or performance bond completion, with detailed explanations if applicable. Additional sections address organizational capacity (minimum and maximum employee availability, payroll status, and equipment), qualifications and experience of key personnel assigned to the project, and financial responsibility information or alternative bank letters of reference. The form includes a certification statement wherein contractors affirm their intent to complete the project as specified and confirm the accuracy of all provided information. Contractors may use additional remarks space for supplementary details and must provide authorized references willing to verify their project performance capability.

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Other files for this federal contract opportunity

Other files attached to LYJO MONTHLY PEST CONTROL SERVICES, newest first.
File Type Posted
Sol_140P1226Q0034.pdf PDF
Atch_4_DOL_WD_2015-5293_Rev_32.pdf PDF
Atch_1_SOW_Pest_Control.docx DOCX document
Atch_3_Price_Schedule.xlsx XLSX spreadsheet

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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 Pest Control Contracts that were completed in the last 3 years.
CONTRACT
AMOUNTTYPE OF
PROJECTDATE
COMPLETEDNAME, ADDRESS & TELEPHONE NO.TO

CONTACT FOR INFORMATION

6. List all of your firms current contract commitments:
CONTRACT
NUMBERAWARD
AMOUNTNAME, ADDRESS, & PHONE NO.
TO CONTACT FOR INFORMATIONPERCENT
COMPLETEDDATE

COMPLETED

7a. Have you ever failed to complete any work awarded to you?YesNo
7b. Has work ever been completed by performance bond?YesNo
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?YesNo
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
NAMEPRESENT
POSITIONYEARS
EXPERIENCETYPE 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.
SIGNATURETITLEDATE

Sheet2

Sheet3

File details come from the government source that posted it. Updated .