Atch_3_Experience_Questionaire.xls
XLS spreadsheet 37 KB Posted
- Attached to
- BADL and WICA IDV Aerial Spraying Service
- Solicitation number
- 140P6324Q0023
About this file
This document is an Experience Questionnaire that requests information about the contractor's background, qualifications, and past performance. The key details include:
The contractor is asked to provide their company information, years of relevant experience, list of completed aerial spraying projects in the last 3 years, current contract commitments, whether they have ever failed to complete awarded work, the organization and equipment available for this project, the experience of key personnel, and financial responsibility details. The contractor must certify that they can complete the project as specified and that the information provided is accurate.
This Experience Questionnaire is related to a Request for Quotes (RFQ) solicitation from the Department of the Interior National Park Service Midwest Region for Aerial Spraying Service at Badlands National Park and Wind Cave National Park. The solicitation number is 140P6324Q0023.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_140P6324Q0023_Amd_0003.pdf | ||
| Sol_140P6324Q0023_Amd_0002.pdf | ||
| Sol_140P6324Q0023_Amd_0001.pdf | ||
| Amd_01_Attachment_0001.docx | DOCX document | |
| Sol_140P6324Q0023.pdf | ||
| Atch_2_Badlands_and_Wind_Cave_Location_Map.pdf | ||
| Atch_4_Price_Schedule.docx | DOCX document | |
| Atch_5_Limitations_on_Subcontracting_Report.xlsx | XLSX spreadsheet | |
| Atch_6_DOL_WD_1995-0317_Pilot.pdf | ||
| Atch_1_SOW.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 | ||||||
| SAM DUNS 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 the projects your business has completed in Aerial Spraying 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 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 |
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.
File details come from the government source that posted it. Updated .