Atch_3_Experience_Questionaire.xls
XLS spreadsheet 38 KB Posted
- Attached to
- BADL Biowaste Vault Pumping Service Federal contract opportunity
- Solicitation number
- 140P6325Q0009
About this file
The document is an Experience Questionnaire for a septic pumping service contract with the National Park Service for Badlands National Park (Solicitation Number 140P6325Q0009). The questionnaire requires potential contractors to provide detailed information about their business, including years of experience in septic pumping services, past contract work, current contract commitments, organizational capacity, key personnel experience, and financial responsibility.
The form captures critical vendor qualification details such as minimum and maximum employee numbers, equipment availability, principal individuals' experience, and a certification of information accuracy. Contractors must disclose their performance history, including any failed contract completions or performance bond utilization. The document is designed to help the National Park Service evaluate a contractor's capability to perform biowaste vault pumping services, with a focus on verifying technical competence, operational capacity, and financial stability for the proposed project at Badlands National Park.
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| Atch_7_Site_Visit_Sign-in_Sheet_0002.pdf | ||
| Sol_140P6325Q0009_Amd_0002.pdf | ||
| Sol_140P6325Q0009_Amd_0001.pdf | ||
| Sol_140P6325Q0009.pdf | ||
| Atch_2_MAP_locations.pdf | ||
| Atch_4_Price_Schedule.xlsx | XLSX spreadsheet | |
| Atch_1_SOW.pdf | ||
| Atch_6_DOL_WD_2015-5377.pdf | ||
| Atch_5_Questions_and_Answers.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 | ||||||
| Individual | |||||||
| 3. How many years experience do you have in this line of work? | Years | ||||||
| 4. How many years of experience doing Septic Pumping Service? | Years | ||||||
| 5. List the Septic pumping services your business has provided in the last 3 years: | |||||||
| CONTRACT | |||||||
| AMOUNT | TYPE OF | ||||||
| SERVICE | 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 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 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. | ||||||||||||||
| NAME | 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.
Sheet2
Sheet3
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