Atch_3_Experience_Questionnaire.xls
XLS spreadsheet 35 KB Posted
- Attached to
- Pipestone National Monument Demolition Services Federal contract opportunity
- Solicitation number
- 140P6323Q0036
About this file
This document contains an experience questionnaire template and information about a federal contract opportunity for demolition services at Pipestone National Monument.
The experience questionnaire template requests information on the contractor's experience, past performance, available personnel and equipment, and certifications. It asks for details such as years of experience, past projects completed in the last five years along with references, current commitments, compliance history, and qualifications of principal staff to be used on projects. The related federal contract opportunity is solicitation number 140P6323Q0036 from the Department of the Interior National Park Service Midwest Region for demolition services at Pipestone National Monument. No further specifics are provided on the required scope of work, response date, or period of performance for the demolition services contract.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SOW_Updated_8_17_23__0002.pdf | ||
| Questions_and_Answers_8_17_23_0002.pdf | ||
| Sol_140P6323Q0036_Amd_0002.pdf | ||
| SOW_Updated_8_15_23__0001.pdf | ||
| Questions_and_Answers_8_15_23_0001.pdf | ||
| Sol_140P6323Q0036_Amd_0001.pdf | ||
| Atch_2_SCA_Wage_Determination_2015-4963.pdf | ||
| Sol_140P6323Q0036.pdf | ||
| Atch1_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 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 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 | |||||||||||
| 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.
Sheet2
Sheet3
File details come from the government source that posted it. Updated .