Atch_3_Technical-Experience_Questionnaire.xls
XLS spreadsheet 31 KB Posted
- Attached to
- CANY SUPPLY SHADE STRUCTURE MATERIALS Federal contract opportunity
- Solicitation number
- 140P1226Q0046
About this file
This is a Technical/Experience Questionnaire form designed to evaluate contractor qualifications for the Canyonlands National Park shade structure materials supply solicitation (140P1226Q0046) issued by the Department of the Interior National Park Service Intermountain Region.
The form requires contractors to provide comprehensive background information including company structure, years of experience in the relevant line of work and as a prime contractor, and specific examples of prior projects involving steel member fabrication and supply similar to the Statement of Work requirements completed within the past five years. Contractors must disclose all current contract commitments with award amounts and completion percentages, document any history of incomplete work or performance bond usage, and confirm the minimum and maximum number of employees available for the project along with current payroll status and equipment capabilities. The form additionally requires identification of principal personnel with relevant qualifications and certifications, along with financial institution references or a letter of financial standing. By signature, contractors certify their intent to complete the project as specified and that all provided information is accurate and complete, authorizing the National Park Service to verify their capability to perform the work.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Atch_4_Price_Schedule_-_Metal_Shade_Materials.docx | DOCX document | |
| Sol_140P1226Q0046.pdf | ||
| Atch_1_Supply_Metal_Shade_Materials.docx | DOCX document | |
| Atch_2_Supply_Metal_Shade_Materials-plan_sheet-C3.pdf |
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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 providing steel members as similar to the requirements as stated in the Statement of Work for projects completed within 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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