Atch_4_Experience_Questionnaire.xls
XLS spreadsheet 35 KB Posted
- Attached to
- BADL Archeological Inventory Big Buffalo Burn Unit Federal contract opportunity
- Solicitation number
- 140P6323Q0065
About this file
This document contains an experience questionnaire for contractors to complete related to solicitation number 140P6323Q0065 for an archeological inventory of the Big Buffalo Burn Unit for the National Park Service Midwest Region. The experience questionnaire requests information on the contractor's years of experience, past project experience in the last 5 years including contract amounts, types of projects, dates completed and references, current contract commitments including contract numbers, award amounts, contacts and percent completed, qualifications of principal staff to be used on the project including names, positions, and years of experience. It includes a certification for contractors to sign confirming their ability to complete the project as specified and providing accurate information in their response.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P6323Q0065.pdf | ||
| Atch_3_SCA__Wage_Determination_2015-5367_Pennington_County.pdf | ||
| Atch_2_SCA_Wage_Determination_2015-5377_Jackson_County.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 the last 5 years: | |||||||
| CONTRACT | |||||||
| AMOUNT | TYPE OF | ||||||
| PROJECT | DATE | ||||||
| COMPLETED | NAME, ADDRESS & TELEPHONE NO.TO |
CONTACT FOR INFORMATION
| Brief Description of project that articulates experience: | ||||||
| 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 .