Atch_4_Experience_Questionnaire.xls
XLS spreadsheet 39 KB Posted
- Attached to
- MIMI Replace Dehumidification System in Delta 09 M Federal contract opportunity
- Solicitation number
- 140P6324Q0029
About this file
This document is an Experience Questionnaire that appears to be part of a federal contract opportunity. The key details are:
The questionnaire requests information about the contractor, including their business type, years of experience, relevant projects completed, contract commitments, financial responsibility, and available personnel and equipment. Contractors are required to certify that they intend to complete the project as specified and that all statements made are correct.
The related federal contract opportunity is for the MIMI Replace Dehumidification System in Delta 09 Missile Silo, solicited by the Department of the Interior National Park Service Midwest Region. The solicitation number is 140P6324Q0029. No other details about the contract requirements, response dates, or award information are provided in the given documents.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B09_Amd_0002_Atch_1_Questions_Answers_0002.pdf | ||
| Sol_140P6324Q0029_Amd_0002.pdf | ||
| B09_Amd_0002_Atch_2_DOL_Wage_Determination_SD20240029_6_7_24_0002.pdf | ||
| B09_Amd_0001_Atch_1_Site_Visit_Sign_In_0001.pdf | ||
| Sol_140P6324Q0029_Amd_0001.pdf | ||
| Atch_5_DOL_Wage_Determination_SD20240029.pdf | ||
| Atch_1_Specifications.pdf | ||
| Atch_3_Photographs.pdf | ||
| Atch_2_Drawings.pdf | ||
| Sol_140P6324Q0029.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 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 relevant projects related to your business has completed 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.
Sheet2
Sheet3
File details come from the government source that posted it. Updated .