Atch_4_Experience_Questionnaire.xls
XLS spreadsheet 49 KB Posted
- Attached to
- NIOB Mobile Ranger Station Trailer Wrap
- Solicitation number
- 140P6325Q0012
About this file
The document is an Experience Questionnaire for a federal contract opportunity related to the Niobrara National Scenic River Mobile Ranger Station Trailer Wrap (Solicitation Number 140P6325Q0012). The comprehensive form requires detailed business and operational information from potential contractors, including company background, years of experience, past project history, current contract commitments, employee resources, key personnel qualifications, and financial responsibility.
The questionnaire is designed to assess a contractor's capability to complete the project by collecting critical information such as: business type, years of prime contracting experience, completed projects in the last three years, current contract commitments, organizational capacity (minimum and maximum employees), equipment availability, principal individuals' experience, and financial standing. Contractors must certify the accuracy of their submitted information and provide contact references that the National Park Service can use to verify their project performance capabilities.
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Other files
| File | Type | Posted |
|---|---|---|
| Atch_3_Trailer_Wrap_Photos.pdf | ||
| Atch_5_DOL_Wage_Determination_2015-5357_5_19_25.pdf | ||
| Solicitation-140P6325Q0012_Combo_Synop.pdf | ||
| Atch_2_Drawings.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 | ||||||
| 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 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 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
File details come from the government source that posted it. Updated .