Atch_5_Technical-Experience_Questionnaire.xls

XLS spreadsheet 31 KB Posted

Attached to
AMIS DIABLO EAST RADIO TOWER
Solicitation number
140P1226Q0045
Issued by

About this file

This file is a Technical/Experience Questionnaire form designed to evaluate contractor qualifications for federal contract opportunities. The form requests comprehensive information about the bidding contractor's organizational capacity, relevant experience, and financial standing. Contractors must provide their business information, including business type (corporation, non-profit, individual, or co-partner), SAM UEI number, and years of experience in their line of work and as a prime contractor. The questionnaire specifically requires documentation of radio tower replacement or installation projects completed within the last three years, including contract amounts, project types, completion dates, and contact references.

The form additionally requires contractors to list all current contract commitments with award amounts, completion percentages, and completion dates. Contractors must disclose any history of incomplete work or performance bond completion, and provide details about organizational capacity including minimum and maximum available employees, employee payroll status, and equipment availability for the specific project. The questionnaire mandates identification of principal individuals with relevant qualifications and certifications, along with their experience and work types. Financial responsibility documentation is required, either through direct bank account information or a letter from a financial institution verifying account status. Contractors must certify that they intend to complete the project as specified without deviation unless providing alternative proposals, and that all statements are complete and correct to the best of their knowledge.

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Atch_10_Questions_and_Answers_0003.docx DOCX document
Sol_140P1226Q0045_Amd_0003.pdf PDF
Atch_8_Questions_and_Answers_0002.docx DOCX document
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Sol_140P1226Q0045_Amd_0002.pdf PDF
Sol_140P1226Q0045_Amd_0001.pdf PDF
Atch_3_SOW_8_3_Proposed_Tower_and_Foundation_Drawings.pdf PDF
Sol_140P1226Q0045.pdf PDF
Atch_7_DOL_WD_2015-5303_Rev_32.pdf PDF
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Atch_2_SOW_8_1_Site_Location_and_8_2_Photos.docx DOCX document
Atch_6_Price_Schedule.docx DOCX document
Atch_1_SOW_Diablo_East_Tower.docx DOCX document
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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 Radio Tower replacement or installation projects completed within the last 3 years.
CONTRACT
AMOUNTTYPE OF
PROJECTDATE
COMPLETEDNAME, ADDRESS & TELEPHONE NO.TO

CONTACT FOR INFORMATION

6. List all of your firms current contract commitments:
CONTRACT
NUMBERAWARD
AMOUNTNAME, ADDRESS, & PHONE NO.
TO CONTACT FOR INFORMATIONPERCENT
COMPLETEDDATE

COMPLETED

7a. Have you ever failed to complete any work awarded to you?YesNo
7b. Has work ever been completed by performance bond?YesNo
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?YesNo
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
NAMEPRESENT
POSITIONYEARS
EXPERIENCETYPE 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.
SIGNATURETITLEDATE

Sheet2

Sheet3

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