Atch_5_Technical-Experience_Questionnaire.xls
XLS spreadsheet 31 KB Posted
- Attached to
- AMIS DIABLO EAST RADIO TOWER
- Solicitation number
- 140P1226Q0045
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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Other files
| File | Type | Posted |
|---|---|---|
| Atch_10_Questions_and_Answers_0003.docx | DOCX document | |
| Sol_140P1226Q0045_Amd_0003.pdf | ||
| Atch_8_Questions_and_Answers_0002.docx | DOCX document | |
| Atch_9_Sign_in_sheet_0002.pdf | ||
| Sol_140P1226Q0045_Amd_0002.pdf | ||
| Sol_140P1226Q0045_Amd_0001.pdf | ||
| Atch_3_SOW_8_3_Proposed_Tower_and_Foundation_Drawings.pdf | ||
| Sol_140P1226Q0045.pdf | ||
| Atch_7_DOL_WD_2015-5303_Rev_32.pdf | ||
| Atch_4_SOW_8_4_APPROVED_GRAVEL_and_SOIL_SOURCES.docx | DOCX document | |
| 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 |
Show all 13
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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 Radio Tower replacement or installation projects completed within 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 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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