Attach 2 - Experience Questionaire_12444726Q0013.docx
DOCX document 60 KB Posted
- Solicitation number
- 12444726Q0013
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form that contractors must complete as Attachment 2 to their proposal for USDA Forest Service vegetation management services solicitation 12444726Q0013.
The questionnaire requests comprehensive information about contractor qualifications and capacity to perform vegetation management work on the Chattahoochee-Oconee and Conasauga Ranger Districts in Georgia. Required submissions include: contractor name, address, telephone, and email; business type designation; years of experience in vegetation management and as a prime or subcontractor; up to three relevant projects completed within three years of solicitation issuance with contract numbers, award amounts, completion dates, and reference contact information; a list of all current contract commitments with percentages and award amounts; disclosure of any prior work failures; organizational capacity details including minimum and maximum employee counts, payroll status, and available equipment specifications; and experience credentials of principal individuals including names, positions, years of experience, and work types. The form includes certification language requiring the respondent to attest that all statements are complete and correct to the best of their knowledge and that references are authorized to verify the firm's capability to perform the project. Responses must be certified with the respondent's name, title, and date.
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Text version
12444726Q0013 Attachment 2 Vegetation Management Services
EXPERIENCE QUESTIONNAIRE
Instructions: 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. Email | |
| 2. Type of Business | |
| Company | Co-Partner Non-profit |
Corporation Individual
| 3. How many years of experience do you have in this line of work | Yrs |
| 4. How many years of experience as a prime contractor | subcontractor |
5. List no more than 3 most relevant projects your business has performed within 3 years of this solicitation issuance date:
CONTRACT
NUMBER
AWARD
AMOUNT
| NAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION. |
| DATE |
CONTRACT
COMPLETED
DESCRIPTION OF WORK PERFORMED
6. List of all of your firms current contract commitments CONTRACTNAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION.
PERCENT
AWARD AMOUNT
NUMBER
7. Have you ever failed to complete any work awarded to you? yes no
8. Organization information available for this project:
a. Minimum # of employees: and Maximum # of employees:
b. Are employees regularly on your payroll: yes no
c. Specify equipment available for this contract:
9. List the experience of the principal individuals of your business
| INDIVIDUALS NAME |
| PRESENT POSITION |
| YRS EXP |
| TYPE OF WORK |
10. REMARKS
CERTIFICATION: I certify that all of 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 Forest Service with any information needed to verify my capability to perform this project:
| Name: |
| Title: |
| Date: |
File details come from the government source that posted it. Updated .