Attach 3 - Experience_Questionnaire.docx

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Attached to
Recreational Site Operational Grounds Services- Tuskegee Ranger District
Solicitation number
12444024Q0008
Issued by

About this file

This document contains an experience questionnaire and details of a federal contract opportunity for recreational site operational grounds services. The experience questionnaire requests information on the contractor's experience, past performance, organizational structure, principal staff, and any failed or bonded projects. The related federal contract opportunity is for grass cutting, trimming, edging, cleaning of recreation areas and facilities, and litter pickup at recreation sites on the Tuskegee Ranger District. Quotes are due no later than March 29, 2024 at 5:00 PM and must include the signed SF-1449 form and completion of Attachments 4, 5, and 7. The work will be covered by an IDIQ contract and performed for the Department of Agriculture Forest Service.

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EXPERIENCE AND PAST PERFORMANCE QUESTIONNAIRE

Instructions: Use Item No. 10 Remarks if extra space is needed to answer any item below. Answer all items.

1. Contractor’s Name, Address & Telephone Number.

2. Type of Business

CompanyCo-Partner
CorporationIndividual
Non-profit Organization
3. How many years’ experience do you have in this Line of work?Years
4. How many years’ experience as a Prime Contractor?
Years
Subcontractor?Years

5. List the projects your business has completed in the last three (3) years.

COMPANY NAME, ADDRESS , TELEPHONE NUMBER AND CONTACT

PERSON

CONTRACT TYPE/PROJECT DESCRIPTION
CONTRACT AMOUNT
PERIOD OF PERFORMANCE/DATE COMPLETED
1.List all of your firms’ current contract commitments.
CONTRACT

NUMBER

AWARD

AMOUNT

Contact Name, Address & Telephone Number Percent Completed Date Contract 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 above, specify reason(s) and location(s) why.

Solicitation

No.

1244402 Q

XXXX

Attachment

8. Organization structure that will be available for this project:

a. Minimum No. of employees:and Maximum No. of employees:
b. Are employees regularly on your payroll?YesNo

c. Specify equipment available for this contract:

9. List the experience of the principal individuals of your business

NAME
PRESENT POSITION
YEARS

EXPERIENCE

TYPE OF WORK

10. REMARKS

CERTIFICATION: I certify that all of the statements made by me are complete and correct to be 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.

Signature Print or Typed Name Title Date Duns # Tax ID#

File details come from the government source that posted it. Updated .