Attach 4 - Experience Questionaire.docx
DOCX document 71 KB Posted
- Attached to
- Saucier HEF Grounds Maintenance Federal contract opportunity
- Solicitation number
- 12444725Q0019
- Issued by
- Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire for a janitorial services contract (Solicitation No: 12445025Q0005) for Bent Creek. The questionnaire requires potential contractors to provide detailed information about their business and project history, including years of experience, current contract commitments, employee availability, and principal individuals' qualifications. Key sections require contractors to list up to three most relevant projects performed within the past three years, disclose current contract commitments, confirm employee payroll status, and provide information about available equipment and organizational capacity. The document also includes a certification section where the contractor attests to the accuracy of the provided information and authorizes the Forest Service to verify their capability to perform the project.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Q and A Saucier HEF Grounds Maintenance.pdf | ||
| Attach 5. - Draft Quality Assurance Surveillance Plan.pdf | ||
| Attach 1. - Performance Work Statement.pdf | ||
| 12444725Q0019 Saucier HEF Grounds Maintenance.pdf | ||
| Attach 2. - Wage Determination.pdf | ||
| Attach 3. - HEF Site Map.pdf |
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Text version
Solicitation No: 12445025Q0005 Bent Creek Janitorial 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. Contractor’s 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?
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 all of your firm’s current contract commitments NAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION.
PERCENT
AWARD AMOUNT
CONTRACT
NUMBER
6a. Have you ever failed to complete any work awarded to you? yes no
6b. Has work ever been completed by performance bond? yes no
6c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why
7. 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:
7. List the experience of the principal individuals of your business
| INDIVIDUALS NAME |
| PRESENT POSITION |
| YRS EXP |
| TYPE OF WORK |
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 .