Attach J.5 - Contractor Experience Questionaire - Pages.pdf
PDF 171 KB Posted
- Attached to
- Price Yard Building Electrical and Heating Federal contract opportunity
- Solicitation number
- 1240LT25Q0042
- Issued by
- Department of Agriculture Forest Service
About this file
The document is a USDA Forest Service Experience Questionnaire for the Price Yard Building Electrical and Heating Project (Solicitation Number 1240LT25Q0042). The two-page form requires potential contractors to provide detailed information about their business experience, including years of operation, previous project history, current contractual commitments, employee resources, and personnel qualifications. Key sections include listing completed projects from the past three years, reporting concurrent contractual work, disclosing any past project completion issues, and detailing the minimum and maximum number of employees and equipment available for the project.
The questionnaire is designed to help the Forest Service evaluate a contractor's capability to successfully complete the electrical and heating project by collecting comprehensive information about the company's operational capacity, past performance, and technical expertise. Contractors must certify the accuracy of their submitted information and are encouraged to provide additional details that demonstrate their ability to meet the project requirements. The form includes sections for listing personnel experience, progress rates, and a certification by an authorized company representative.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attach J.7 - Past Performance Form.pdf | ||
| Attach J.3 - Drawings - 4 Pages.pdf | ||
| SF1442 1240LT25Q0042 - Final.pdf | ||
| Attach J.2 - SOW and Specifications - 42 Pages.pdf | ||
| Attach J.1 - Schedule of Items.pdf | ||
| Attach J.4 - WD UT20250070 dtd 5-23-25.pdf | ||
| Attach J.6 - Question and Answer Sheet.pdf |
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Text version
USDA Forest Service
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 11, Remarks, if extra space is needed to answer any item below. Mark “X” in appropriate boxes.
1. Contractor Name, Address, and Telephone Number
2. Submitted to (Office Name and Address) U.S Forest Service (USDA) 324 25th Street Ogden, Utah 84401-2310
3. Business [ ] Company [ ] Corporation [ ] Non-profit Organization [ ] Co-partnership [ ] Individual
4. How many years do you or your firm have in the line of work contemplated by this solicitation?
5. How many years experience have you or your business had as a (a) prime contractor ______ and/or (b) sub-contractor ______?
6. List below the projects your business has completed within the last three years:
Contract Amount Type of Project Date Completed Name, Address, and Telephone No. of
Owner/Person to Contact for Project Information
7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:
Contract Number Dollar Amount Of Award
Name, Address, and Telephone No. of Business/Government Agency Involved
Awarded (Units)
Percent Completed
Date Contract Complete
8a. Have you ever failed to complete any work awarded to you? [ ] Yes [ ] No 8b. Has work ever been completed by performance bond? [ ] Yes [ ] No 8c. did you look at the project site(s) on-the-ground? [ ] Yes [ ] No 8d. If “Yes” to either item 8a. or 8b., specify location(s) and reason(s) why:
EXPERIENCE QUESTIONNAIRE, CONTINUED
9. Employees and equipment that will be available for this project:
a. (1) Minimum number of employees: _______ and (2) Maximum number of employees: _______
b. Are employees regularly on your payroll: [ ] Yes [ ] No
c. Specify equipment available for this contract: ______________________________________________________________________
d. Estimate rate of progress below (such as 2.0 acres/man/day):
(1) Minimum progress rate: _________________ and (2) Maximum progress rate: ___________________
10. List below the experience of the Personnel to work on this contract.
Individual’s Name Present Position Years of Experience Magnitude and Type of Work
11. Remarks – Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question):
NOTE: PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT WILL HELP EVALUATE YOUR ABILITY TO SUCCESSFULLY
COMPLETE THIS PROJECT.
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.
12a. CERTIFYING OFFICIAL’S NAME AND TITLE
b. SIGNATURE (Sign in blue ink) 13. DATE
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