Attachment 005 Technical Questionnaire_Form.pdf
PDF 716 KB Posted
- Attached to
- USDA-FS Sumter NF Culvert FSR 665A Replacement Federal contract opportunity
- Solicitation number
- 12467020R0041
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| ATTACHMENT 003 Signed LC_AOP_Culvert_FSR665A.PDF | ||
| ATTACHMENT 002 665A Signature Page.pdf | ||
| ATTACHMENT 004 SC20190051 WDOL.pdf | ||
| ATTACHMENT 001 FSR 665A Supplemental Specs.pdf | ||
| Attachment 006 Past_Performance_Questionnaire_Form.pdf |
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Text version
PROJECT EXPERIENCE FORM (SIMILAR PROJECTS)
Project Title: Contract Type: _____FFP _____Cost _____ Other (Specify) Delivery Method: ____DB ____DBB ____CMc ____Other
Location:
Period of Performance/Date Completed:
Design Contract Amount (if applicable)
Percentage Complete: D/B Contract Amount $
Total Gross Square Footage
Function on Contract (i.e. Prime or Subcontractor) Owner Contact (Name) Owner Contact (Title) Owner Contact (Address) Owner Contact (Phone) Owner Contact (EMAIL) Summary of Actual Performance Under Scope
12414619R0001 Talladega NF Culvert Replacement
KEY PERSONNEL RESUME FORMAT
Provide information, listed below, on separate sheets showing qualifications of each key personnel individual. NOTE: Resumes shall only be provided for positions identified on the list of key personnel identified in the Solicitation.
(a) Name:
(b) Current Position/Title:
(c) Proposed Assignment on this Project, including specific duties proposed to be performed on this Project while in this proposed role:
(d) No. of Years in Same Assignment as Proposed on the Project__________________________
(e) Name of Your Firm___________________________________________________________
(f) No. of Years: With this Firm__________ With other Firms____________
(g) Education:
Degree(s) earned: _______________________________________________________________ School attended: ________________________________________________________________ Year Degree granted: ____________________________________________________________ Degree field/specialization: ________________________________________________________ Specialized Training: (NICET Level)_______________________________________________
(h) Active Registration, if any:
Type: _______ No.____________, State(s) __________, First Year/ Current Year ______/_____
(i) Describe Your Specific Experience and Qualifications Relevant to this Project:
(j) Up to three (3) relevant project examples:
Project Title: ___________________________________________________________________ Project Location: ________________________________________________________________ Project Dollar Value:_____________________________________________________________ Project Size (SF): _______________________________________________________________ Delivery Method (i.e. D/B, DBB, CMc, etc.): _________________________________________ Position Held: __________________________________________________________________ Duties performed: _______________________________________________________________ Company employed with during Project: _____________________________________________
12414619R0001 Talladega NF Culvert Replacement
Project Title:
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