Attachment 08 Experience Questionnaire.docx

DOCX document 71 KB Posted

Attached to
USDA Forest Service Puerto Rico- Aviary Roofing Replacement and Photovoltaic System Installation
Solicitation number
12445221R0010
Issued by

About this file

This document contains an experience questionnaire and details of a federal contract opportunity for roof replacement and photovoltaic system installation at the Aviary in Puerto Rico. The USDA Forest Service is seeking to award a firm fixed price construction contract between $250,000 and $500,000 that is 100% set aside for small businesses. The contractor will be responsible for providing all labor, equipment, safety precautions and other provisions to replace roofs and install a photovoltaic system at the Jimenez and Rio Grande locations in accordance with the statement of work. Davis Bacon wage rates apply. Performance and payment bonds are required. The pre-bid meeting will take place on April 7th and questions are due by April 20th. Email responses must be received by April 29th and hard copy bonds mailed prior to award.

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Attachment 04 PV BESS Technical Specifications PSL 05 22.docx DOCX document
Attachment 00- Schedule of Items.xlsx XLSX spreadsheet
Attachment 01 Davis Bacon Wages.docx DOCX document
Attachment 02 STATEMENT OF WORK ROOFS AND PV SYSTEM.docx DOCX document
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Attachment 03 Aviary TPO Spec.docx DOCX document
Attachment 06 Aviary Bid Set.pdf PDF
Solicitation Body 12445221R0010.docx DOCX document
Attachment 05 DBC AVIARY PV SYSTEM.docx DOCX document
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12445221R0010 USDA FS Puerto Rico Aviary Roof Replacement and PV System Installation

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
CompanyCo-Partner Non-profit

Corporation Individual

3. How many years of experience do you have in this line of workYrs.
4. How many years of experience as a prime contractorsubcontractor

5. List no more than 5 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 firms current contract commitments CONTRACTPERCENT COMPLETED

NAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION.

AWARD AMOUNT

NUMBER

7a. Have you ever failed to complete any work awarded to you?yesno
7b. Has work ever been completed by performance bond?yesno

Attachment 05 7c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why

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:

d. Estimate rate of progress (such as 2.0 acres per day):

1. Minimum progress rate: Maximum progress rate

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

INDIVIDUALS NAME
PRESENT POSITION
YRS EXP
TYPE OF WORK

10. Information required to complete a responsibility determination if the apparent successful offeror.

a. Credit References

Company Name/Address
Point of Contact
Telephone number
TYPE OF WORK

b. Banking Information.

Company Name/Address
Point of Contact
Telephone number
TYPE OF WORK

11. 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 .