Attachment-08 Past Performance Experience Questionnaire 127EAV26R0002 (1159362) CSE SSRP Lincoln NF.pdf
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- Solicitation number
- 127EAV26R0002
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire from the USDA Forest Service for a contract (Solicitation Number 127EAV26R0002) to Complete Common Stand Exams in the Lincoln National Forest. The form requires potential contractors to provide detailed information about their business and qualifications, including years of experience, past project history, current contractual commitments, employee availability, and key personnel experience. The questionnaire is designed to help the Forest Service evaluate a contractor's capability to successfully perform the specified project, with sections covering business type, previous contract work, project site familiarity, employee resources, and principal individuals' expertise. Contractors must complete the form, certify the accuracy of their statements, and provide references that the Forest Service can contact to verify their project performance capabilities.
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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) 3. Business [ ] Company [ ] Co-partnership [ ] Corporation [ ] Individual [ ] Non-profit Organization
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 Amt.
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
8d. If “Yes” to either item 8a. or 8b., specify location(s) and reason(s) why:
[ ] No
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:______________________________________________________
127EAV26R0002 (1159362) Complete Common Stand Exams SSRP Lincoln National Forest Page 1
10. List below the experience of the principal individuals of your business: (Who will directly be involved in this contract?)
127EAV26R0002 (1159362) Complete Common Stand Exams SSRP Lincoln National Forest Page 2
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