Attachment 1 - Experience Questionnaire.doc

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Attached to
Lolo National Forest - Lookout Pass FAA Comm Site Parking Area
Solicitation number
1240LU26Q0074
Issued by

About this file

This is an Experience Questionnaire template designed for contractors to demonstrate their qualifications and capacity to perform work under the Lolo National Forest Lookout Pass FAA Communications Site Parking Area project. The questionnaire requires contractors to specify organizational capacity including minimum and maximum employee counts, confirm regular payroll status, and detail equipment availability for the contract. Contractors must also provide estimated work progress rates in appropriate units (such as acres per man-day) at both minimum and maximum capacity levels, and list key personnel with their current positions, years of experience, and relevant work history demonstrating capability on similar projects.

The form includes a certification statement in which the responding contractor attests to the accuracy and completeness of all information provided and authorizes the Forest Service to verify qualifications with named references. This questionnaire is part of the RFQ 1240LU26Q0074 for site preparation and construction work at Lookout Pass FAA Communication Site on the Superior Ranger District of Lolo National Forest, issued by the Department of Agriculture Forest Service. The acquisition is a Total Small Business Set-Aside under NAICS code 238910 (Site Preparation Contractors) with a size standard of $19 million, and the work scope includes demolition, debris removal, and gravel road and apron construction using government-furnished materials.

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Text version

9. Organization and work that will be available for this project:

a. (1) Minimum number of employees:__________ and a (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 principal individuals of your business:

Individual’s Name
Present Position
Years of Exp.
Magnitude and Type of Work

11. Remarks—Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above questions):

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

12b. Signature (Sign in Ink)
13. Date

File details come from the government source that posted it. Updated .