ATTACHMENT 1 Experience Questionnaire.pdf
PDF 283 KB Posted
- Solicitation number
- 12444024Q0071
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire that is part of the Janitorial Cleaning for the Oconee Ranger District solicitation. The questionnaire requests information about the contractor's business, such as type of business, years of experience, list of relevant past projects, and contact information for references and banking. The contractor is required to provide details on their experience performing similar work, including contract numbers, award amounts, client information, and descriptions of the work performed. The questionnaire also asks if the contractor has ever failed to complete awarded work or had work completed by a performance bond. The goal is for the government to evaluate the contractor's capability to perform the required janitorial services.
The related federal contract opportunity is for Janitorial Cleaning services for the Oconee Ranger District. The solicitation does not require a formal site visit, but encourages contractors to visit the areas to be cleaned and contact the listed Ranger District representatives. The contract has a base period with up to four option years, if exercised. Contractors must submit a signed SF-1449 form, the schedule of items, and Attachments 1 and 2 in their response.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_12444024Q0071_signed.pdf | ||
| ATTACHMENT 2 Past Performance Questionnaire.pdf |
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Text version
12444023Q0009
ATTACHMENT 4
RELEVANT EXPERIENCE QUESTIONNAIRE
Instructions: See Box 9, remarks, if extra space is needed to answer any item below. Additional sheets may be attached.
1. Contractors Name, Address, Telephone No., & Email 2. Type of Business
____Company ____Co-Partner ____Non-profit
____Corporation ____Individual
CAGE: DUNS:
3. How many years experience do you have in this line of work_____Years
4. How many years experience as a Prime Contractor______ Subcontractor______
5. LIST OF RELATIVE PROJECTS YOUR BUSINESS HAS COMPLETED WITHIN THE LAST
THREE (3) YEARS
NOTE: The description of work performed should be in sufficient detail for the Government to determine what the work included.
(i.e., what tasks were performed, (grounds maintenance, erosion control, mulching, forestry work performed, type of equipment used, special safety or requirements) Use of only a project title does not usually provide enough detail for the Government to make an evaluation.
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
RELEVANT EXPERIENCE QUESTIONNAIRE
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
RELEVANT EXPERIENCE QUESTIONNAIRE
6a. Have you ever failed to complete any work awarded to you? ___Yes ___ No
6b. Has work ever been completed by performance bond? ___Yes ___ No
6. If "yes" to either item 7a or 7b specify location(s) and reason(s) why:
7. List the experience of the principal individuals of your business:
INDIVIDUALS NAME PRESENT POSITION YRS EXP TYPE OF WORK
8. Information required to complete a responsibility determination of the apparent successful offeror. (Additional information may be requested once a contractor is selected for award.. Moreover, the contractor might need to provide additional authorization from a creditor to grant access.)
a. Credit References:
Company Name/Address Point of Contact Telephone number Materials/Services Provided
b. Banking Information. (please do NOT provide account information – just a point of contact and a way to reach them)
Company Name/Address Point of Contact Telephone number
9. REMARKS (Additional sheets may be attached to the experience questionnaire)
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:
RELEVANT EXPERIENCE QUESTIONNAIRE
Any Additional Information:
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