Attachment 2. Experience Questionaire.pdf
PDF 203 KB Posted
- Attached to
- Intergranular Corrosion Test
- Solicitation number
- 12441924Q0038
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire attachment that is part of a federal contract opportunity solicitation. The questionnaire requests information about the contractor's business, including years of experience, list of past projects completed in the last 3 years, and any issues with failing to complete awarded work. It also asks for credit references, banking information, and other details to complete a responsibility determination if the contractor is selected for award. The related federal contract opportunity is for a Request for Quote (RFQ) to evaluate 2024-T3 and Az31B alloys for intergranular corrosion after exposure to wildland fire chemical products. This testing will inform airtankers of any critical changes that may need to be addressed by their Corrosion Protection and Corrosion Prevention (CPCP) programs. The solicitation is issued by the Department of Agriculture Forest Service and is open to full and open competition under NAICS code 541380.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 3. Wage Determinations.pdf | ||
| RFQ_12441924Q0038.pdf | ||
| Attachment 1. Statement of Work.pdf |
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Attachment 2 - Page 1 of 2
ATTACHMENT 2 –EXPERIENCE QUESTIONNAIRE
Instructions: See Box 8, remarks, if extra space is needed to answer any item below. Additional sheets may be attached.
1. Contractors Name, Address & Telephone No. 2. Type of Business __Company __Co-Partner __Non-profit __Corporation __Individual
3. How many years experience do you have in this line of work____Yrs
4. How many years experience as a prime contractor_____ subcontractor___
5. LIST OF PROJECTS YOUR BUSINESS HAS COMPLETED WITHIN THE LAST 3 YEARS
NOTE: The description of work performed should be in sufficient detail for the Government to determine what the work included. (i.e.
manual forestry service, manual and mechanical applications, mastication/chipping.) List the services performed and quantities involved (Quantity/Acreage) and any other types of forestry support services or other similar work accomplished).
Use of only a project title does not usually provide enough detail for the Government to make an evaluation.
Project & Location ______________________________________________________________________________________________
Contract Number:_______________________________ Award Amount: ________________________________________________
Period of Performance and/or completion date: ________________________________________________________________________
Client/Company’s Name/Address: __________________________________________________________________________________
Contact Name, email and Telephone number: ________________________________________________________________________
Description of Services (refer to note in No. 5 type of grounds maintenance, cleaning services performed, etc.)
Project & Location ______________________________________________________________________________________________
Contract Number:_______________________________ Award Amount: ________________________________________________
Period of Performance and/or completion date: ________________________________________________________________________
Client/Company’s Name/Address: __________________________________________________________________________________
Description of Services (refer to note in No. 5 type of grounds maintenance, cleaning services performed, etc.)
Project & Location ______________________________________________________________________________________________
Contract Number:_______________________________ Award Amount: ________________________________________________
Period of Performance and/or completion date: ________________________________________________________________________
Client/Company’s Name/Address: __________________________________________________________________________________
Contact Name, email and Telephone number: ________________________________________________________________________
Description of Services (refer to note in No. 5 type of grounds maintenance, cleaning services performed, etc.)
Attachment 2 - Page 2 of 2
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 6a or 6b specify location(s) and reason(s) why
7. Information required to complete a responsibility determination, if necessary, 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.
Company Name/Address Point of Contact Telephone number Account No.
8. 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:
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:
ATTACHMENT 3 –Experience Questionnaire
File details come from the government source that posted it. Updated .