Attachment_2-_Experience_Questionnaire.docx
DOCX document 19 KB Posted
- Attached to
- Off-Range Pastures for Wild Horses and Burros
- Solicitation number
- 140L0121R0001
About this file
This document contains a contractor experience questionnaire for a solicitation seeking off-range pasture space for wild horses and burros. The questionnaire requests information on the contractor's years of experience, past projects completed in the last three years, failure to complete any work, performance bond issues, experience of principal individuals, and any additional remarks. The related federal contract opportunity solicitation is seeking off-range pasture space for 200 to 10,000 animals located in 13 central and western states for a period of 5 to 10 years. The solicitation is being conducted by the Department of the Interior Bureau of Land Management National Office.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140L0121R0001_Amd_0002.pdf | ||
| Attachment_8_-_Team_and_Key_Personnel_0001.xlsx | XLSX spreadsheet | |
| Attachment_9_-_Questions_with_answers_0001.xlsx | XLSX spreadsheet | |
| Sol_140L0121R0001_Amd_0001.pdf | ||
| Solicitation_Amendment_1_0001.docx | DOCX document | |
| Attachment_4_-_Reps_and_Certs_0001.docx | DOCX document | |
| Attachment_A_-_Henneke_Equine_Body_Scoring_Chart.pdf | ||
| Attachment_1-_Past_Performance.doc | DOC document | |
| Attachment_3-_Invoice_-_Death_Reports.xls | XLS spreadsheet | |
| Attachment_7_-_Animal_Health_Maintenance_Evaluation_and_Response.pdf | ||
| Attachment_6_-_Questions_Template.xlsx | XLSX spreadsheet | |
| Attachment_4_-_Reps_and_Certs.docx | DOCX document | |
| Sol_140L0121R0001.pdf | ||
| Attachment_5_-_Pricing.xlsx | XLSX spreadsheet |
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Text version
CONTRACTOR EXPERIENCE QUESTIONNAIRE
LONG TERM PASTURES_ HOLDING
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 8, Remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.
1. Contractors Representative Name, Address, & Telephone No.
2. Type of Business:
[ ] Company [ ] Co-Partner [ ] Corporation [ ] Individual [ ] Non-profit Organization
3. How many years’ experience do you have in this line of work? Years
4. How many years’ experience as a prime contractor? [ ] As a subcontractor? [ ]
5. Attach a list or list the projects the Contract Representative has completed in the last 3 years:
| Contract Amount |
| Type of Project |
| Date Completed |
| Name, Address, & Telephone no. to Contact for Information. |
| 6a. Have contract representative ever fail to complete any work awarded to you? |
| [ ] Yes |
| [ ] No |
| 6b. Has the contract representative work ever been completed by performance bond? |
| [ ] Yes |
| [ ] No |
6c. If ‘Yes’ was checked to either item 6a or 6b, specify location(s) and reason(s) why:
7. List the experience of the principal individuals that will be working on this project
| Individuals Name |
| Present Position |
| Years of Experience |
| Type of Work |
8. 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 capabilities to perform this project.
| Printed Name |
| Signature |
| Title |
| Date |
File details come from the government source that posted it. Updated .