Attachment 2_Experience Questionnaire.pdf
PDF 149 KB Posted
- Solicitation number
- 12444025Q0098
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Relevant Experience Questionnaire (Attachment 4) for solicitation 12443922Q0016, designed to capture a contractor's past performance and business capabilities. The form requires detailed information about the company, including years of experience, business type, previous contract work, and key personnel, with space to document up to five past projects completed within the last three years. Critical sections include verifying whether the contractor has ever failed to complete work, collecting credit and banking references, and requiring a certification of the information's accuracy, which will be used by the Forest Service to determine the contractor's capability to perform the proposed project.
The questionnaire emphasizes the need for comprehensive project descriptions, noting that merely listing a project title is insufficient. Contractors must provide granular details about tasks performed, such as grounds maintenance, erosion control, mulching, forestry work, equipment used, and any special safety requirements. The form also includes sections for listing principal individuals' experience, checking past performance issues, and providing contact information for credit and banking references, all of which will be used in the Forest Service's responsibility determination for the apparent successful offeror.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1_WD 2015-5137.pdf | ||
| Cont SF1449.pdf | ||
| Attachment 3_Past Performance Questionnaire.pdf | ||
| 12444025Q0098.pdf |
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Text version
12443922Q0016
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:
Contact Name and Telephone number: _
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:
Any Additional Information:
File details come from the government source that posted it. Updated .