Attachment_2_Prior_Experience_Questionnaire.docx
DOCX document 29 KB Posted
- Attached to
- LEO VEHICLE UPFIT
- Solicitation number
- 140L6226Q0030
About this file
This is a Prior Experience Questionnaire template designed to evaluate contractor qualifications and past performance for the LEO Vehicle Upfit solicitation issued by the Department of the Interior Bureau of Land Management Wyoming Region (Solicitation Number 140L6226Q0030).
The questionnaire serves as an appendix to the solicitation and does not specify required products or services directly. Instead, it functions as an evaluation tool requesting that prospective contractors demonstrate relevant experience through detailed responses about similar projects completed. The template is structured to collect information on contractor capability and historical performance but does not contain pricing terms, response dates, award dates, or other specific solicitation-level requirements. Contractors submitting proposals in response to the LEO Vehicle Upfit opportunity would be required to complete this questionnaire as part of their proposal submission to substantiate their qualifications and experience in vehicle upfitting work.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_140L6226Q0030_Amd_0001.pdf | ||
| 140L6226Q0030_Questions_and_Answers_0001.docx | DOCX document | |
| Sol_140L6226Q0030.pdf | ||
| Attachment_1-_Price_Schedule.xlsx | XLSX spreadsheet | |
| A15_Brand_Name_RFO_12_140L6226Q0030.pdf |
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Text version
Past Performance Questionnaire
(THIS MUST BE COMPLETED AND SUBMITTED WITH YOUR QUOTE)
Contractor Name:______________________________________________________________________
Address:__________________________________ City:_______________ State: _____ Zip:________
Phone Number: ____________________ SAM Entity Number (UEI): ____________________________
Type of Business:
_____Company ____Co-partnership ______Corp._____ Individual ____Non-Profit Org.
1. How many years of RELEVENT experience do you have and/or your company have regarding the types of work requested by this solicitation?
-You__________________ -Your Company__________________
2. How many years of experience in contracting does your company have as a Prime Contractor and/or a Sub-Contractor:
-Prime_________________ -Sub-Contractor__________________
3. List below projects your business has completed within the last three years. Include the contract number and amount; the type of project; the date completed and a reference contact name and telephone number for each project.
Note: Past Projects must be relevant to the requirements of this solicitation in terms of duties performed, and the technical/complexity aspects of the duties required. Projects listed that are not relevant to this solicitation and its requirements will not be considered. (attach separate page if additional room is needed)
4. List all contract commitments you have that will run concurrently with the work requested in this solicitation. Include name, address, telephone number, start and finish date.
5. Have you ever failed to complete any work awarded to you? ______Yes _____No
6. Has work ever been completed by performance bond? ______Yes ______No
If “Yes” to either item, specify location and reason:
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 Bureau of Land Management with any information needed to verify my capability to perform this project.
Certifying Official Name and Title :
Authorized Signature (Sign in Ink):
Date:
File details come from the government source that posted it. Updated .