The file's text, extracted by GovTribe without its formatting.
CAPABILITY QUESTIONnAIRE
CONTRACTOR NAME
POINT OF CONTACT
PHONE NO
EMAIL ADDRESS
Information submitted on this form will be used for the technical evaluation of quotes. Use as much space as needed to provide a clear description of your experience and your plan for this project.
Experience of the Firm
What contracts has your firm performed which are similar in size and scope to this project? Who can we contact concerning your performance?
CONTRACT INFORMATION
| Contract Number |
| XXXXXXXXXX |
| Contract Type |
| Firm Fixed Price / Time & Materials / Cost Reimbursable / Other |
| Awarded Contract Price |
| $X,XXX,XXX |
| Current / Final Price |
| $X,XXX,XXX |
| Contract Award Date |
| XX/XX/XXXX |
| Contract Completion Date |
| XX/XX/XXXX |
| Period of Performance |
| XX/XX/XXX – XX/XX/XXX |
| Project Location |
| Street address, City, State |
| Type/size/complexity/scope of work |
| Scope of work description |
Number of Employees:
Hours of Operation:
REFERENCE:
| Organization |
| Agency or Company |
| Phone Number |
| XXX-XXX-XXXX |
CONTRACT INFORMATION
| Contract Number |
| XXXXXXXXXX |
| Contract Type |
| Firm Fixed Price / Time & Materials / Cost Reimbursable / Other |
| Awarded Contract Price |
| $X,XXX,XXX |
| Current / Final Price |
| $X,XXX,XXX |
| Contract Award Date |
| XX/XX/XXXX |
| Contract Completion Date |
| XX/XX/XXXX |
| Period of Performance |
| XX/XX/XXX – XX/XX/XXX |
| Project Location |
| Street address, City, State |
| Type/size/complexity/scope of work |
| Scope of work description |
Number of Employees:
Hours of Operation:
| Organization |
| Agency or Company |
| Phone Number |
| XXX-XXX-XXXX |
CONTRACT INFORMATION
| Contract Number |
| XXXXXXXXXX |
| Contract Type |
| Firm Fixed Price / Time & Materials / Cost Reimbursable / Other |
| Awarded Contract Price |
| $X,XXX,XXX |
| Current / Final Price |
| $X,XXX,XXX |
| Contract Award Date |
| XX/XX/XXXX |
| Contract Completion Date |
| XX/XX/XXXX |
| Period of Performance |
| XX/XX/XXX – XX/XX/XXX |
| Project Location |
| Street address, City, State |
| Type/size/complexity/scope of work |
| Scope of work description |
Number of Employees:
Hours of Operation:
| Organization |
| Agency or Company |
| Phone Number |
| XXX-XXX-XXXX |
Understanding of the Work
1. How extensive was your site visit for this project? (e.g., didn’t visit; attended gov-led visit; prior experience working at this site)
2. What did the site visit reveal about the difficulty of the project — any problems that are likely to come up during performance and the actions you would take to get the work done?
3. How many workers will be assigned to the project? List the key personnel that will be assigned (who will actually perform the work on site):
Name:
Position:
Name:
Position:
Name:
Position:
4. Are the personnel listed above employees of your company, or subcontractors? If subcontractors, list the name of the subcontracted company and a point of contact with phone and email.
5. How will you handle sick days or other employee absences in a way that prevents disruption of contract services?
6. What equipment will you use for this project? (Attach biobased cleaning product list separately.)
7. What schedule of work are you planning? (i.e., what time will each service start and end?)
8. What is your plan for areas or tasks that will be done first, next, last, so that it is least disruptive to our office workers?
9. What is your plan for safety? Identify the hazards specific to the site and the types of work being performed and how you plan to maintain safety of your employees and building users.
Department of Agriculture Forest Service