Attachment 3 Experience Questionnaire.pdf
PDF 234 KB Posted
- Solicitation number
- 127EAT25Q0015
- Issued by
-
Department of Agriculture Forest Service
About this file
The attached file is an Experience Questionnaire for a USDA Forest Service contract opportunity related to tree planting in the Angeles National Forest. The document is designed for potential contractors to provide detailed information about their business capabilities, including years of experience, past project history, current contractual commitments, employee capacity, equipment availability, and key personnel qualifications. Contractors must complete sections detailing their company's background, previous contracts, organizational resources, and self-inspection procedures.
The corresponding solicitation (No. 127EAT25Q0015) is a firm-fixed-price Request for Quotation for planting 24,563 government-furnished tree seedlings across 285 acres in areas burned by the Lake Fire (2020) and Powerhouse Fire (2014) within the Tujunga Ranger District. This is a 100% small business set-aside procurement with a NAICS code of 115310 and a small business size standard of $11.5M. Quotes are due by March 24, 2025, at 1:00 PM PST, with a 45-day performance period, and all offerors must be registered in the System for Award Management (SAM) to be eligible.
View the file
Other files
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
United States Department of Agriculture
Forest Service
CSA3– Region 5 Tujunga Ranger District Angeles National Forest
Procurement and Property Services
1400 Independence Ave, SW
MS-1138
Washington, DC 20250
Previous edition is obsolete Page 1 of 3 FS-6300-27 (3/00)
USDA – Forest Service
EXPERIENCE QUESTIONNAIRE
(Ref. FSH 6309.31 and 41 USC 1)
INSTRUCTIONS: See Box 11, Remarks, if extra space is needed to answer any questions below. Mark “X” in appropriate boxes.
1. CONTRACTOR NAME, ADDRESS, AND TELEPHONE NO.
2. SUBMITTED TO (office Name and Address)
USDA Forest Service Attn: Fareedah Vaughn Contract Specialist Email: fareedah.vaughn@usda.gov
3. BUSINESS
Company Co-partnership Corporation Individual Non-profit Organization
4. How many years do you or your firm have in the line of work contemplated by this solicitation?
5. How many years of experience in contracting have you or your business had as a (a) prime contractor ____ and/or (b) sub-contractor ____?
6. List below the projects your business has completed within the last three years:
CONTRACT
AMOUNT
(6a)
TYPE OF PROJECT AND BRIEF DESCRIPTION
(6b)
DATE
COMPLETED
(6c)
NAME, ADDRESS, AND TELEPHONE NO. OF
OWNER/PERSON TO CONTACT FOR PROJECT
INFORMATION
(6d) mailto:megan.acord@usda.gov
Agriculture
Forest Service
CSA3– Region 5
Tujunga Ranger District Angeles National Forest
Procurement and Property Services
1400 Independence Ave, SW
MS-1138
Washington, DC 20250
Previous edition is obsolete Page 2 of 3 FS-6300-27 (3/00)
7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:
CONTRACT
NUMBER
(7a)
DOLLAR AMT.
OF AWARD
(7b)
NAME, ADDRESS, AND TELEPHONE NO. OF
BUSINESS/GOVERNMENT AGENCY INVOLVED
(7c)
AWARDED
(Date) (7d)
PERCENT
COMPLETED
(7e)
ANTICIPATED
COMPLETE DATE
(7f)
8a. Have you ever failed to complete any work awarded to you? Yes No 8b. Has work ever been completed by performance bond? Yes No 8c. If “Yes” to either item 8a or 8b specify location(s) and reason(s) why: Yes No 8d. Did you look at the project site(s) on-the-ground? Yes No
9. Organization and work that will be available for this project.
a. (1) Minimum number of employees: _____ and a(2) Maximum number of employees: ______ ?
b. Are employees regularly on your payroll: Yes No
c. Specify equipment available for this contract: __________________________________________________________________________
d. Estimate rate of progress below (such as 2.0 acres/man/day):
(1) Minimum progress rate: ________________________________ and (2) maximum progress rate: ________________________________
10. List below the experience of the principal individuals of your business:
INDIVIDUAL’S NAME
(10a)
PRESENT
POSITION
(10b)
YEARS
OF EXP.
(10c)
MAGNITUDE AND TYPE OF WORK
(10d)
11. List all the equipment you own or have available through a rental agreement to be used on this contract/agreement. Provide a detailed description of the Equipment including your maintenance and cleaning plans.
Agriculture
Forest Service
CSA3– Region 5
Tujunga Ranger District Angeles National Forest
Procurement and Property Services
1400 Independence Ave, SW
MS-1138
Washington, DC 20250
Previous edition is obsolete Page 3 of 3 FS-6300-27 (3/00)
12. Contractor Inspection. Describe Contractor Self Inspection Procedures which you will use to insure quality for this contract.
13. Remarks. Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question):
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any person’s name as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.
14a. CERTIFYING OFFICIAL’S NAME AND TITLE
14b. SIGNATURE (Sign in ink) 14c. DATE
File details come from the government source that posted it. Updated .