Attachment 3- Relevant Experience PP Questionnaire.pdf
PDF 47 KB Posted
- Attached to
- Janitorial Services - Cheoah Ranger District
- Solicitation number
- 12444123Q0002
- Issued by
-
Department of Agriculture Forest Service
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1- Statement of Work (Revised 11-1-22).pdf | ||
| RFQ 12444123Q0002.pdf | ||
| Attachment 2- Schedule of Items.xlsx | XLSX spreadsheet | |
| Attachment 1- Statement of Work.pdf |
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Text version
12444123Q0002
ATTACHMENT 3
RELEVANT EXPERIENCE/PAST PERFORMANCE QUESTIONNAIRE
Instructions: See Box 9 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: ueiSAM:
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 JOBS YOUR BUSINESS IS PERFORMING OR 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 provide enough detail for the Government to make an evaluation.
Contract # Award Amount Name Address & Phone to Contact for Infomration Percent
Complete
Date Contract completed
Description of Work Performed: _________________________________________________________________________
Complete
Description of Work Performed: _________________________________________________________________________
Complete
12444123Q0002
ATTACHMENT 3
RELEVANT EXPERIENCE/PAST PERFORMANCE QUESTIONNAIRE
Description of Work Performed: _________________________________________________________________________
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. Information on Available personnel for this project:
Minimum # of employees: ______ and Maximum # of employees: __________
Are Employees regularly on your payroll: Yes______ No_____
8. List the experience of the principal individuals of your business:
INDIVIDUALS NAME PRESENT POSITION YRS EXP TYPE OF WORK
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:
Box 9: Any Additional Information:
File details come from the government source that posted it. Updated .