Attachment 3C- Past Performance Questionnaire Experience FILLABLE.pdf
PDF 155 KB Posted
- Solicitation number
- 127EAT25Q0008
About this file
The document is a Past Performance Questionnaire designed to capture detailed contractor experience information for the Lake Fire Sawmill Liebre Reforestation Weed Control contract with the Department of Agriculture Forest Service. The questionnaire requires contractors to provide comprehensive details about their company, including years of experience, subcontractor usage, equipment capabilities, key personnel experience, and past project history specifically related to loading/unloading heavy equipment and performing reforestation work.
Key sections of the questionnaire request contractors to list three company references, describe available equipment (with specific inquiry about crane experience), document key personnel qualifications, provide details on past projects completed within the last five years involving heavy equipment loading/unloading, and disclose current contractual commitments. The form concludes with a certification section where the contractor's official must verify the accuracy of all submitted information. This document appears to be a critical component of the evaluation process for the Angeles National Forest reforestation contract, which aims to release government and natural seedlings using precise GPS-guided techniques with 16-person crews.
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
Experience Questionnaire
1. Contractor Name, Address, Telephone Number, and Email Address:
2. COMPANY INFORMATION
DUNS or UEI: __________________ Small Business: Yes No
Primary NAICS Code: _____________
3. How many years of experience do you or your company have in performing this work? _____________
4. Will you be using a subcontractor? Yes No
5. Please provide references for the last three (3) company where you performed
Company and Name of Person Email Address/Phone # Description of Work
6. Describe the equipment you will be using in the performance of this contract:
7. Do you have experience working with cranes to load/move heavy equipment? Yes____ No __________
8. What types of equipment do you have experience working with that is relevant to this contract?
9. List below the experience of the key personnel who will be performing the work:
Individual’s Name Present Position Years of Experience
Type of Work
10. Past Performance - List below the projects your business has completed within the last five (5) years that involved included loading and unloading of heavy equipment such as precast concrete structures/ vault toilets?
Contract Number
Contract Amount
Location of Work Names, Telephone No., and Email of Owner/Person to contact for Project Information
Description of Project
Location of Work
Location of work
11. List below all of your firm's contractual commitments running concurrently with the work contemplated by this solicitation:
Contract # Dollar Amount Name, Tel, Email of Business/Govt Agency Involved
Location of work When will contract be completed?
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 Government with any information needed to verify my capability to perform this project.
13a. CERTIFYING OFFICIAL'S NAME AND TITLE
13b. SIGNATURE 14. DATE
| 1 Contractor Name Address Telephone Number and Email Address: |
| DUNS or UEI: |
| Primary NAICS Code: |
| 3 How many years of experience do you or your company have in performing this work: |
| 5 Please provide references for the last three 3 company where you performed: |
| Company and Name of PersonRow1: |
| Email AddressPhone Row1: |
| Description of WorkRow1: |
| Company and Name of PersonRow2: |
| Email AddressPhone Row2: |
| Description of WorkRow2: |
| Company and Name of PersonRow3: |
| Email AddressPhone Row3: |
| Description of WorkRow3: |
| 6 Describe the equipment you will be using in the performance of this contract 1: |
| 6 Describe the equipment you will be using in the performance of this contract 2: |
| undefined: |
| undefined_2: |
| 8 What types of equipment do you have experience working with that is relevant to this contract: |
| Individuals NameRow1: |
| Present PositionRow1: |
| Years of ExperienceRow1: |
| Type of WorkRow1: |
| Contract NumberRow1: |
| Contract AmountRow1: |
| Location of WorkRow1: |
| Names Telephone No and Email of OwnerPerson to contact for Project InformationRow1: |
| Description of Project: |
| Contract NumberRow1_2: |
| Contract AmountRow1_2: |
| Location of WorkRow1_2: |
| Names Telephone No and Email of OwnerPerson to contact for Project InformationRow1_2: |
| Description of ProjectRow1: |
| Description of Project_2: |
| Contract Row1: |
| Dollar AmountRow1: |
| Name Tel Email of BusinessGovt Agency InvolvedRow1: |
| Location of workRow1: |
| When will contract be completedRow1: |
| Contract Row2: |
| Dollar AmountRow2: |
| Name Tel Email of BusinessGovt Agency InvolvedRow2: |
| Location of workRow2: |
| When will contract be completedRow2: |
| Contract Row3: |
| Dollar AmountRow3: |
| Name Tel Email of BusinessGovt Agency InvolvedRow3: |
| Location of workRow3: |
| When will contract be completedRow3: |
| 13a CERTIFYING OFFICIALS NAME AND TITLE: |
| 13b SIGNATURE: |
| 14 DATE: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Text5: |
| Text6: |
| Text7: |
| Text8: |
| Text9: |
| Text10: |
| Text11: |
| Text12: |
| Text13: |
| Text14: |
| Text15: |
| Text16: |
| Text17: |
File details come from the government source that posted it. Updated .