Attachment 4 - Experience and Capabilities Questionnaire.docx
DOCX document 18 KB Posted
- Solicitation number
- 1240BE21R0003
- Issued by
-
Department of Agriculture Forest Service
About this file
This Experience and Capability Questionnaire and related federal contract opportunity are for pre-commercial tree thinning services on 1370 acres of young growth forest stands within the Tongass National Forest. The firm fixed price contract requires thinning trees approximately 22 to 27 years of age using chain saws and hand tools only. The contractor will be responsible for tree thinning, slash treatment, and compliance with all contract terms, specifications, and provisions. The contractor must furnish all labor, equipment, housing, subsistence, supervision, transportation, operating supplies, and incidentals to complete the work, excluding any government-furnished property. The solicitation number for this opportunity is 1240BE21R0003 and was issued by the Department of Agriculture Forest Service. The contract will require the contractor have a minimum of daily and maximum number of employees available, and specify equipment and expected productivity rates for the pre-commercial thinning work.
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Other files
| File | Type | Posted |
|---|---|---|
| FY2021_KMRD_Shelter_Cove_PCT_Contract_Schedule_of_Items.docx | DOCX document | |
| FY2021_KMRD_Shelter_Cove_PCT_Contract_Detailed_Item_Info.docx | DOCX document | |
| 1240BE21R0003 Tongass NF PCT Combined Solicitation 7-28-2021.docx | DOCX document | |
| Attachment 2 - FY2021_KMRD_Shelter_Cove_PCT_Contract_QASP.docx | DOCX document | |
| Attachment 1 - PCT PWS RP Reviewed_.docx | DOCX document | |
| WD 1996-0372.txt | TXT text file | |
| Attachment 3 - FY2021_KMRD_Shelter_Cove_PCT_Contract_Maps.pdf |
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Text version
EXPERIENCE AND CAPABILITY QUESTIONNAIRE -- OMB Clearance Number 9000-0142 Instructions: See Box 10, REMARKS, if extra space is needed to answer any items below. Mark "X" in the appropriate boxes. Please list NA for inapplicable items. Offerer should copy if extra space needed or in another format provide identical information.
| 1. Contractor's Name, Address & Telephone Number |
| 2. Type of Business |
____ Company
____ Corporation
____ Non-profit Organization
____ Co-partner
____ Individual
3. How many years of experience do you have in this line of work? ___________________
4. How many years of experience as a prime contractor? _________ subcontractor? ________
5. List the projects your business has completed in the last 3 years.
Contract Amount
| Type of Project |
| Date |
Completed Name and Telephone Number to Contact For Information
6. List all of your firm's current contract commitments.
Contract Number Contract Amount
| Type of Project |
| Est. Date of |
Completion Name and Telephone Number to Contact For Information
7a. Have you ever failed to complete any work awarded to you? ____ yes ____ no 7b. Has work ever been completed by performance bond? ____ yes ____ no 7c. If "yes" to either Question 7a. or 7b., please specify location(s) and reason(s):
EXPERIENCE AND CAPABILITY QUESTIONNAIRE -- OMB Clearance Number 9000-0142
8. Organization that will be available for this project:
| a. | Minimum No. of employees: _______________ Maximum No. of employees: ________________ |
| b. | Are employees regularly on your payroll? ____ yes ____ no |
| c. | If applicable, specify equipment available for this contract: |
d. If applicable, estimate rate of progress (such as 2.0 acres per day):
Minimum progress rate: __________________________ Maximum progress rate: ____________________________
1. List the experience of the principal individuals of your business.
| Individual's Name |
| Present Position |
| Years Experience |
| Type of Work |
10. Remarks:
CERTIFICATION: I certify that all of the statements made above 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.
Signature Title Date
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