Attachment 4 Experience Questionaire.docx
DOCX document 19 KB Posted
- Solicitation number
- 12447U20R0002
About this file
This document contains an experience questionnaire and details of a solicitation for road maintenance services on National Forest lands in Mississippi. The indefinite-delivery, indefinite-quantity contract has a basic period of performance from date of award through March 31, 2021, plus two one-year option periods. Services include providing all materials, labor, equipment, transportation and other resources necessary to maintain forest roads in accordance with specifications. The contractor will be responsible for a minimum and maximum number of employees and equipment. The solicitation allows for a minimum and maximum rate of progress. The opportunity is set aside 100% for small businesses and award will be made based on best value to the government. Interested vendors should monitor the beta.sam.gov website where the full solicitation will be posted on or about March 3, 2020. No paper copies will be distributed.
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Text version
National Forests in Mississippi AG-447U-S-15-0004 PBSC for Road Maintenance
EXPERIENCE QUESTIONNAIRE INSTRUCTIONS:
If extra space is needed use the reverse. Mark "X" in appropriate boxes.
CONTRACTOR NAME, ADDRESS & TELEPHONE
How many years do you or your firm have in the line of work contemplated by this solicitation ______?
How many years experience in contracting have you or your business had as a (a) prime contractor _____ and/or (b) sub-contractor _____?
List below the projects your business has completed within the last 3 years:
Contract Amount
Type of Project
Date Completed
Name, Address & Telephone No. of Person to Contact for Project Info.
List below all of your firm's contractual commitments running concurrently with the work contemplated by this solicitation:
Contract No.
$ Amt of ward
Name, Address & Phone No. of Business Govt./Agency
Awarded (Units)
% Completed
Date Contract Completed
Have you ever failed to complete any work awarded to you? Yes ( ) No ( ) Has work ever been completed by performance bond? Yes ( ) No ( )
If "Yes" to either item above specify location(s) and reason(s) why:
Organization and work that will be available for this project:
a. Minimum number of employees: ( ) and a 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):
Minimum progress rate: __________ Maximum progress rate:
List below the experience of the principal individuals of your business
Individual's Name
Present Position
Years of Experience
Magnitude and 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.
Certifying Official's Name and Title Signature (In Ink)
Date
File details come from the government source that posted it. Updated .