Attachment 4_Experience Questionnaire.pdf
PDF 129 KB Posted
- Solicitation number
- 12444025Q0001
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire related to a federal contract opportunity for Janitorial Services at the Black Warrior Work Center, Bankhead National Forest. It requests information about the contractor's company, experience, current contracts, and key personnel. The questionnaire covers details such as the contractor's years of experience, prior relevant projects, current contract commitments, equipment and staffing capabilities, and references. The related federal contract opportunity seeks a contractor to provide comprehensive housekeeping services at the Black Warrior Work Center, with the work to be performed in accordance with all applicable laws and regulations. The solicitation number is 12444025Q0001 and the procuring agency is the Department of Agriculture Forest Service.
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Other files
| File | Type | Posted |
|---|---|---|
| 12444025Q0001_Updated Solicitation.pdf | ||
| 12444025Q0001_Amd 0002.pdf | ||
| 12444025Q0001_Amd 0001.pdf | ||
| Updated_Statement of Work.pdf | ||
| Q and As.pdf | ||
| Attachment 1_Statement of Work (SOW).pdf | ||
| 12444025Q0001 Solicitation.pdf | ||
| Attachment 3_Schedule of Items.xlsx | XLSX spreadsheet | |
| Attachment 2_Map.pdf | ||
| Attachment 5_Wage Determination 2015-4595.pdf |
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Text version
Solicitation No: 12444024Q0001 Janitorial Services – Black Warrior Work Center
Attachment 4
NAME, ADDRESS, E-MAIL, & PHONE NO. TO
CONTACT FOR INFORMATION.
AWARD
AMOUNT
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 11, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.
1. Contractors Name, Address & Telephone No. Email 2. Type of Business
Company Co-Partner Non-profit Corporation Individual
3. How many years of experience do you have in this line of work Yrs
4. How many years of experience as a prime contractor subcontractor
5. List no more than 3 most relevant projects your business has performed within 3 years of this solicitation issuance date:
CONTRACT
NUMBER
AWARD
AMOUNT
NAME, ADDRESS, E-MAIL, &
PHONE NO. TO CONTACT
FOR INFORMATION.
DATE
COMPLETED
DESCRIPTION OF
WORK PERFORMED
6. List all of your firms current contract commitments
NUMBER
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 item 7a or 7b specify location(s) and reason(s) why
PERCENT
Solicitation No: 12444024Q0001 Janitorial Services – Black Warrior Work Center
Attachment 4
8. Organization information available for this project:
a. Minimum # of employees: and Maximum # of employees:
b. Are employees regularly on your payroll: yes no
c. Specify equipment available for this contract:
d. Estimate rate of progress (such as 2.0 acres per day):
1. Minimum progress rate: Maximum progress rate
9. List the experience of the principal individuals of your business
INDIVIDUALS NAME PRESENT POSITION YRS EXP TYPE OF WORK
10. Information required to complete a responsibility determination if the apparent successful offeror.
a. Credit References Company Name/Address Point of Contact Telephone number TYPE OF WORK
b. Banking Information.
Company Name/Address Point of Contact Telephone number TYPE OF WORK
11. REMARKS
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:
File details come from the government source that posted it. Updated .