Attachment 5 Capability Questionnaire.1.docx

Eldorado National Forest Recreation Site Janitorial Solicitation 127EAS26Q0014 Eldorado National Forest Recreation Site Janitorial Solicitation 127EAS26Q0014

CAPABILITY QUESTIONnAIRE

CONTRACTOR NAME

POINT OF CONTACT

PHONE NO

EMAIL ADDRESS

Information submitted on this form will be used for the technical evaluation of quotes.

Use as much space as needed to provide a clear description of your experience and your plan for this project.

Experience of the Company Which contracts have you performed that are similar in size and scope to this project? Who can we contact concerning your performance? (limit 3)

Project Name:

Type/size/complexity/scope of work:

Start and completion dates:

Name of Reference Contact:

Phone/email:

Project Name:

Type/size/complexity/scope of work:

Start and completion dates:

Name of Reference Contact:

Phone/email:

Project Name:

Type/size/complexity/scope of work:

Start and completion dates:

Name of Reference Contact:

Phone/email:

Understanding of the Work

1. How extensive was your site visit for this project? (e.g., didn’t visit; attended gov-led visit; prior experience working at this site; explain)

2. What did the site visit reveal about the difficulty of the project — any problems that are likely to come up during performance and the actions you would take to get the work done? (be specific; explain)

3. How many workers will be assigned to the project?

List the personnel that will actually perform the work on site:

Name:

Position:

Name:

Position:

Name:

Position:

4. Are the personnel listed above employees of your company, or subcontractors?

If subcontractors, list the name of the subcontracted company and a point of contact with phone and email.

5. How will you handle sick days or other employee absences in a way that prevents the disruption of contract services?

6. What equipment will you use for this project? (Attach biobased cleaning product list separately.)

7. What schedule of work are you planning? (i.e., which days of the week you plan for which sites, approximate times spent at sites?)

8. What is your plan for safety? Identify the hazards specific to the sites and the types of work being performed and how you plan to maintain the safety of your employees and the public.

Contractor Responsibility Certification.

By responding to this solicitation, offeror represents and certifies the following:

A. The Government pays invoices often after the performance of work, which may be throughout the course of the contract. Contractor must have adequate financial resources to support the performance of work until invoices can be processed in paid. Verify by completing the following:

1) The contractor ☐ does / ☐ does not have adequate financial resources to perform the contract, or the ability to obtain them.

2) If requested for audit, offeror ☐ can / ☐ cannot provide financial statements for the last two years, including an interim statement for the current year. If offeror would not be able to provide financial statements, please provide a brief explanation.

3) Using the space below, specify the financial capacity, working capital and other resources available to perform the contract without assistance from any outside source.

B. The contractor ☐ does / ☐ does not have the ability to comply with the required or proposed delivery or performance schedule in the performance of work identified in the SOW, PWS and/or Sections C and D/J Attachments of the subject solicitation, taking into consideration all existing commercial and governmental business commitments.

C. The contractor ☐ does / ☐ does not have a satisfactory performance record that can be verified via past performance provided in response to this solicitation. Verify by completing the Experience & Past Performance Questionnaire or Capabilities Statement in the solicitation Attachments.

☐ Not Applicable. Please explain.

D. The contractor ☐ does / ☐ does not have a satisfactory record of integrity and business ethics that can be verified via past performance provided in response to solicitation items identified in Section L herein.

☐ Not Applicable. Please explain.

E. If contractor has no past performance for this type of work, can contractor provide verifiable experience in response to solicitation instructions? ☐ Yes ☐ No

** If contractor has no verifiable experience, evaluation will be based on solicitation technical response and other items required in response to this solicitation.

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