Attachment 5 - Past Performance Information Sheet.pdf

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Attached to
Amendment 0002 Carrizo Work Center Septic System and Rehabilitation
Solicitation number
1240LT22Q0076
Issued by

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This document contains a past performance information sheet and details of a federal contract opportunity for septic system rehabilitation and mold remediation services. The opportunity involves removing and replacing septic tanks and leach fields, doors, plumbing fixtures, carpeting, and siding at the Carrizo Work Center in Colorado. Services also include installing a filter housing, addressing mold and hantavirus issues, and testing and remediation. Proposals are due August 15th for a period of performance from August 31st to December 31st, 2022. A site visit will be held on August 1st. The contractor will be responsible for supplying all materials, labor, equipment, permits and licenses to complete the specified repairs. Relevant experience and references must be provided in the past performance sheet.

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Other files

File Type Posted
Signed Amendment 0002 1240LT22Q0076.pdf PDF
Amendment 0001 1240LT22Q0076.pdf PDF
1240LT22Q0076 Carrizo Solicitation (1).pdf PDF
Attachment 6 - Contractor info.pdf PDF
Attachment 2 - Carrizo Maps.pdf PDF
Attachment 4 - Carrizo Submittal Register.xlsx XLSX spreadsheet
Attachment 3 - Davis Bacon Wage Rate - Baca County Colorado - 03-11-2022.pdf PDF
Attachment 1 - Specifications.pdf PDF

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Attachment 5 Past Performance Information Sheet

EXPERIENCE/PAST PERFORMANCE 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. Dollar Amt.

of Award Name, Address & Phone No. of Business Govt./Agency

Awarde d (Units)

Complete d

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 .