Attachment 5 Relevant Experience Past Performance Questionnaire.pdf
PDF 182 KB Posted
- Attached to
- VEGETATION MANAGEMENT SERVICES Federal contract opportunity
- Solicitation number
- 12444122R0007
- Issued by
- Department of Agriculture Forest Service
About this file
This document outlines a solicitation for multiple blanket purchase agreements to provide vegetation management services on national forests in North Carolina. The solicitation will result in agreements with small businesses to conduct tasks such as timber stand improvement activities, tree planting, and invasive species control. Responses are due by May 3rd and agreements will be in place for five years. The Forest Service will issue individual calls against the agreements over their term and evaluate responses based on technical capability, past performance, and price reasonableness to select awardees. Historically over $2.4 million in similar projects have been awarded over three years. The solicitation includes requirements for documentation to be submitted with proposals and identifies evaluation criteria for technical approaches and pricing.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF30-Amendment 0001 RFP 12444122R0007.pdf | ||
| QAs for Solicitation12444122R0007 dated 4-22-2022.pdf | ||
| Attachment 7 FAR Clauses That Require a Response.pdf | ||
| Attachment 4 Contractor Information.pdf | ||
| 12444122R0007.pdf | ||
| Attachment 1 SOW Vegetation Management Service (VMS) NC BPA.pdf | ||
| Attachment 8 Seed Project 1 Combined SOW-SOI-Maps.pdf | ||
| Attachment 3 Intent of This BPA.pdf | ||
| Attachment 6 Technical Capability Statement.pdf | ||
| Attachment 2 NC Statewide 2001-0233 Rev 44 (12-27-2021).pdf |
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Text version
12444122R0007
ATTACHMENT 5
RELEVANT EXPERIENCE/PAST PERFORMANCE QUESTIONNAIRE
Instructions: See Box 9, remarks, if extra space is needed to answer any item below. Additional sheets may be attached.
1. Contractors Name, Address, Telephone No., & Email
2. Type of Business ____Company ____Co-Partner ____Non-profit ____Corporation ____Individual
CAGE: DUNS:
3. How many years experience do you have in this line of work_____Years
4. How many years experience as a Prime Contractor______ Subcontractor______
5. LIST OF RELATIVE PROJECTS YOUR BUSINESS HAS COMPLETED WITHIN THE LAST
THREE (3) YEARS
NOTE: The description of work performed should be in sufficient detail for the Government to determine what the work included.
(i.e., what tasks were performed, (grounds maintenance, erosion control, mulching, forestry work performed, type of equipment used, special safety or requirements) Use of only a project title does not usually provide enough detail for the Government to make an evaluation.
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
6a. Have you ever failed to complete any work awarded to you? ___Yes ___ No
6b. Has work ever been completed by performance bond? ___Yes ___ No
6. If "yes" to either item 7a or 7b specify location(s) and reason(s) why:
7. List the experience of the principal individuals of your business:
INDIVIDUALS NAME PRESENT POSITION YRS EXP TYPE OF WORK
8. Information required to complete a responsibility determination of the apparent successful offeror. (Additional information may be requested once a contractor is selected for award.. Moreover, the contractor might need to provide additional authorization from a creditor to grant access.)
a. Credit References:
Company Name/Address Point of Contact Telephone number Materials/Services Provided
b. Banking Information. (please do NOT provide account information – just a point of contact and a way to reach them)
Company Name/Address Point of Contact Telephone number
9. REMARKS (Additional sheets may be attached to the experience questionnaire)
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:
File details come from the government source that posted it. Updated .