Attachment 5- Relevant Experience Questionnaire.pdf
PDF 106 KB Posted
- Attached to
- Janitorial Services Croatan Ranger District
- Solicitation number
- 12444123Q0030
- Issued by
-
Department of Agriculture Forest Service
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1- PWS Office Facilities.pdf | ||
| RFQ 12444123Q0030.pdf | ||
| Attachment 6- WD 2015-5781 Rev20.pdf | ||
| Attachment 2- PWS Rec Sites.pdf | ||
| Attachment 3- Schedule of Items.xlsx | XLSX spreadsheet | |
| Attachment 4- Croatan Recreation Sites Maps.pdf |
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Text version
12444123Q0030
ATTACHMENT 5
RELEVANT EXPERIENCE QUESTIONNAIRE
1. Contractors Name, Address, Telephone No., & Email
2. Type of Business
____ Company ____ Co-Partner ____ Non-profit
____ Corporation ____ Individual
CAGE: DUNS or ueiSAM: :
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.
Providing inadequate information may deem your quote/proposal unresponsive.
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: ______________________________________________________________
5a. Have you ever failed to complete any work awarded to you? ___Yes ___ No
6. If "yes" to item 5a -- specify reason(s) why:
7. List the experience of the principal individuals of your business:
INDIVIDUALS NAME PRESENT POSITION YRS EXP TYPE OF WORK
8. REMARKS/ ADDITIONAL INFORMATION (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:
Name:
Title: Date:
File details come from the government source that posted it. Updated .