Attachment 5 - Relevant Experience Questionnaire.pdf
PDF 216 KB Posted
- Attached to
- South Carolina Timber Support Services BPA
- Solicitation number
- 12444125R0012
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Relevant Experience Questionnaire (Attachment 5) for a federal contract opportunity for timber support services in South Carolina. The questionnaire requires contractors to provide detailed information about their business, including years of experience, type of business, and a comprehensive list of relevant projects completed within the last three years. Contractors must describe their project work in sufficient detail, including specific tasks performed, equipment used, and any special safety requirements, to allow the Forest Service to evaluate their capabilities.
The form also requires contractors to disclose any past project completion issues, list the experience of principal individuals, and provide a certification of the accuracy of the information. The related solicitation (12444125R0012) aims to establish Blanket Purchase Agreements (BPAs) for timber support services with contractors capable of performing timber sale preparation and common stand exam projects across National Forests in South Carolina and the Savannah River Site. The BPA will have a 5-year (60-month) ordering period, with specific performance dates determined at the BPA Call Level, and the award will be made on a best-value basis considering technical factors, strengths, weaknesses, and risks.
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Text version
12444125R0012
ATTACHMENT 5
RELEVANT EXPERIENCE 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
3. How many years experience do you have in this line of work ____Yrs
4. How many years experience as a prime contractor _____ subcontractor ___
5. LIST OF RELEVANT 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: ______________________________________________________________
RELEVANT EXPERIENCE QUESTIONNAIRE
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: ______________________________________________________________
RELEVANT EXPERIENCE QUESTIONNAIRE
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 6a or 6b 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. 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:
Name: Title: Date:
File details come from the government source that posted it. Updated .