Attachment 5 Technical Eval Questionnaire_Past Perf.pdf

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Attached to
BULL COMPLEX SUPPRESSION ROAD REPAIR Federal contract opportunity
Solicitation number
12363N23R4010
Issued by
Department of Agriculture Forest Service

About this file

This document contains a technical evaluation questionnaire and federal contract opportunity solicitation. The technical evaluation questionnaire requests information on the contractor's past performance history over the past three years, including dates of performance, agency or company names, contact details, dollar values, contract numbers, and types of work performed. It also requests information on any failed projects within the past three years.

The federal contract opportunity solicitation is for the Bull Complex Suppression Road Repair project. The project consists of restoration work on road surfaces and drainage capacities around the burn scar of the Bull Fire Complex, including erosion control, culvert removal and installation, aggregate surfacing, ditch reconditioning, roadway reconditioning, and sign installation. The project location is on the Clackamas River Ranger District of the Mt. Hood National Forest in Oregon. The solicitation number is 12363N23R4010. Work is estimated to begin on May 15, 2023. The contracting agency is the Department of Agriculture Forest Service. The project is set aside 100% for small businesses with a size standard of $11.5 million.

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Text version

TECHNICAL EVALUATION QUESTIONNAIRE

CONTRACTOR’S PAST PERFORMANCE HISTORY

Provide a listing of your projects for the past three-year period which most closely relate to this type of work. Include the dates of performance, the agency or company name, the name and phone number of the contact person, the dollar value of the contract, the contract number, and the type of work performed. These firms may be contacted for references.

If you have failed to complete any project in the last three-year period, provide any information regarding the cause or remedy of that particular situation.

Note: Other forms and/or formats may be used which provide the required information.

Agency/Company

Contact Name Phone No.

Dates of performance

Contract Number

Dollar Value

Type of work performed

Dates of performance

Contract Number

Dollar Value

Dates of performance

Contract Number

Dollar Value

Dates of performance

Contract Number

Dollar Value

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