Attachment 6 Experience Questionnaire.docx

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USDA Forest Service Swan Guard Station Snow Removal
Solicitation number
1284LM26Q0003
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This document is an Experience Questionnaire for a USDA Forest Service contract for snow removal services at the Swan Guard Station in Lake County, Montana. The questionnaire requires potential contractors to provide detailed information about their business experience, including years in the relevant line of work, past project history, current contractual commitments, employee and equipment availability, and key personnel qualifications. The solicitation is a total small business set-aside with a small business size standard of $9.5M, targeting companies with North American Industry Classification Standard Code 561730 (Landscaping Services). Contractors must complete the comprehensive form, which covers their business structure, project experience, workforce capabilities, and includes a certification of the information's accuracy by an authorized official.

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Other files

File Type Posted
SF-30 AMD 0001.pdf PDF
Attachment 1 Solicitation Terms and Conditions AMD 0001.docx DOCX document
Attachment 2 Statement of Work AMD 0001.docx DOCX document
Attachment 4 Area Map.docx DOCX document
Attachment 5 Wage Determination.pdf PDF
Attachment 2 Statement of Work.docx DOCX document
Attachment 3 QASP.docx DOCX document
Attachment 1 Solicitation Terms and Conditions.docx DOCX document

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USDA Forest Service

EXPERIENCE QUESTIONNAIRE

Instructions: See Box 11, Remarks, if extra space is needed to answer any item below, Mark “X: in appropriate boxes.

1. Contractor Name, Address, and Telephone Number

2. Submitted to (Office Name and Address)

3. Business [ ] Company [ ] Co-partnership [ ] Corporation [ ] Individual [ ] Non-profit Organization

4. How many years do you or your firm have in the line of work contemplated by this solicitation?

5. How many years experience have you or your business had as a (a) prime contractor ____ and/or (b) sub-contractor ____?

6. List below the projects your business has completed within the last three years:

Contract Amount
Type of Project
Date Completed
Name, Address, and Telephone No. of Owner/Person to Contact for Project Information

7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:

Contract Number
Dollar Amt. of Award
Name, Address, and Telephone No. of Business/Government Agency Involved
Awarded (Units)
Percent Completed
Date Contract Complete

8a. Have you ever failed to complete any work awarded to you? [ ] Yes [ ] No 8b. Has work ever been completed by performance bond? [ ] Yes [ ] No 8c. Did you look at the project site(s) on-the-ground? [ ] Yes [ ] No 8d. If “Yes” to either item 8a. or 8b., specify location(s) and reason(s) why:

EXPERIENCE QUESTIONNAIRE CONTINUED

9. Employees and equipment that will be available for this project:

a. (1) Minimum number of employees: _____ and (2) Maximum number of employees: _____

b. Are employees regularly on your payroll: [ ] Yes [ ] No

c. Specify equipment available for this contract:______________________________________________________

10. List below the experience of the principal individuals of your business. (Who will directly be involved in this contract?)

Individual’s Name
Present Position
Years of Experience
Magnitude and Type of Work

11. Remarks -- Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question.):

NOTE: PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT WILL HELP EVALUATE YOUR ABILITY TO SUCCESSFULLY COMPLETE THIS PROJECT.

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.

12a. CERTIFYING OFFICIAL’S NAME AND TITLE

b. SIGNATURE (Sign in ink)
13. DATE

File details come from the government source that posted it. Updated .