Attachment 6-Experience Questionnaire.pdf
PDF 133 KB Posted
- Attached to
- R2 Spring Tree Planting Federal contract opportunity
- Solicitation number
- 1240LQ24Q0038
About this file
This document is an Experience Questionnaire for a federal contract opportunity. It requests information about the contractor's business, including years of experience, past performance, current contractual commitments, equipment and personnel resources, and the experience of key individuals. The questionnaire covers details such as the contractor's business structure, number of years in the line of work, prime and subcontractor experience, and a list of similar projects completed in the last three years. It also asks about any failure to complete awarded work and the use of performance bonds. The questionnaire requires the contractor to provide information on their organization and work capacity, including minimum and maximum number of employees, equipment available, and estimated progress rates. Finally, the contractor must list the experience of their principal individuals. This questionnaire appears to be a standard form used by the USDA Forest Service to evaluate the capabilities of contractors for the Spring Tree Planting contract opportunity, which involves approximately 3,160 acres of planting across several National Forests in Region 2.
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Text version
ATTACHMENT 6
USDA Forest Service (2/17)
PAST PERFORMANCE/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 & Address)
3. Business Company 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 in contracting have you or your business had as a (a) prime contractor ________ and/or
(b) sub-contractor ______?
6. List below the SIMILAR 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 Contract for Project Information
7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:
Contract Amount
Dollar Amt Of Award
Name, Address, and Telephone No. of Business/Government Agency Involved
Awarded (Units)
Percent Completed
Date Contract Complete d
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. If “Yes” to either item 8a or 8b specify location(s) and reason(s) why:
ATTACHMENT 6
9. Organization and work that will be available for this project:
a. (1) Minimum number of employees:__________ and a (2) Maximum number of employees:__________
b. Are employees regularly on your payroll? _____ Yes _____ No
c. Specify equipment available for this contract:_______________________________________________
d. Estimate rate of progress below (such as 500 ft2/man/day):
(1) Minimum progress rate: __________ and (2) Maximum progress rate: __________
10. List below the experience of the principal individuals of your business:
Individual’s Name Present Position Years of Exp.
Magnitude and Type of Work
11. Remarks—Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above questions):
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 12b. Signature (Sign in Ink or Digitally) 13. Date
File details come from the government source that posted it. Updated .