Attachment 6__ Past Performance Questionnaire.docx
DOCX document 38 KB Posted
- Attached to
- EYNF Land Surveying IDIQ
- Solicitation number
- 12445224R0001
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Past Performance / Experience Questionnaire that the offeror must complete to provide details on their company's background, experience, and past project work. The questionnaire covers the company's business type, surveying techniques, years of experience, and a list of relevant projects completed within the last 3 years. Offerors must provide specifics on project descriptions, contract amounts, client information, and key personnel. The questionnaire also asks if the offeror has ever failed to complete any awarded work.
The related federal contract opportunity is a Request for Qualifications (RFQ) for an Indefinite Delivery Indefinite Quantity (IDIQ) contract for land surveying services for the El Yunque National Forest and International Institute of Tropical Forestry lands. The IDIQ contract has an estimated value of up to $2 million over 5 years, with individual task orders up to $300,000. Only firms with licensed Professional Surveyors in Puerto Rico will be considered. Vendors interested in responding must submit an SF330 form as detailed in the RFQ. The solicitation closing date is June 24, 2024 and the estimated contract award date is September 2024.
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Text version
PAST PERFORMANCE / EXPERIENCE QUESTIONNAIRE (Offeror fills out this form) 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 Number, and point of contact
2. Type of Business __Company __Co-Partner __Corporation __Individual __Non-profit
3. Describe your standard surveying technique and how data quality is ensured and captured geospatially.
4. How many years experience do you have in this line of work____Yrs
5. How many years experience as a prime contractor_____ subcontractor___
6. LIST OF PROJECTS YOUR BUSINESS HAS COMPLETED WITHIN THE LAST 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 such as grounds maintenance, erosion control, mulching, forestry work performed, type of equipment used, special safety or requirements; include acres for each contract). 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 and Acres:__________________________________________________________________ Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________ Client/Company’s Name/Address: ________________________________________________________________________ Contact Name and Telephone number: ____________________________________________________________________ Description of Work Performed and Acres:_________________________________________________________________ Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________ Client/Company’s Name/Address: ________________________________________________________________________ Contact Name and Telephone number: ____________________________________________________________________ Description of Work Performed and Acres:_________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________ Client/Company’s Name/Address: ________________________________________________________________________ Contact Name and Telephone number: ____________________________________________________________________ Description of Work Performed and Acres: __________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________ Client/Company’s Name/Address: ________________________________________________________________________ Contact Name and Telephone number: ____________________________________________________________________ Description of Work Performed and Acres:_________________________________________________________________ Date completed or scheduled for completion: ______________________________________________________________
6a. Have you ever failed to complete any work awarded to you? __yes __ no
6b. If "yes" to 6a specify location(s) and reason(s) why
7. List the experience of the principal individuals of your business (Workforce composition that will be used for this project):
| INDIVIDUALS NAME |
| PRESENT POSITION |
| YRS EXP |
| TYPE OF WORK |
8. REMARKS (Additional sheets may be attached to the Past Performance / 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:
Signature:
| Title: |
| Date: |
File details come from the government source that posted it. Updated .