Attachment 6_PastPerformanceQuestionnaire.pdf
PDF 340 KB Posted
- Solicitation number
- 1240LU26Q0007
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Performance Questionnaire for a Construction Request for Quote (RFQ) issued by the USDA Forest Service, Solicitation #1240LU26Q0007 for Condon Bunkhouse Maintenance Repairs. The RFQ requires potential contractors to provide detailed information about their business capabilities, including years of experience, past project history, current contractual commitments, and technical approach to performing the work. The scope of work includes multiple maintenance tasks such as mobilization/demobilization, painting, sheetrock gypsum board repairs, hardwood floor refinishing, and vinyl flooring.
The questionnaire seeks comprehensive information from contractors, including their business structure, experience as prime or sub-contractors, completed projects in the last three years, ongoing commitments, and the experience of principal individuals who will be directly involved in the contract. Contractors must provide estimated progress rates for work items, a narrative of their technical approach, and certify the accuracy of their submitted information. The document is designed to help the Forest Service evaluate a contractor's capability to successfully complete the Condon Bunkhouse maintenance project.
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Text version
CONSTRUCTION RFQ Solicitation # 1240LU26Q0007
Condon Bunkhouse Maintenance Repairs
Rev. 11/5/25
USDA Forest Service
PERFORMANCE QUESTIONNAIRE
Instructions: See Box 12, 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
4. How many years do you or your firm have in the line of work contemplated by this solicitation?
5. How many years experience as a (a) prime contractor ______ and/or (b) sub-contractor ______ has your firm performed work similar to this solicitation?
6. List below the projects your business has completed within the last three years:
Contract Amount
Type of Project Date Completed
Name, & Telephone No. of Owner/Person to Contact for Project Information
7. List below 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 your 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:
CONSTRUCTION RFQ Solicitation # 1240LU26Q0007
Condon Bunkhouse Maintenance Repairs
Rev. 11/5/25
PERFORMANCE QUESTIONNAIRE CONTINUED
9. Provide a narrative of your technical approach to performing work for this contract:___________________________________
10. Estimate progress rates for work items:
Item No.
Work Description Estimated No. of Days
Estimated Hours per Day Date of Start End Date
1 Mobilization
1a Demobilization
2 Painting
3 Sheetrock Gypsom Board Repairs
4 Hardwood Floor Refinishing
5 Vinyl Flooring
11. 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
12. 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.
13a. CERTIFYING OFFICIAL’S NAME AND TITLE
b. SIGNATURE (Sign in ink) 13. DATE
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