Attachment_6_Relevant_Experience_Questionnaire.docx
DOCX document 27 KB Posted
- Attached to
- AL DEEP HORIZON NRDA & RESTOR OF INSPECT
- Solicitation number
- 140FNR26Q0008
About this file
This is a Relevant Experience Questionnaire attachment designed to evaluate contractor qualifications for the Alabama Deep Horizon NRDA & Restoration Inspection contract opportunity (Solicitation 140FNR26Q0008). The questionnaire serves as an appendix to the solicitation and does not contain specific product or service requirements, pricing terms, or award details. Rather, it functions as an evaluation tool requiring responding contractors to demonstrate their relevant experience and qualifications.
The questionnaire is administered by the Department of the Interior Fish and Wildlife Service and is intended to assess bidder capability to perform inspection and restoration activities related to the North Breton Island Plant under the Natural Resource Damage Assessment (NRDA) program stemming from the Deep Horizon incident. Contractors responding to this solicitation should complete the questionnaire to substantiate their experience, technical expertise, and past performance in similar environmental restoration and inspection work. This document is a standard compliance and evaluation mechanism rather than a standalone solicitation component containing contractual terms or specific deliverables.
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Text version
Relevant Experience Questionnaire
Your Company Name:
Street Address:
City, State and ZIP Code:
1. GENERAL BUSINESS INFORMATION
Date Firm Organized/Established:
| Company President: | Vice President: | |
| Dun & Bradstreet Number: | __ |
Is company a ; Partnership [ ] Separate entity [ ] Division [ ] N/A [ ]
2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS
Does company have GSA contract? Yes / No
If so GSA contract(s) number:_________________________________________________
Is product offered on schedule? Yes / No
Complete and submit the information requested on the next pages 2-4 below on prime contracts or subcontracts completed or in progress. Government contracts are preferred; but, if you have not performed Government contracts, indicate any other contracts completed or in progress.
a. First Contract:
Contracting Agency or Company:
| Point of Contact: | Telephone Number: | |
| Contract Number: | Contract/Subcontract Amount: $ | |
| Project/Product Title and Delivery Location: | ___________ |
General Scope of Project: __________
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $ Period of Performance/Delivery Days: days Scheduled Completion/Delivery Date:
Actual Completion/Delivery Date:____
Were You Terminated?
Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________
| Delivery, Quality Control or Safety Problems encountered (if any): | _____ | |
| How were the problems resolved? | _____ |
b. Second Contract:
Contracting Agency or Company:
| Point of Contact: | Telephone Number: | |
| Contract Number: | Contract/Subcontract Amount: $ | |
| Project/Product Title and Delivery Location: | ___________ |
General Scope of Project: __________
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Scheduled Completion/Delivery Date:
Actual Completion/Delivery Date:____
Were You Terminated?
Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________
| Delivery, Quality Control or Safety Problems encountered (if any): | _____ | |
| How were the problems resolved? | _____ |
c. Third Contract:
Contracting Agency or Company:
| Point of Contact: | Telephone Number: | |
| Contract Number: | Contract/Subcontract Amount: $ | |
| Project/Product Title and Delivery Location: | ___________ |
General Scope of Project: __________
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Scheduled Completion/Delivery Date:
Actual Completion/Delivery Date:____
Were You Terminated?
Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________
| Delivery, Quality Control or Safety Problems encountered (if any): | _____ | |
| How were the problems resolved? | _____ |
4. Certification of Past and Present Performance Information:Type or Print Information
Name of Survey Preparer _______________________________
Phone:_________________ Email:______________________
Title__________________________________________
Signature______________________________________
Date__________________________________________
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