Attachment 7. Experience Questionnaire 12445024Q0025.docx
DOCX document 68 KB Posted
- Attached to
- SRS Athens Grounds Maintenance
- Solicitation number
- 2445024Q0025
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire for Solicitation No. 12445024Q0025 for the SRS Athens Grounds Maintenance contract. The solicitation is a Request for Quotation (RFQ) issued by the USDA Forest Service, set aside 100% for small business concerns. The contract will be a Firm-Fixed Price (FFP) for Landscaping Services under NAICS code 561730.
The Experience Questionnaire requires the offeror to provide information on their business type, years of experience, relevant past projects, current contract commitments, organization capabilities, and key personnel. Offerors must also provide credit references, banking information, and certify the accuracy of the information provided. Quotes are due by August 10, 2024, and must include the completed Experience Questionnaire, Schedule of Items, and Representations and Certifications. Questions about the solicitation should be submitted by July 31, 2024, with answers posted on SAM.gov by August 2, 2024.
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Text version
Solicitation No: 12445024Q0025 SRS Athens Grounds Maintenance Attachment 7
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 11, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.
| 1. Contractors Name, Address & Telephone No. Email | |
| 2. Type of Business | |
| Company | Co-Partner Non-profit |
Corporation Individual
| 3. How many years of experience do you have in this line of work | Yrs |
| 4. How many years of experience as a prime contractor | subcontractor |
5. List no more than 3 most relevant projects your business has performed within 3 years of this solicitation issuance date:
CONTRACT
NUMBER
AWARD
AMOUNT
| NAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION. |
| DATE |
CONTRACT
COMPLETED
DESCRIPTION OF WORK PERFORMED
6. List all of your firms current contract commitments CONTRACTNAME, ADDRESS, E-MAIL, & PHONE NO. TO CONTACT FOR INFORMATION.
PERCENT
AWARD AMOUNT
NUMBER
| 7a. Have you ever failed to complete any work awarded to you? | yes | no |
| 7b. Has work ever been completed by performance bond? | yes | no |
7c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why
8. Organization information available for this project:
a. Minimum # of employees: and Maximum # of employees:
b. Are employees regularly on your payroll: yes no
c. Specify equipment available for this contract:
d. Estimate rate of progress (such as 2.0 acres per day):
1. Minimum progress rate: Maximum progress rate
9. List the experience of the principal individuals of your business
| INDIVIDUALS NAME |
| PRESENT POSITION |
| YRS EXP |
| TYPE OF WORK |
10. Information required to complete a responsibility determination if the apparent successful offeror.
a. Credit References
| Company Name/Address |
| Point of Contact |
| Telephone number |
| TYPE OF WORK |
b. Banking Information.
| Company Name/Address |
| Point of Contact |
| Telephone number |
| TYPE OF WORK |
11. REMARKS
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: |
| Title: |
| Date: |
File details come from the government source that posted it. Updated .