Attachment 9 - Past Performance Information Sheet.pdf
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- Solicitation number
- 1240LT22R0067
- Issued by
-
Department of Agriculture Forest Service
About this file
This document contains a past performance information sheet and federal contract opportunity solicitation for a Great American Outdoors Act trail bridge replacement project on the Boise National Forest. The solicitation seeks proposals to replace bridges on five trails - Boise, Bull Creek, Lodgepole Creek, Ten Mile Creek, and South Fork Salmon River. Proposals are due July 22nd. The project is set aside solely for small businesses. The past performance sheet requests information on the contractor's experience, current commitments, personnel, and equipment to evaluate their ability to complete the project. The solicitation includes eight attachments providing supplemental specifications, bridge location maps, fire prevention requirements, prevailing wage rates, and a contractor information sheet. Questions are due by July 11th, with no additional questions to be answered thereafter.
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Text version
Attachment 9 1240LT22R0067 Boise Trail Bridge Replacement
Past Performance Information Sheet
EXPERIENCE/PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS: If extra space is needed use the reverse. Mark “X” in appropriate boxes.
CONTRACTOR NAME, ADDRESS & TELEPHONE
How many years do you or your firm have in the line of work contemplated by this solicitation ______? How many years experience in contracting have you or your business had as a (a) prime contractor _____ and/or (b) sub-contractor _____?
List below the projects your business has completed within the last 3 years:
Contract Amount Type of Project Date Completed Name Address & Telephone No. of Person to Contact for
Project Info.
List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:
Contract No. Dollar Amt.
of Award Name, Address & Phone No. of Business Govt./Agency
Awarde d (Units)
Complete d
Date Contract Completed
Have you ever failed to complete any work awarded to you? Yes ( ) No ( ) Has work ever been completed by performance bond? Yes ( ) No ( ) If “Yes” to either item above specify location(s) and reason(s) why:
Organization and work that will be available for this project:
a. Minimum number of employees: ( ) and a 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 2.0 acres/man/day):
Minimum progress rate: __________ Maximum progress rate: _____________
List below the experience of the principal individuals of your business:
Individual’s Name Present Position Years of Experience Magnitude and Type of Work
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.
Certifying Official’s Name and Title Signature (In Ink) Date
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