Attachment E - EXPERIENCE QUESTIONNAIRE.docx
DOCX document 18 KB Posted
- Solicitation number
- 12444525Q0044
- Issued by
-
Department of Agriculture Forest Service
About this file
The document is an Experience Questionnaire for a forest inventory project with the Hoosier National Forest, administered by the Department of Agriculture Forest Service. The questionnaire requires detailed information from potential contractors, including business type, years of experience, past project history, current contract commitments, organizational structure, and key personnel qualifications.
Specific project requirements include locating, establishing, measuring, and recording data for common stand exam (CSE) plots and ground cover plots. The questionnaire requests contractors to detail their experience with hand-held GPS, Shapefiles, and Avenza app, and to provide a work plan describing how they will accomplish the task. Contractors must also certify the completeness and accuracy of their submitted information, with space provided for signatures, names, titles, and dates. The document includes fields for Tax Identification Number (TIN) and DUNS number, indicating this is a formal solicitation for professional services in forest inventory work.
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Text version
EXPERIENCE QUESTIONNAIRE
1. Contractor’s Name, Address & Telephone #.
2. Type of Business
___Company ___Co-Partner ___Corporation ___Individual ___Non-profit Organization
| 3. How many years experience do you have related to this line of work? _______ years |
| 4. How many years experience as a prime contractor? ________years |
Subcontractor? _______
5. List all the similar projects your business has completed.
| CONTRACT AMOUNT |
| TYPE OF CONTRACT WORK |
| DATE COMPLETED |
| Contact Name, Address and Tele. # |
6. List all of your firms’ current contract commitments
| CONTRACT NUMBER |
| AWARD AMOUNT |
| Contact Name, Address & Tele. # |
| Percent Completed |
| Date Contract Completed |
| 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 above, specify reason(s) and location(s) why.
8. Organization structure that will be used for THIS project:
| a. No. of employees: _____ |
| b. Are employees regularly on your payroll or subcontracted? __yes___no____sub |
c. Specify equipment to be used for this contract:
d. Estimate rate of Progress: _______________ Plots per day
9. List the experience of the principal individuals of your business tied to this project
| NAME |
| PRESENT POSITION |
| YRS EXP. |
| TYPE OF WORK |
10. Describe experience using hand held GPS and Shapefiles, and/or Avenza app Experience:
11. Work plan: Describe plan how to accomplish task.
TIN#__________________ Duns#_______________ CERTIFICATION: I certify that all of the statements made by me are complete and correct to be 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.
| __________________________ | ___________________________ | ___________________ | ______ | ||
| Signature | Print or Typed Name | Title | Date |
File details come from the government source that posted it. Updated .