Attachment F- EXPERIENCE QUESTIONNAIRE.docx
DOCX document 20 KB Posted
- Solicitation number
- 12444524Q0075
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire for a federal contract opportunity. It requests information from the contractor about their business type, years of relevant experience, similar past projects, current contract commitments, any issues with completing past work, organizational capabilities, and key personnel experience. The related federal contract opportunity is for janitorial services at the Cadillac-Manistee Ranger District Office and four additional buildings under the Department of Agriculture Forest Service. The contract will commence on August 15, 2024 and the contractor will be required to provide all labor, equipment, and supplies to complete the daily, weekly, semiannual, and annual janitorial tasks outlined in the Performance Work Statement. The contracting officer's representative is Rebecca Hartman, and an on-site visit is recommended prior to submitting a quotation.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment D- NRE_Commercial Services RFQ_12444524Q0043.docx | DOCX document | |
| Attachment I- Buidling Photos.pdf | ||
| Attachment B- Evaluation Criteria.docx | DOCX document | |
| Attachment C - Schedule of Items.docx | DOCX document | |
| Attachment E- Wage Determinations.pdf | ||
| Attachment H-- Building Photos.pdf | ||
| Attachment K - Floor Plan Office Building.pdf | ||
| Attachment A- PWS - Wellston Janitorial 2024.docx | DOCX document |
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Text version
Attachment F
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 in the last three (3) years.
| 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 available for this project:
| a. Minimum No. of employees: _____ | and Maximum No. of employees:_____ | ||
| b. Are employees regularly on your payroll? | ___yes | ___no |
c. Specify equipment to be used for this contract:
d. Estimate rate of progress (exp. 100 feet, 1/8 mile a day, etc…):
Minimum progress rate:____________ Maximum progress rate:____________
9. List the experience of the principal individuals of your business
| NAME |
| PRESENT POSITION |
| YRS EXP. |
| TYPE OF WORK |
10. GPS and Shapefile 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 .