Attachment No. 7 Technical Proposal Information Sheets.pdf

ATTACHMENT NO. 7

ROAD MAINTENANCE

GEORGE WASHINGTON AND JEFFERSON NATIONAL FORESTS

TECHNICAL PROPOSAL INFORMATION SHEETS

Please complete and return this attachment with your offer. You may use additional pages, if needed.

IN

CONTRACTOR NAME, ADDRESS, TELEPHONE NO. & E-MAIL

CONTRACTOR NAME:_____________________________________

CONTRACTOR ADDRESS: ______________________

TELEPHONE NO.__________________________________________

EMAIL ADDRESS: ________________________________________

SUBMIT TO:

SHARON R. MARTIN, CONTRACTING OFFICER

How many years of experience do you or your firm have in the line of work contemplated by this solicitation?

How many years of experience in contracting have you and/or your business had as:

(a) a prime contractor (b) a sub-contractor

1. EXPERIENCE

Provide a list of completed past projects with similar scope for the last three years. Include a brief description of the project and location of the work, dollar amount, year completed, work duration, type of equipment used, number of employees utilized and project contact information (name, phone and email).

Project 1 Experience

Project Description and Location of the Work: _________________________

Dollar Amount of Project: _________________________________________

Year Project Completed: __________________________________________

Work Duration: __________________________________________________

Type of Equipment Used: __________________________________________

GEORGE WASHINGTON AND JEFFERSON NATIONAL FORESTS

Number of Employees Utilized: _____________________________________

Project 1 Experience Contact Information:

Name: __________________________________________________________ Address:__________________________________________________________ E-mail: __________________________________________________________ Phone Number: ___________________________________________________

Project 2 Experience

Project Description and Location of the Work: _________________________

Dollar Amount of Project: _________________________________________

Year Project Completed: __________________________________________

Work Duration: __________________________________________________

Type of Equipment Used: __________________________________________

Project 2 Experience Contact Information:

Address:__________________________________________________________

GEORGE WASHINGTON AND JEFFERSON NATIONAL FORESTS

Project 3 Experience

Dollar Amount of Project: _________________________________________

Year Project Completed: __________________________________________

Work Duration: __________________________________________________

Type of Equipment Used: __________________________________________

Project 3 Experience Contact Information:

Address:__________________________________________________________

Project 4 Experience

Dollar Amount of Project: _________________________________________

Year Project Completed: __________________________________________

Work Duration: __________________________________________________

Type of Equipment Used: __________________________________________

GEORGE WASHINGTON AND JEFFERSON NATIONAL FORESTS

Project 4 Experience Contact Information:

Address:__________________________________________________________

2. PAST PERFORMANCE

Provide three references that have direct knowledge of past performance of similar work performed by your company in the last three years. By providing this information you consent that we can contact these references. Provide this information for subcontractors on the project as well.

Past Performance Reference 1

Name: ___________________________________________________________ Address: _________________________________________________________

Past Performance Reference 2

Address: _________________________________________________________

Past Performance Reference 3

Address: _________________________________________________________

GEORGE WASHINGTON AND JEFFERSON NATIONAL FORESTS

3. PERSONNEL AND EQUIPMENT

Provide brief resumes for the following personnel: Contractor’s Representative, Site Superintendent and Equipment Operators.

Provide a list of the equipment you intend to use on this project including type of equipment, make, model, year and accessories.

This information is used to determine the acceptability of both personnel and equipment and also to ascertain your understanding of what resources are needed to adequately complete this project.

All equipment proposed to be used for performance of the work shall be of the size, type and in such condition to properly pursue the requirements of this contract. All equipment must be in satisfactory, safe condition and able to perform the required task. All equipment shall have a Rollover Protective Structure (ROPS).

1. Contractor’s Representative – Please list your Contractor’s Representatives name along with their qualifications and experience.

GEORGE WASHINGTON AND JEFFERSON NATIONAL FORESTS

2. Site Superintendent - Please list your Site Superintendents name along with their qualifications and experience.

3. Equipment Operators: Please list your Equipment Operators names along with their qualifications and experience.

GEORGE WASHINGTON AND JEFFERSON NATIONAL FORESTS

4. Proposed Equipment: Provide a list of the equipment you intend to use on this project including type of equipment, make, model, year and accessories.

EQUIPMENT INFORMATION

(This form must be completed and submitted with your quote)

Equipment Type: ______________________________________________________ Make: _____________________ Model: _____________________ Year: ______________________

Equipment Features:___________________________________________________

Equipment Type: ______________________________________________________ Make: _____________________ Model: _____________________ Year: ______________________

Equipment Features:___________________________________________________

Equipment Type: ______________________________________________________ Make: _____________________ Model: _____________________ Year: ______________________

Equipment Features:___________________________________________________

Equipment Type: ______________________________________________________ Make: _____________________ Model: _____________________ Year: ______________________

Equipment Features:___________________________________________________

GEORGE WASHINGTON AND JEFFERSON NATIONAL FORESTS

Equipment Type: ______________________________________________________ Make: ____________________ Model: ____________________ Year: _____________________

Equipment Features:___________________________________________________

Equipment Type: ______________________________________________________ Make: ____________________ Model: ____________________ Year: _____________________

Equipment Features:___________________________________________________

Equipment Type: ______________________________________________________ Make: ____________________ Model: ____________________ Year: _____________________

Equipment Features:___________________________________________________

Equipment Type: ______________________________________________________ Make: ____________________ Model: ____________________ Year: _____________________

Equipment Features:___________________________________________________

CERTIFYING OFFICIAL’S Signature and Date

CERTIFICATION

I certify that all of the statements made by me on this questionnaire 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.