Attachment3.1240LU26Q0116ExperienceQuestionnaire.pdf
PDF 90 KB Posted
- Attached to
- AERIAL FIRE DEPOT - Daycare Fence Replacement
- Solicitation number
- 1240LU26Q0116
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a USDA Forest Service Experience Questionnaire form used to evaluate contractor qualifications for federal contract opportunities.
The form requires contractors to provide comprehensive background information including company name, address, business structure (company, corporation, partnership, individual, or non-profit), and years of experience in the relevant line of work. Contractors must specify their experience as prime contractors and subcontractors and list projects completed within the last three years that demonstrate capability in similar work, including contract amounts, project types, completion dates, and owner contact information for verification. The form also requests disclosure of any failed contracts or work completed under performance bond, with explanations of circumstances and locations if applicable. Section 8 addresses organizational capacity by requiring disclosure of minimum and maximum employee availability, confirmation of regular payroll status, and detailed specification of equipment available for the contract. Section 9 requires listing of principal individuals within the business, including their names, cities of residence, present positions, years of experience, and the magnitude and type of work they have managed. The questionnaire includes a certification section where the certifying official must sign in ink and confirm that all statements are complete and correct to the best of their knowledge, and that named references are authorized to provide information to verify the contractor's capability to perform the project. Additional remarks or explanations can be provided in Section 10, with the option to attach supplemental sheets if needed.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 1240LU26Q0116Amendment001.pdf | ||
| 1240LU26Q0116QandA9.28.2026.pdf | ||
| 1240LU26Q0116.pdf | ||
| Attachment1.1240LU26Q0016PhotosMaps.pdf | ||
| Attachment2.1240LU26Q0116WD.pdf |
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Text version
USDA Forest Service (1/00)
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 10, Remarks, if extra space is needed to answer any item below. Mark “x” in appropriate boxes.
1. Contractor Name, Address, and Telephone Number
2. Submitted to (Office Name & Address) 3. Business Company Co-Partnership Corporation Individual Non-profit Organization
4. How many years do you or your firm have in the line of work contemplated by this solicitation? __________
5. How many years experience in contracting have you or your business had as a (a) prime contractor ________ and/or (b) sub-contractor ______?
6. List below the projects your business has completed within the last three years (or currently working) where we can confirm that your company has experience in similar work.
Contract Amount
Type of Project Ongoing or
Date Completed
Name, Address, and Telephone No.
of Owner/Person to Contract for
Project Information
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 and work that will be available for this project:
a. (1) Minimum number of employees:__________ and a (2) Maximum number of employees:__________
b. Are employees regularly on your payroll? _____ Yes _____ No
c. Specify equipment available for this contract
9. List below the experience of the principal individuals of your business:
Individual’s Name
And City of Residence Present Position Years of
Exp.
Magnitude and Type of Work
10. Remarks—Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above questions):
11. 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.
12a.Certifying Official’s Name and Title
12b. Signature (Sign in Ink) 13. Date
File details come from the government source that posted it. Updated .