Attch 9_Experience Questionaire 12443926Q0011.pdf
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- Attached to
- Crop Tree Release Federal contract opportunity
- Solicitation number
- 12443926Q0011
- Issued by
- Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form (Attachment 9) for Solicitation No. 12443926Q0011 FY26, a Crop Tree Release contract. The form is a template designed to assess contractor qualifications and experience for apparent successful offerors.
The questionnaire requires contractors to provide: basic company information and business type (company, corporation, co-partner, non-profit, or individual); years of experience in the line of work and as a prime contractor or subcontractor; up to three relevant projects completed within three years of the solicitation issuance date, including contract number, award amount, completion date, and work description; all current contract commitments; employment information including minimum and maximum employee counts and payroll status; equipment availability; estimated progress rates (minimum and maximum); principal individuals' experience and positions; credit references; and banking information. The form also requires contractors to disclose any history of incomplete work or performance bond completions, with explanations if applicable. Contractors must provide organization information such as equipment specifications and progress rate estimates (e.g., acres per day). A certification statement requires the signatory to attest that all information provided is complete and correct, and that named references are authorized to provide information to the Forest Service regarding the contractor's capability to perform the project.
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Text version
Solicitation No: 12443926Q0011 FY26 Crop Tree Release Attachment 9
NAME, ADDRESS, E-MAIL, & PHONE NO. TO
CONTACT FOR INFORMATION.
AWARD
AMOUNT
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 11, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.
1. Contractors Name, Address & Telephone No. Email 2. Type of Business
Company Co-Partner Non-profit Corporation Individual
3. How many years of experience do you have in this line of work Yrs
4. How many years of experience as a prime contractor subcontractor
5. List no more than 3 most relevant projects your business has performed within 3 years of this solicitation issuance date:
CONTRACT
NUMBER
AWARD
AMOUNT
NAME, ADDRESS, E-MAIL, &
PHONE NO. TO CONTACT
FOR INFORMATION.
DATE
CONTRACT
COMPLETED
DESCRIPTION OF
WORK PERFORMED
6. List all of your firms current contract commitments
CONTRACT
NUMBER
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
PERCENT
Solicitation No: 12443926Q0011 FY26 Crop Tree Release Attachment 9
8. Organization information available for this project:
a. Minimum # of employees: and Maximum # of employees:
b. Are employees regularly on your payroll: yes no
c. Specify equipment available for this contract:
d. Estimate rate of progress (such as 2.0 acres per day):
1. Minimum progress rate: Maximum progress rate
9. List the experience of the principal individuals of your business
INDIVIDUALS NAME PRESENT POSITION YRS EXP TYPE OF WORK
10. Information required to complete a responsibility determination if the apparent successful offeror.
a. Credit References Company Name/Address Point of Contact Telephone number TYPE OF WORK
N/A N/A N/A
b. Banking Information.
Company Name/Address Point of Contact Telephone number TYPE OF WORK
N/A N/A N/A
11. REMARKS
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:
Name: Title: Date:
File details come from the government source that posted it. Updated .