B08_0044019358_Technical_Experience_Questionnaire.pdf

PDF 615 KB Posted

Attached to
ROMO CRD TRASH & RECYCLING REMOVAL Federal contract opportunity
Solicitation number
140P1225Q0080
Issued by
Department of the Interior National Park Service Intermountain Region

About this file

This document is a Technical/Experience Questionnaire form designed for contractors to provide detailed information about their business capabilities and experience when responding to a potential contract opportunity with the National Park Service. The form requires comprehensive information including business type, years of experience, previous contract work, current commitments, organizational capacity, key personnel qualifications, and financial responsibility. Contractors must disclose their company's performance history, including whether they have ever failed to complete work or had work completed through a performance bond, and provide details about their employees, equipment, and principal individuals who would be involved in the proposed project. The final section includes a certification statement where the contractor affirms the accuracy of their submission and authorizes the National Park Service to verify their capability to perform the project.

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B03_0044019358_SCA_Wage_Determinations.pdf PDF
A04_0044019358_PWS_Appendix_A_ROMO_CRD_Solid_Waste_and_Recycling_Maps.pdf PDF

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Text version

1. Contractors Name, Address, & Telephone No.: 2. Type of Business

Company Corporation Non-profit Org Co-partner Individual

Years

Years

3. How many years experience do you have in this line of work?

4. How many years experience as a prime contractor?

5. List similar and/or related services your business has completed in the last 5 years:

6. List all of your firms current contract commitments:

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

CONTRACT

NUMBER

AWARD

AMOUNT

NAME, ADDRESS, & PHONE NO.

TO CONTACT FOR INFORMATION

PERCENT

COMPLETED

DATE

COMPLETED

Telephone No.:

Address:

Name:

SAM UEI No:

CONTRACT

AMOUNT

TYPE OF

PROJECT

DATE

COMPLETED

NAME, ADDRESS & TELEPHONE NO.TO

CONTACT FOR INFORMATION

TECHNICAL/EXPERIENCE QUESTIONNAIRE

Instructions: This form may be completed manually or by using MS Excel. See Box 11, remarks, if extra

7c. If "Yes" to either item 7a or 7b, specify locations and reason why:

8. Organization that will be available for this service:

a. Minimum No. of employees: and maximum No. of employees:

b. Are employees regularly on your payroll? Yes No

c. Specify equipment available for this project:

9. List the experience of principal individuals with proper qualifications/certifications to be used on this project:

10. Financial Responsibility:

(in lieu of this, you may submit a letter from your financial institution that addresses the status and standing of your accounts)

Name of Financial Institution

Address:

Contact Name

Contact Phone Nbr

11. Remarks

INDIVIDUALS

NAME

YEARS

EXPERIENCE TYPE OF WORK

PRESENT

POSITION

SIGNATURE TITLE DATE

CERTIFICATION: I certify that I intend to complete the project as specified and that my offer conforms to the specifications of the solicitation without deviation unless I provide an alternative proposal. All 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 National Park Service with any information needed to verify my capability to perform this project.

File details come from the government source that posted it. Updated .