B08_-_Attachment_9_-_Relevant_Experience_Questionnaire_and_Biobased_Certification_-_Optional_Form.docx
DOCX document 34 KB Posted
- Solicitation number
- 140PS124R0019
About this file
This document is an Attachment 9 to a solicitation for the Guadalupe Mountain National Park (GUMU) - Wellsite Reclamation and Road Improvements project. It contains two parts: a Relevant Experience Questionnaire and a Biobased Certification.
The Relevant Experience Questionnaire requires the offeror to provide details on three similar projects, including project name, location, agency, contract number, value, period of performance, and a project description. The Biobased Certification requires the offeror to identify any biobased products to be used, including the percentage of biobased content, and to document prior experience in specifying, purchasing, using, and installing biobased products.
The related federal contract opportunity is Solicitation Number 140PS124R0019, issued by the Department of the Interior National Park Service, for the GUMU Wellsite Reclamation and Road Repair Project. The full solicitation provides additional details about the project and site visit requirements.
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Text version
SOLICITATION 140PS124R0019: ATTACHMENT 9
RELEVANT EXPERIENCE QUESTIONNAIRE AND BIOBASED CERTIFICATION (optional form)
July 18, 2024
INSTRUCTIONS: The following forms may be used to prepare proposals for the subject solicitation as applicable.
CONTENTS:
For Technical Volume:
1. Relevant Experience Questionnaire
2. Biobased Certification
RELEVANT EXPERIENCE QUESTIONNAIRE AND BIOBASED CERTIFICATION
Solicitation No.: 140PS124R0019
Project Title: Guadalupe Mountain National Park (GUMU) – Wellsite Reclamation and Road Improvements
Unique Identification Number (UEI) #:
Taxpayer Identification Number (TIN):
Relevant Experience Questionnaire READ CAREFULLY: The purpose of this form is for the offeror to list of three (3) projects performed that are similar to the work described in this solicitation. Use this form to address your familiarity with the project requirements and with the evaluation criteria described in the solicitation. Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.
Project #1
Project Name:
Project Location:
Agency:
Contract Number:
Contract Value:
Period of Performance
Contact Information of Agency:
Name:
Phone#:
Email Address:
Project Description (provide as much detail as necessary):
Project #2
Project Location:
Agency:
Contract Number:
Contract Value:
Period of Performance
Contact Information of Agency:
Name:
Phone#:
Project #3
Project Location:
Agency:
Contract Number:
Contract Value:
Period of Performance
Contact Information of Agency:
Name:
Phone#:
Biobased Certification
1. Offerors shall identify the Biobased products to be purchased and used under this contract. For each Biobased product. the offeror shall specify the percentage of Biobased content, and for the USDA-designated Biobased content products, the offeror shall demonstrate that the products to be used under this contract will contain the percentage specified in the USDA recommendations or the highest level of Biobased material practicable, consistent with USDA's recommended percentages of Biobased content Product Description % Biobased Content
2. The offeror shall document prior experience in specifying, purchasing, using, and installing Biobased products. The offeror shall provide a list for all relevant contracts over the past two years involving the specification, purchase, and/or use of Biobased products. The offeror shall include a list of the Biobased products specified, purchased, used, and installed.
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