B08_Solicitation_attach_3_Experience_Questionaire.xls

XLS spreadsheet 31 KB Posted

Attached to
MORUREPLACE SECURITY GATES Federal contract opportunity
Solicitation number
140P6325Q0011
Issued by
Department of the Interior National Park Service Midwest Region

About this file

The document is an Experience Questionnaire for a federal contract opportunity related to replacing security gates at Mount Rushmore National Memorial. The form requires potential contractors to provide detailed information about their business, including years of experience, past project history, current contract commitments, organizational capacity, and key personnel qualifications. Contractors must disclose their business type, number of years working in the relevant field, and provide references for completed projects within the last three years.

The questionnaire also seeks information about the contractor's financial responsibility, with an option to submit a letter from a financial institution. Contractors must certify the accuracy of their submitted information and are asked to specify details such as the number of employees available for the project, equipment resources, and the experience of principal individuals who would work on the project. The form includes sections for potential contractors to explain any past project completion issues and requires a signed certification by the contractor's representative.

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Text version

Sheet1

1. Contractors Name, Address, & Telephone No.:2. Type of Business
Name:
Address:Company
Corporation
Non-profit Org
Telephone No.:Co-partner
Individual
3. How many years experience do you have in this line of work?Years
4. How many years experience as a prime contractor?Years
5. List the projects your business has completed in the last 3 years:
CONTRACT
AMOUNTTYPE OF
PROJECTDATE
COMPLETEDNAME, ADDRESS & TELEPHONE NO.TO

CONTACT FOR INFORMATION

6. List all of your firms current contract commitments:
CONTRACT
NUMBERAWARD
AMOUNTNAME, ADDRESS, & PHONE NO.
TO CONTACT FOR INFORMATIONPERCENT
COMPLETEDDATE

COMPLETED

7a. Have you ever failed to complete any work awarded to you?YesNo
7b. Has work ever been completed by performance bond?YesNo
7c. If "Yes" to either item 7a or 7b, specify locations and reason why:
8. Organization that will be available for this project:
a. Minimum No. of employees:and maximum No. of employees:
b. Are employees regularly on your payroll?YesNo
c. Specify equipment available for this project:
9. List the experience of principal individuals to be used on this project:
INDIVIDUALS
NAMEPRESENT
POSITIONYEARS
EXPERIENCETYPE OF WORK
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
CERTIFICATION: I certify that 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.
NAMETITLEDATE

EXPERIENCE QUESTIONNAIRE

Instructions: This form may be completed manually or by using MS Excel. See Box 11, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.

Sheet2

Sheet3

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