B08_Solicitation_attach_3_Experience_Questionaire.xls

XLS spreadsheet 38 KB Posted

Attached to
PAIS FY26 REHABILITATE FIRE SUPPRESSION
Solicitation number
140P6326Q0011
Issued by

About this file

This is an Experience Questionnaire form used by the National Park Service to evaluate contractor qualifications and capability for federal contract opportunities. The form requests comprehensive information about the contractor's background, experience, resources, and financial standing to assess suitability for the project award.

The questionnaire requires contractors to provide basic company information including business type, UEI number, and contact details. Contractors must document their years of experience in the relevant field and as prime contractors, along with a detailed list of road and parking lot projects completed within the last three years, including contract amounts, project types, completion dates, and reference contacts. The form also requires disclosure of all current contract commitments with award amounts and completion percentages. Section 7 addresses contract performance history, specifically inquiring whether the contractor has failed to complete awarded work or required performance bonds, with an explanation of any such instances. Additionally, contractors must specify the organization's staffing capacity (minimum and maximum employees), confirm whether employees are on regular payroll, detail available equipment, and list principal individuals assigned to the project with their experience and roles. The form concludes with financial responsibility verification through either bank information or a letter from the contractor's financial institution, and includes a certification section where the contractor attests to the accuracy and completeness of all statements provided. The form may be completed manually or using Microsoft Excel, with additional remarks space available in Box 11 as needed.

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Sheet1

1. Contractors Name, Address, & Telephone No.:2. Type of Business
Name:
Address:Company
Corporation
UEI #: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 road/parking lot 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 .