B08_Solicitation_attach_3_Experience_Questionaire.xls
XLS spreadsheet 38 KB Posted
- Attached to
- PAIS WASTE WATER TANK REPLACEMENT
- Solicitation number
- 140P6326Q0022
About this file
This is an Experience Questionnaire template designed to assess contractor qualifications for the Padre Island National Seashore wastewater tank replacement project. The questionnaire serves as an evaluation tool for the Request for Quotation (RFQ) Solicitation Number 140P6326Q0022 issued by the Department of the Interior National Park Service Midwest Region.
The document is a blank template form with multiple sections intended to gather information about bidder experience and qualifications. Contractors responding to this RFQ would complete this questionnaire to demonstrate their relevant experience, past performance, technical capability, and company background as it pertains to wastewater tank replacement construction services. The specific evaluation criteria and required response fields are contained within the template, which bidders must complete as part of their proposal submission to support their eligibility and competitiveness for this construction services procurement at Padre Island National Seashore.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B09_Solicitation_Amendment_Attach_1_Q_and_A_0001.pdf | ||
| B09_Solicitation_Amendment_Attach_2_Site_visit_0001.pdf | ||
| Sol_140P6326Q0022_Amd_0001.pdf | ||
| Sol_140P6326Q0022.pdf | ||
| B08_Solicitation_Attach_1_SOW.docx | DOCX document | |
| B08_Solicitation_Attach_2_WD.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
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 wastewater projects your business has completed in the last 3 years: | |||||||
| CONTRACT | |||||||
| AMOUNT | TYPE OF | ||||||
| PROJECT | DATE | ||||||
| COMPLETED | NAME, ADDRESS & TELEPHONE NO.TO |
CONTACT FOR INFORMATION
| 6. List all of your firms current contract commitments: | |||||
| CONTRACT | |||||
| NUMBER | AWARD | ||||
| AMOUNT | NAME, ADDRESS, & PHONE NO. | ||||
| TO CONTACT FOR INFORMATION | PERCENT | ||||
| COMPLETED | DATE |
COMPLETED
| 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 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? | Yes | No | ||||||||||||
| c. Specify equipment available for this project: | ||||||||||||||
| 9. List the experience of principal individuals to be used on this project: | ||||||||||||||
| INDIVIDUALS | ||||||||||||||
| NAME | PRESENT | |||||||||||||
| POSITION | YEARS | |||||||||||||
| EXPERIENCE | TYPE 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. | ||||||||||||||
| NAME | TITLE | DATE |
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 .