B08_Solicitation_attach_3_Experience_Questionaire.xls
XLS spreadsheet 38 KB Posted
- Attached to
- PAIS FY26 EXHAUST FAN REPLACEMENT
- Solicitation number
- 140P6326Q0021
About this file
This is an Experience Questionnaire template designed to evaluate contractor qualifications for the PAIS FY26 Exhaust Fan Replacement solicitation issued by the Department of the Interior National Park Service Midwest Region under solicitation number 140P6326Q0021.
The questionnaire is a standard evaluation tool used to assess bidder experience and capability rather than a substantive solicitation document. It functions as an appendix to the main solicitation and does not specify detailed product or service requirements, pricing terms, response deadlines, or award criteria. As a template document, it establishes the framework through which offerors will demonstrate their relevant experience, qualifications, and past performance related to exhaust fan replacement projects, but the specific questions, scoring methodology, and submission requirements would be contained in the primary solicitation package.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140P6326Q0021_Amd_0001.pdf | ||
| Sol_140P6326Q0021.pdf | ||
| B08_Solicitation_Attach_2_WD.pdf | ||
| B08_Solicitation_Attach_1_SPECS__Exhaust_Fan_Replacement__Lab_Fan.pdf | ||
| B08_Solicitation_Attach_4_SOW.docx | DOCX document |
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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 exhaust system 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
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