B08_Solicitation_Attach_3_Experience_Questionnaire.xls

XLS spreadsheet 38 KB Posted

Attached to
JECA Q13 WINDOWS & EXTERIOR DOORS Federal contract opportunity
Solicitation number
140P6326Q0032
Issued by
Department of the Interior National Park Service Midwest Region

About this file

This is an Experience Questionnaire form required from contractors bidding on federal construction services. The form is designed for the National Park Service to evaluate contractor qualifications and capability to perform work.

The questionnaire requests comprehensive information about the bidding contractor, including business type, location, and DUNS number. Contractors must document their experience in the relevant line of work and as prime contractors, providing specific details on projects completed within the last three years with contract amounts, project types, completion dates, and reference contacts. The form also requires listing all current contract commitments, including contract numbers, award amounts, percentage completion status, and expected completion dates. Contractors must disclose any history of incomplete work or performance bond requirements and explain any such instances. Additional required information includes the organization's staffing capacity (minimum and maximum employee counts), payroll status, available equipment, and the qualifications and certifications of key personnel assigned to the project. The form requires financial responsibility documentation through either submission of financial institution information or a letter from the contractor's financial institution confirming account status and standing. Contractors must certify that they intend to complete the project as specified and that all statements are accurate and complete. This questionnaire is used to support the National Park Service's evaluation of bidders for the Jewel Cave National Monument windows and exterior doors replacement project (Solicitation Number 140P6326Q0032).

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Other files for this federal contract opportunity

Other files attached to JECA Q13 WINDOWS & EXTERIOR DOORS, newest first.
File Type Posted
Sol_140P6326Q0032_Amd_0001.pdf PDF
B09_Solicitation_Amendment_1_Attach_1_Q_and_A_0001.pdf PDF
Sol_140P6326Q0032.pdf PDF
B08_Solicitation_Attach_1_SOW.docx DOCX document
B08_Solicitation_Attach_2_WD.pdf PDF

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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
SAM DUNS No: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 with proper qualifications/certifications 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 I intend to complete the project as specified and that my offer conforms to the specifications of the solicitation without deviation unless I provide an alternative proposal. 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.
SIGNATURETITLEDATE

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 .