B08_Solicitation_(Attach_4_Experience_Questionnaire).xls
XLS spreadsheet 37 KB Posted
- Attached to
- REPLACE PERI VC FAILING ROOF SYSTEM Federal contract opportunity
- Solicitation number
- 140P6223B0004
About this file
This document contains an experience questionnaire for federal contractors and a related federal contract opportunity for replacing a failing roof system. The experience questionnaire requests information on the contractor's experience, past projects, current commitments, available personnel and equipment, key staff qualifications, and financial responsibility. It must be signed and dated. The related federal contract opportunity is a solicitation from the National Park Service Midwest Region to replace a failing roof system at an unspecified location. The solicitation number is 140P6223B0004. No further details are provided on the required products, response date, or award date.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B08_Solicitation_(Attach_7_Questions_Answers_Amendment_03)_0003.pdf | ||
| Sol_140P6223B0004_Amd_0003.pdf | ||
| Sol_140P6223B0004_Amd_0002.pdf | ||
| Sol_140P6223B0004_Amd_0001.pdf | ||
| B08_Solicitation_(Attach_6_Site_Visit_Sign_In_Complete)_0001.pdf | ||
| B08_Solicitation_(Attach_5_Questions_Answers_Complete)_0001.pdf | ||
| B08_Solicitation_(Attach_2_Wage_Determination_(AR20230023).pdf | ||
| B08_Solicitation_(Attach_3_Limitations_on_Subcontracting).xlsx | XLSX spreadsheet | |
| B08_Solicitation_(Attach_1_Specifications).docx | DOCX document | |
| Sol_140P6223B0004.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 | |||||||
| 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 with proper qualifications/certifications 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 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. | ||||||||||||||
| SIGNATURE | 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.
File details come from the government source that posted it. Updated .