B08_Solicitation_Attach_5__Experience_Questionnaire.xls

XLS spreadsheet 38 KB Posted

Attached to
REPLACE ROOF & REPAIR TRUSSES B-A HOUSE
Solicitation number
140P6222Q0008
Issued by

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This document contains an experience questionnaire for contractors bidding on a federal contract opportunity with the National Park Service to replace the cedar shingle roof and repair timber roof trusses on the Bauvais-Amourois House in Ste. Genevieve National Historical Park. The experience questionnaire requests information on the contractor's years of experience, past project experience in the last three years, current contract commitments, available equipment and personnel for the project, experience of principal individuals, and financial responsibility. Contractors must complete and sign the questionnaire certifying their intent and ability to complete the project as specified in the solicitation.

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Other files

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Sol_140P6222Q0008_Amd_0002.pdf PDF
Sol_140P6222Q0008_Amd_0001.pdf PDF
B12_Site_Visit_Sign_In_0001.pdf PDF
B09_Attch_2_(Drawings)_AMEND01_0001.pdf PDF
B08_Solicitation_Attch_1_SOW_(Specifications).pdf PDF
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Sol_140P6222Q0008.pdf PDF
B08_Solicitation_Attch_2_(Drawings).pdf PDF

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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 .