B08_Solicitation_Attachment_4_Experience_Questionnaire.xlsx
XLSX spreadsheet 22 KB Posted
- Attached to
- REPLACE FAN COILS AT PARK HQ Federal contract opportunity
- Solicitation number
- 140P6324Q0005
About this file
This document contains an experience questionnaire and details of a federal contract opportunity for HVAC services. The experience questionnaire requests information on the contractor's experience, past projects, current commitments, personnel, and financial responsibility. It will be used to evaluate contractors for a solicitation to replace fan coils at Mount Rushmore National Monument. The federal contract opportunity is a commercial service Request for Quotes to provide HVAC services, issued by the National Park Service Midwest Region under solicitation number 140P6324Q0005. Contractors are requested to submit quotes to replace fan coils at the park headquarters.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P6324Q0005_Amd_0003.pdf | ||
| B09_Solicitation_Amendment_0003_Q_A_docx_0003.pdf | ||
| Sol_140P6324Q0005_Amd_0002.pdf | ||
| Sol_140P6324Q0005_Amd_0001.pdf | ||
| B09_Solicitation_Amendment_0001_Fan_Coil_Drawings_0001.pdf | ||
| B08_Solicitation_Attachment_1_Statement_of_Work_MORU_Fan_Coils_Replacement.docx | DOCX document | |
| B08_Solicitation_Attachment_5_WD-2015-5367.pdf | ||
| B08_Solicitation_Attachment_2_Drawings_Specs_Fan_Coils_Replacement.pdf | ||
| Sol_140P6324Q0005.pdf | ||
| B08_Solicitation_Attachment_3_Price_Schedule.docx | DOCX document |
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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 UEI 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 relevant projects related to HVAC your business has completed in the last 5 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.
Sheet2
Sheet3
File details come from the government source that posted it. Updated .