B08_Solicitation_Attachment_4_Experience_Questionnaire.xlsx

XLSX spreadsheet 22 KB Posted

Attached to
EXPLOSIVE DETECTION CANINE SERVICE Federal contract opportunity
Solicitation number
140P6324Q0015
Issued by
Department of the Interior National Park Service Midwest Region

About this file

This document is an Experience Questionnaire to be completed by contractors interested in providing Explosive Detection Canine Services for Mount Rushmore National Memorial. The questionnaire covers the contractor's background, relevant experience, organization and resources, key personnel, and financial responsibility. It requests details such as years of experience, prior project history, current contract commitments, equipment and staffing capabilities, and references. The information collected will be used to evaluate the contractor's qualifications and capability to perform the work. This questionnaire is attached to the Solicitation for Explosive Detection Canine Services at Mount Rushmore National Memorial, which is being procured by the Department of the Interior National Park Service Midwest Region.

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Other files for this federal contract opportunity

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File Type Posted
B08_Solicitation_Attachment_5_WD_2015-5367_27030_Detection_Dog_Handler.pdf PDF
Sol_140P6324Q0015.pdf PDF
B08_Solicitation_Attachment_2_Price_Schedule.docx DOCX document
B08_Solicitation_Attachment_3__Limitations_on_Subcontracting_Report.xlsx XLSX spreadsheet
B08_Solicitation_Attachment_1_SOW_Explosive_Detection_Canine_Services.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 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 Explosive Detection Canine Service projects your business has completed in the last 5 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? 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?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.

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

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