B08_Solicitation_Attch_3_Past_Experience_Questionnaire.pdf
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- Solicitation number
- 140FC124Q0011
About this file
This document contains a past experience questionnaire for offerors to complete for evaluation purposes related to the North of Hog Island Gully Tidal Creek Construction solicitation. Offerors are asked to provide details on up to five individual projects, including project descriptions, contract numbers, locations, original and final contract amounts, owner/agency points of contact and their contact information, original and completion dates, whether the offeror was a prime contractor or subcontractor, any contract modifications and details on those, any time extensions and details on those, and whether they have ever entered a dispute or been defaulted on a contract and details on those if applicable. The related federal contract opportunity is for the North of Hog Island Gully Tidal Creek Construction at Sabine NWR from the Department of the Interior Fish and Wildlife Service.
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Text version
PAST EXPERIENCE QUESTIONNAIRE
(Offerors must complete this form for evaluation purposes)
NAME OF FIRM POINT OF CONTACT
TELEPHONE NO.
EMAIL ADDRESS OR FAX
NO.
PRIOR PROJECT EXPERIENCE
(TO BE COMPLETED BY THE OFFEROR - LIST UP TO FIVE (5) INDIVIDUAL PROJECTS)
PROJECT DESCRIPTION
(USE BLANK PAGE IF NECESSARY)
CONTRACT/PROJECT
NO.
LOCATION
CONTRACT AMOUNT (ROUND
TO NEAREST DOLLAR)
ORIGINAL FINAL
1.
2.
3.
4.
5.
NAME OF OWNER/AGENCY POINT OF CONTACT TELEPHONE NO. FACSIMILE NO.
1.
2.
3.
4.
5.
ORIGINAL PROJECT DATES
WERE YOU A PRIME CONTRACTOR
OR SUBCONTRACTOR?
WERE THERE
CONTRACT
MODIFICATIONS?
(YES/NO)
HOW MANY?
WHO INITIATED
THEM? CLIENT OR
CONTRACTOR? START COMPLETION
1.
2.
3.
4.
5.
WERE THERE ANY
TIME EXTENSIONS?
(YES/NO)
IF SO, INDICATE
TOTAL EXTENDED
DAYS?
WAS THE
SCHEDULE MET?
(YES/NO)
IF NOT, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
4.
5.
HAVE YOU EVER
ENTERED A
DISPUTE? (YES/NO)
IF SO, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
HAVE YOU EVER
BEEN DEFAULTED?
(YES/NO)
IF SO, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
4.
5.
File details come from the government source that posted it. Updated .