B08_Solicitation_Experience_Questionnaire.xlsx

XLSX spreadsheet 22 KB Posted

Attached to
Mount Rushmore Stone Hoop Garden Federal contract opportunity
Solicitation number
140P6323Q0040
Issued by
Department of the Interior National Park Service Midwest Region

About this file

This document contains an experience questionnaire for contractors bidding on the Mount Rushmore Stone Hoop Garden project under solicitation number 140P6323Q0040 issued by the Department of the Interior National Park Service Midwest Region. The experience questionnaire requests information on the contractor's years of experience, past projects of similar scope completed in the last five years, current contract commitments, available personnel and equipment for the project, qualifications of principal staff, and financial responsibility. It requires the contractor to certify their intent and ability to complete the project as specified in the solicitation.

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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 concrete projects related to project specifications in the last five (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

File details come from the government source that posted it. Updated .