B08_Technical_Experience_Questionnaire.pdf
PDF 615 KB Posted
- Attached to
- WHSA-PUMPING OF VAULT TOILETS PARKWIDE
- Solicitation number
- 140P1225Q0072
About this file
This document is a Technical/Experience Questionnaire form used by contractors to provide detailed information about their business capabilities and past performance. The form requires contractors to provide comprehensive details including business type (company, corporation, non-profit, etc.), years of experience, similar services completed, current contract commitments, and organizational capacity. Key sections include listing past project details, verifying contract completion history, describing available employees and equipment, and providing information about principal individuals' qualifications. The document also includes a certification section where the contractor attests to the accuracy of the provided information and commits to completing the project as specified. The form appears designed for the National Park Service to evaluate a contractor's technical competence and organizational readiness for a potential project.
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Text version
1. Contractors Name, Address, & Telephone No.: 2. Type of Business
Company Corporation Non-profit Org Co-partner Individual
Years
Years
3. How many years experience do you have in this line of work?
4. How many years experience as a prime contractor?
5. List similar and/or related services your business has completed in the last 5 years:
6. List all of your firms current contract commitments:
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
CONTRACT
NUMBER
AWARD
AMOUNT
NAME, ADDRESS, & PHONE NO.
TO CONTACT FOR INFORMATION
PERCENT
COMPLETED
DATE
COMPLETED
Telephone No.:
Address:
Name:
SAM UEI No:
CONTRACT
AMOUNT
TYPE OF
PROJECT
DATE
COMPLETED
NAME, ADDRESS & TELEPHONE NO.TO
CONTACT FOR INFORMATION
TECHNICAL/EXPERIENCE QUESTIONNAIRE
Instructions: This form may be completed manually or by using MS Excel. See Box 11, remarks, if extra
7c. If "Yes" to either item 7a or 7b, specify locations and reason why:
8. Organization that will be available for this service:
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:
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
INDIVIDUALS
NAME
YEARS
EXPERIENCE TYPE OF WORK
PRESENT
POSITION
SIGNATURE TITLE DATE
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.
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