C04_127EAS26Q0036_ExperienceQuestionnaire.docx
DOCX document 56 KB Posted
- Solicitation number
- 127EAS26Q0036
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form (FS-6300-27) required by the USDA Forest Service Rocky Mountain Acquisition Management office for the Sierra National Forest Roadrunner Fuels Reduction and Site Preparation contract (Solicitation 127EAS26Q0036). The form must be submitted to Contract Specialist Chris Kane at the Fort Collins, Colorado location.
The questionnaire requires contractors to provide comprehensive background information including: years of experience in the line of work and contracting history as prime and subcontractors; detailed listings of projects completed within the last three years with contract amounts, completion dates, and owner contact information; current contractual commitments running concurrent with the proposed work; disclosure of any failed projects or those completed under performance bond; on-the-ground site visit confirmation; organization capacity including minimum and maximum employee availability, payroll status, equipment inventory, and work progress rate estimates; experience credentials of principal individuals; and a detailed list of all owned or rented equipment with maintenance and cleaning plans. Contractors must also describe their self-inspection procedures for quality assurance. The form requires certification by an authorized official that all statements are complete and accurate. This questionnaire is a qualification and capability assessment tool used by the Forest Service to evaluate contractor experience and resources for fuels reduction, site preparation, and related forestry work on fire-impacted and beetle mortality stands in the Sierra National Forest's High Sierra Ranger District, with a period of performance from August 28, 2026 through July 23, 2027.
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Other files
| File | Type | Posted |
|---|---|---|
| C04_SOW_127EAS26Q0036.docx | DOCX document | |
| C04_127EAS26Q0036_CTRKeyPersonnel.doc | DOC document | |
| C04_Wage_Det_2015-5609.pdf | ||
| C04_1449_127EAS26Q0036.pdf | ||
| C04 CompleteMapPackage.pdf | ||
| C04_CSS_Terms-Conditions_127EAS26Q0036.docx | DOCX document | |
| C04_SOI_127EAS26Q0036.xlsx | XLSX spreadsheet |
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Text version
United States Department of Agriculture
Forest Service
Rocky Mountain Acquisition Management
2150 Centre Ave., Bldg. E Fort Collins, CO 80526
United States Department of Agriculture Forest Service
USDA – Forest Service
EXPERIENCE QUESTIONNAIRE
(Ref. FSH 6309.31 and 41 USC 1)
INSTRUCTIONS: See Box 11, Remarks, if extra space is needed to answer any questions below. Mark “X” in appropriate boxes.
1. CONTRACTOR NAME, ADDRESS, AND TELEPHONE NO.
2. SUBMITTED TO (office Name and Address)
USDA Forest Service Attn: Chris Kane, Contract Specialist Email: christopher.kane2@usda.gov
3. BUSINESS
Company Co-partnership Corporation Individual Non-profit Organization
4. How many years have you or your firm have in the line of work contemplated by this solicitation?
5. How many years of experience in contracting have you or your business had as a (a) prime contractor ____ and/or (b) sub-contractor ____?
6. List below the projects your business has completed within the last three years:
CONTRACT
AMOUNT
(6a)
TYPE OF PROJECT AND BRIEF DESCRIPTION
(6b)
DATE
COMPLETED
(6c) NAME, ADDRESS, AND TELEPHONE NO. OF OWNER/PERSON TO CONTACT FOR PROJECT INFORMATION (6d)
7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:
CONTRACT
NUMBER
(7a)
DOLLAR AMT.
OF AWARD
(7b)
NAME, ADDRESS, AND TELEPHONE NO. OF BUSINESS/GOVERNMENT AGENCY INVOLVED
(7c)
AWARDED
(Date) (7d)
PERCENT
COMPLETED
(7e)
ANTICIPATED COMPLETE DATE
(7f)
8a. Have you ever failed to complete any work awarded to you? Yes No 8b. Has work ever been completed by performance bond? Yes No 8c. If “Yes” to either item 8a or 8b specify location(s) and reason(s) why: Yes No 8d. Did you look at the project site(s) on-the-ground? Yes No
9. Organization and work that will be available for this project.
a. (1) Minimum number of employees: _____ and a (2) Maximum number of employees: ______?
b. Are employees regularly on your payroll: Yes No
c. Specify equipment available for this contract: __________________________________________________________________________
d. Estimate rate of progress below (such as 2.0 acres/man/day):
(1) Minimum progress rate: ________________________________ and (2) maximum progress rate: ________________________________
10. List below the experience of the principal individuals of your business:
INDIVIDUAL’S NAME
(10a)
PRESENT
POSITION
(10b)
YEARS
OF EXP.
(10c)
MAGNITUDE AND TYPE OF WORK
(10d)
11. List all the equipment you own or have available through a rental agreement to be used on this contract/agreement. Provide a detailed description of the Equipment including your maintenance and cleaning plans.
12. Contractor Inspection. Describe Contractor Self Inspection Procedures which you will use to ensure quality for this contract.
13. Remarks. Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question):
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any person’s name as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.
14a. CERTIFYING OFFICIAL’S NAME AND TITLE
| 14b. SIGNATURE (Sign in ink) |
| 14c. DATE |
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