C04_127EAS26Q0048_ExperienceQuestionnaire.docx

DOCX document 56 KB Posted

Attached to
Sierra National Forest (SNF5) Coyote Fuels Reduction and Site Preparation.
Solicitation number
127EAS26Q0048
Issued by

About this file

This is an Experience Questionnaire form (FS-6300-27) required from contractors responding to USDA Forest Service solicitation 127EAS26Q0048 for fuels reduction and site preparation work on Sierra National Forest's Tamarack Ridge area. The form must be submitted to Chris Kane, Contract Specialist, at the Rocky Mountain Acquisition Management office in Fort Collins, Colorado.

The questionnaire requests comprehensive information about the contractor's qualifications and capacity to perform the work, including: years of experience in the relevant line of work and contracting history as both prime and subcontractors; detailed project history from the past three years with contract amounts, completion dates, and client references; current contractual commitments that would overlap with performance; disclosure of any failures to complete awarded work or performance bond completions; verification of on-site project visits; organizational capacity including minimum and maximum employee availability, payroll status, and equipment; estimated rates of progress; experience and qualifications of principal individuals; detailed equipment inventory with maintenance and cleaning plans; and self-inspection procedures for quality assurance. Contractors must certify the accuracy and completeness of all statements and authorize the Forest Service to contact references to verify their capability to perform. The questionnaire is designed to evaluate contractor experience and feasibility for the fuels reduction project scheduled for performance between October 16, 2026, and October 16, 2027, with questions due to the Contract Specialist by October 6, 2026, at 1500 Pacific Time.

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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

Previous edition is obsolete Page 1 of 3 FS-6300-27 (3/00)

Previous edition is obsolete Page 3 of 3 FS-6300-27 (3/00) image1.jpeg image2.jpeg

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