C04_Past Performance Questionnaire_12444027Q0003.pdf
PDF 112 KB Posted
- Attached to
- Purchase Diesel Fuel Tank Trailer
- Solicitation number
- 12444027Q0003
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form used to evaluate contractor qualifications and performance history in federal contracting.
The form collects essential contractor information including company name, address, telephone number, email, and business type (company, corporation, co-partner, non-profit, or individual). Respondents must provide years of experience in their line of work and specify experience as either a prime contractor or subcontractor. The questionnaire requires listing no more than three most relevant projects completed within three years of the solicitation issuance date, with supporting details including contract number, award amount, client contact information, completion date, and work description. Additionally, contractors must list all current contract commitments with contract numbers, award amounts, client contact information, and the percentage of firm resources allocated to each commitment. The form includes two yes/no questions addressing contractor performance history: whether the firm has ever failed to complete awarded work and whether any work has been completed under performance bond. If either question is answered affirmatively, contractors must specify the location(s) and provide detailed reasons for the circumstances. The form references Box 11 for remarks, allowing additional space for expanded responses when needed.
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Other files
| File | Type | Posted |
|---|---|---|
| C04_Solicitation Q and A_12444027Q0003.pdf | ||
| C04_Solicitation sam_12444027Q0003.pdf |
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Text version
7c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 11, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.
1. Contractors Name, Address & Telephone No. Email 2. Type of Business
Company Co-Partner Non-profit Corporation Individual
3. How many years of experience do you have in this line of work Yrs
4. How many years of experience as a prime contractor subcontractor
5. List no more than 3 most relevant projects your business has performed within 3 years of this solicitation issuance date:
CONTRACT
NUMBER
AWARD
AMOUNT
NAME, ADDRESS, E-MAIL, &
PHONE NO. TO CONTACT
FOR INFORMATION.
DATE
CONTRACT
COMPLETED
DESCRIPTION OF
WORK PERFORMED
6. List all of your firms current contract commitments
CONTRACT
NUMBER
AWARD
AMOUNT
NAME, ADDRESS, E-MAIL, & PHONE NO. TO
CONTACT FOR INFORMATION.
PERCENT
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
File details come from the government source that posted it. Updated .