C04b Experience Questionnaire 1163942.pdf
PDF 174 KB Posted
- Attached to
- Lawn Mowing & Landscaping Services Needed for the Chequamegon-Nicolet National Forest Supervisor's Office
- Solicitation number
- 12444526Q0037
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form (FS-6300-27) used by the USDA Forest Service for contractor evaluation and qualification purposes under Federal Acquisition Regulation (FAR) 41 USC 1 and Forest Service Handbook 6309.31.
The form requires contractors to provide comprehensive background information including: contractor name, address, contact details, UEI number, and business type (company, corporation, co-partnership, non-profit, or individual). Respondents must document years of experience in their specific line of work and years of contracting experience as both prime and subcontractors. Section 6 requires listing of projects completed within the past three years with contract amounts, project descriptions, completion dates, and contact information for project owners. Section 7 requests all concurrent contractual commitments including contract numbers, award amounts, percent completion status, and completion dates. The form includes questions regarding any failed project completions or performance bond completions. Additionally, contractors must provide information on workforce capacity (minimum and maximum number of employees and whether employees are regularly on payroll), estimated progress rates, key personnel experience and qualifications, detailed equipment lists with maintenance plans, and contractor quality control and safety procedures. Section 12 specifically requires description of self-inspection procedures, information on bio-based products and materials to be used, a safety plan, and a proposed work schedule. The questionnaire must be certified and signed by an authorized company official. Extra space for responses should be documented in the Remarks section (Box 13).
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 12444526Q0037 Questions and Answers.pdf | ||
| C04e Schedule of Items Lawn Care SO 2026 1163942.xlsx | XLSX spreadsheet | |
| C04 Combined Synopsis Solicitation 12444526Q0037.docx | DOCX document | |
| C04a Executive Order 1163942.pdf | ||
| C04f Wage Determination 1163942.pdf | ||
| C04c Map of the Property 1163942.pdf | ||
| C04d FY 26 Mowing SOW 1163942.docx | DOCX document |
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Text version
Attachment F – Experience Questionnaire
USDA – Forest Service
EXPERIENCE QUESTIONNAIRE
(Ref. FSH 6309.31 and 41 USC 1)
INSTRUCTIONS: See Box 13, Remarks, if extra space is needed to answer any questions below. Mark “X” in appropriate boxes.
1. CONTRACTOR NAME, ADDRESS, AND TELEPHONE NO.
UEI (Formerly DUNS #) _____________________ E-Mail #_____________________
2. SUBMITTED TO (office Name and Address)
3. BUSINESS
Company Co-partnership Corporation Individual Non-profit Organization
4. How many years do you or your firm have in the line of work contemplated by this solicitation?
5. How many years’ 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
TYPE OF PROJECT/DESCRIPTION
DATE
COMPLETED
NAME, ADDRESS, AND TELEPHONE NO. OF
OWNER/PERSON TO CONTACT FOR PROJECT
INFORMATION
7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:
CONTRACT
NUMBER
DOLLAR AMT.
OF AWARD
NAME, ADDRESS, AND TELEPHONE NO. OF
BUSINESS/GOVERNMENT AGENCY INVOLVED
AWARDED
(Units)
PERCENT
COMPLETED
DATE CONTRACT
COMPLETED
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:
Previous edition is obsolete (OVER) FS-6300-27 (3/00)
9. Organization and work that will be available for this project.
a. (1) Minimum number of employees: _____ and Maximum number of employees: _____
b. Are employees regularly on your payroll: Yes No
c. 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
PRESENT
POSITION
YEARS
OF EXP.
MAGNITUDE AND TYPE OF WORK
11. List all the equipment (including vehicles) you plan to use on this contract. Provide a detailed description of the Equipment including your maintenance plan.
12. Contractor Inspection/Quality Control, Safety Plan, and Proposed Schedule. Describe Contractor Self Inspection Procedures which you will use to insure quality for this contract. Please include information on the purchase and use of any bio-based products & materials to be used on this project, a brief safety plan, and your planned schedule of work.
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 persons name as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.
12a. CERTIFYING OFFICIAL’S NAME AND TITLE
b. SIGNATURE (Sign in ink) 13. DATE
File details come from the government source that posted it. Updated .