C04d_PPE Questionnaire_12444026Q0178.pdf
PDF 234 KB Posted
- Solicitation number
- 12444026Q0178
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire form for Solicitation No. 12444026Q0178, a federal contract opportunity for janitorial services and trash removal with grounds policing at Jack Creek Recreation Area, managed by the Poteau-Cold Springs Ranger District of the Ouachita National Forest.
The questionnaire requires contractors to provide company information including business type (Company, Co-Partner, Non-profit, Corporation, or Individual), years of experience in janitorial and grounds services, and prime or subcontractor experience. Respondents must list no more than three relevant projects completed within three years of the solicitation issuance date, including contract numbers, award amounts, completion dates, and descriptions of work performed. Additionally, contractors must disclose all current contract commitments with contract numbers, award amounts, percentages, and contact information. The form includes questions regarding performance history, specifically whether the contractor has failed to complete awarded work or required performance bond completion, with space to explain any affirmative responses and specify locations and reasons. This questionnaire serves as an evaluation tool to assess contractor qualifications and reliability for the federal janitorial services contract.
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Text version
Solicitation No: 12444026Q0178 Jack Creek Recreation Area - Janitorial Services & Trash Removal with Grounds Policing Poteau-Cold Springs Ranger District /Ouachita National Forest
NAME, ADDRESS, E-MAIL, & PHONE NO. TO
CONTACT FOR INFORMATION.
AWARD
AMOUNT
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
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
7c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why
PERCENT
File details come from the government source that posted it. Updated .