C04d_PPE Questionnaire_12444026Q0224.pdf
PDF 197 KB Posted
- Solicitation number
- 12444026Q0224
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an Experience Questionnaire form for federal contract solicitation 12444026Q0224 issued by the National Forests & Grasslands in Texas for LBJ Work Center Water System Monitoring services at the Caddo-LBJ National Grasslands.
The questionnaire is a template designed to evaluate contractor qualifications and experience prior to contract award. Respondents must provide their business information, type of business entity (company, corporation, co-partner, non-profit, or individual), and total years of experience in the relevant line of work, distinguishing between years as a prime contractor versus subcontractor. Contractors must list no more than three most relevant projects completed within three years of the solicitation issuance date, including contract number, award amount, contact information, completion date, and description of work performed. The form also requires contractors to disclose all current contract commitments with associated contract numbers and award amounts. Additionally, contractors must answer whether they have ever failed to complete awarded work or had work completed via performance bond, and if so, must specify the location(s) and reason(s) for any such instances. The questionnaire indicates that additional space for responses can be found in Box 11 remarks section if needed.
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Other files
| File | Type | Posted |
|---|---|---|
| C04a_SF1449pkg_12444026Q0224.pdf | ||
| C04b_SOW_12444026Q0224.pdf | ||
| C04c_WD 5231 REV 34_12444026Q0224.pdf |
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Text version
Solicitation No: 12444026Q0224 LBJ Work Center Water System Monitoring
National Forests & Grasslands in Texas Caddo-LBJ National Grasslands
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 .