C04f_Attachment 5 - Experience Questionnaire_1284LM26Q0121.docx

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Attached to
2026 Gunnison Site Preparation for Natural Regeneration
Solicitation number
1284LM26Q0121
Issued by

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This is an Experience Questionnaire attachment for a Request for Quotation (RFQ) solicitation issued by the Department of Agriculture Forest Service for the Gunnison Ranger District.

The questionnaire is a template document designed to collect contractor experience and qualifications relevant to the 2026 Gunnison Site Preparation for Natural Regeneration project. As an appendix supporting the RFQ (Solicitation Number 1284LM26Q0121), this form does not detail specific products or services but rather serves as an evaluation tool for assessing bidder capability. Contractors responding to this Small Business Set-Aside solicitation (with a $9.5M size standard under NAICS code 115112) are required to complete this questionnaire to demonstrate their qualifications and experience performing crawler tractor work and site preparation activities. The questionnaire should be submitted alongside the quotation by the deadline of no later than August 27, 2026. Interested contractors should direct clarification questions to buffy.kittleson@usda.gov.

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Other files

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C04c_Attachment 2 - Maps_1284LM26Q0121.pdf PDF
C04b_Attachment 1 - Statement of Work_1284LM26Q0121.docx DOCX document
C04e_Attachment 4 - Road Schematic Plates_1284LM26Q0121.pdf PDF
C04a_CSS_Commerical Products and Services_1284LM26Q0121.docx DOCX document
C04d_Attachment 3 - Photo Examples - Corduroy_1284LM26Q0121.pdf PDF
C04g_Attachment 6 - Wage Determination_1284LM26Q0121.pdf PDF

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USDA Forest Service

EXPERIENCE QUESTIONNAIRE

Instructions: See Box 11, Remarks, if extra space is needed to answer any item below, Mark “X: in appropriate boxes.

1. Contractor Name, Address, and Telephone Number

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 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
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 Complete

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. Did you look at the project site(s) on-the-ground? [ ] Yes [ ] No 8d. If “Yes” to either item 8a. or 8b., specify location(s) and reason(s) why:

EXPERIENCE QUESTIONNAIRE CONTINUED

9. Employees and equipment that will be available for this project:

a. (1) Minimum number of employees: _____ and (2) Maximum number of employees: _____

b. Are employees regularly on your payroll: [ ] Yes [ ] No

c. Specify equipment available for this contract:______________________________________________________

10. List below the experience of the principal individuals of your business. (Who will directly be involved in this contract?)

Individual’s Name
Present Position
Years of Experience
Magnitude and Type of Work

11. Remarks -- Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question.):

NOTE: PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT WILL HELP EVALUATE YOUR ABILITY TO SUCCESSFULLY COMPLETE THIS PROJECT.

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 named 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 .