C04g_Experience Questionaire.pdf
PDF 123 KB Posted
- Attached to
- Mark Twain National Forest Herbicide
- Solicitation number
- 12443926Q0185
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire (Attachment G) for federal contract solicitation 12443926Q0185, issued by the USDA Forest Service. Contractors must submit completed questionnaires no later than COB August 7, 2026 at 13:00 PM CT via email to Christopher Hamilton at christopher.j.hamilton@usda.gov.
The questionnaire requests comprehensive information about the contractor's qualifications and capacity to perform the contract work. Required information includes: contractor name, address, email, and phone contact; business type (company, corporation, co-partner, non-profit, or individual); years of experience in the relevant field and as a prime contractor or subcontractor; up to three most relevant projects completed within three years of solicitation issuance, including contract numbers, award amounts, contact information, completion dates, and work descriptions; all current contract commitments with contract numbers, award amounts, contact information, and percentage allocation; whether the contractor has ever failed to complete awarded work; organizational capacity including minimum and maximum employee counts, payroll status, and available equipment; and experience of principal individuals including names, present positions, years of experience, and type of work. The form includes a certification section requiring the contractor's name, title, and signature, certifying that all statements are complete and correct and authorizing the Forest Service to verify capability to perform the project.
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Text version
12443926Q0185 Attachment G
NOTE: Please return no later than COB August 7, 2026 @ 13:00 PM CT via email to Christopher Hamilton @ christopher.j.hamilton@usda.gov
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
COMPLETED
DESCRIPTION OF
WORK PERFORMED
6. List all of your firms current contract commitments
NUMBER
7. Have you ever failed to complete any work awarded to you? yes no
8. Organization information available for this project:
a. Minimum # of employees: and Maximum # of employees:
b. Are employees regularly on your payroll: yes no
c. Specify equipment available for this contract:
PERCENT
12443926Q0185 Attachment G
NOTE: Please return no later than COB August 7, 2026 @ 13:00 PM CT via email to Christopher Hamilton @ christopher.j.hamilton@usda.gov
9. List the experience of the principal individuals of your business
INDIVIDUALS NAME PRESENT POSITION YRS EXP TYPE OF WORK
10. REMARKS
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:
Name: Title: Date:
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