Contractor Experience Questionaire.docx
DOCX document 18 KB Posted
- Solicitation number
- 1240LT24R0049_0
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire issued by the U.S. Forest Service, a civilian agency within the Department of Agriculture, related to the South Park District Office Rehabilitation Project.
The questionnaire requests information about the contractor's experience, including years in the line of work, past projects completed, current contractual commitments, available employees and equipment, and personnel qualifications. The contractor must certify the accuracy of the information provided.
The related federal contract opportunity is a pre-solicitation notice for the South Park District Office Rehabilitation Project, which involves the rehabilitation of the South Park Ranger District Office. The project is estimated to cost between $100,000 and $260,000 and has a period of performance of 60 days after the Notice to Proceed, with a completion date of October 31, 2025. The requirement is being solicited as a 100% Total Small Business set-aside, with the intent to award a Firm-Fixed Price contract.
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Other files
| File | Type | Posted |
|---|---|---|
| SOI - South Park District Office Rehab.pdf | ||
| Wage Determination CO20240026 - Building - Park County CO.pdf | ||
| Contractor Questions and Answers Template.doc | DOC document | |
| Drawings - South Park District Office Rehab .pdf | ||
| SOW - South Park District Office Rehab.docx | DOCX document |
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Text version
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) U.S Forest Service (USDA) 324 25th Street Ogden, Utah 84401-2310
3. Business [ ] Company [ ] Corporation [ ] Non-profit Organization [ ] Co-partnership [ ] Individual
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 Amount |
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: ______________________________________________________________________
d. 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 Personnel to work on 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 blue ink) |
| 13. DATE |
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