Contractor Questionnaire.docx

Attachment A: Contractor’s Experience

ATTACHMENT A: CONTRACTOR QUESTIONNAIRE

SOLICITATION NUMBER: ___________________________________

PROJECT TITLE: __________________________________________________

PLEASE COMPLETE ALL REQUESTED INFORMATION

Name: _______________________________________________________ Company name: ________________________________________________ Street Address: _____________________________________________________ City: ____________________________ State: ________ Zip: _________ Phone number: ___________________________________________ DUNS: _________________________________ CAGE Code: ______________

Will you be performing this Work?

Employee / Subcontractor’s Name: ___________________________________________ ** FAR 52.219-14 requires that at least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern.

Number of Employees who will be working on this contract:

Full Time: _____________ Part Time: ___________ Seasonal: ___________

Do you and your Subcontractor have Commercial Cleaning Experience?

________ Yes Years: ____________ Months: __________

_________ No

EXPERIENCE #1

Self or Subcontractor? ___________________________________________ Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

Reference Telephone Number: ___________________________________ Additional Information:

EXPERIENCE #2

Self or Subcontractor? ___________________________________________ Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

EXPERIENCE #3

Self or Subcontractor? __________________________________________ Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

Please return this questionnaire sheet along with your Quote.