Contractors Experience Document.docx
DOCX document 14 KB Posted
- Attached to
- CVD (Lake Mendocino) Janitorial Service
- Solicitation number
- W912P720TNE11
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Other files
| File | Type | Posted |
|---|---|---|
| Questions and Answers.pdf | ||
| janitorial contract drawings10-06-2020-145300.pdf | ||
| Line Item Price Schedule.xlsx | XLSX spreadsheet | |
| PPQ- Past Performance Questionnaire.pdf | ||
| FAR 52 212-3.pdf | ||
| CVD_Janitorial PWS.pdf | ||
| Line Item Price Schedule.xlsx | XLSX spreadsheet | |
| 52.209-11.pdf | ||
| Lake Mendocino Wage Deterrmination.pdf |
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Text version
CONTRACTOR EXPERIENCE FORM
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?
__ __ Yes (list experience) _____ Yes, with help of Subcontractor (Please list experience of your firm and Subcontractor) 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 ____ ____ N/A
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: _______________________________________________ Reference Telephone Number: ___________________________________
EXPERIENCE #3
Self or Subcontractor? ___________________________________________ Job Title: _____________________________________________________ Date work performed: __________________________________________ Reference name: _______________________________________________ Reference Telephone Number: ___________________________________
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