D-4 Experience and Past Performance Questionnaire.pdf
PDF 138 KB Posted
- Solicitation number
- 127EAT24Q0082
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience and Past Performance Questionnaire related to a federal contract opportunity for janitorial services at the Monterey Ranger District in King City, CA.
The key details are:
- The contract is a 100% Small Business Set-Aside under NAICS code 561720 (Janitorial Services) with a $22M size standard.
- The contract term is for a base year from September 15, 2024 to December 14, 2024 with four 12-month option years.
- Offerors must provide references for the last three janitorial services contracts they have performed, as well as the experience and background investigation status of key personnel.
- Offerors must list their past performance on similar projects completed in the last 5 years and current contractual commitments.
- Quotes are due by 12:00 pm Pacific Time on Friday, September 6, 2024.
- The contract will be awarded based on technical capability and price.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Questions and Answers.pdf | ||
| 127EAT24Q0082 0003.pdf | ||
| D-1 PWS Amend 0003.pdf | ||
| 127EAT24Q0082 0002.pdf | ||
| D-1 PWS Amend 0002.docx | DOCX document | |
| 127EAT24Q0082 0001.pdf | ||
| D-1 PWS updated 8202024.docx | DOCX document | |
| D-2 QASP.pdf | ||
| D-3 Wage Determination No 2015-5633.pdf | ||
| 127EAT24Q0082.pdf | ||
| D-1 PWS.pdf | ||
| D-6 Monterey DO FLoor Plan B.pdf | ||
| D-5 Monterey DO FLoor Plan A.pdf |
Show all 13
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Text version
Experience Questionnaire
1. Contractor Name, Address, Telephone Number, and Email Address:
3. COMPANY INFORMATION
DUNS or UEI: __________________ Small Business: Yes/No
Primary NAICS Code: _____________
3. How many years of experience do you or your company have in performing janitorial services? _____________
4. Please provide references for the last three (3) companies you have performed janitorial service.
Company and Name of Person Email Address Phone Number
6. List the name (s) of the key personnel who will be performing the cleaning services and if they have passed a Background Investigation:
Name: ___________________________ Background Investigation Yes No
Name: ___________________________ Background Investigation Yes No
Name: ___________________________ Background Investigation Yes No
7. List below the experience of the key personnel who will be performing the work:
Individual’s Name Present Position Years of Experience
Type of Work
9. Past Performance - List below the projects your business has completed within the last five (5) years which are similar in scope and scale to this job:
Contract Number
Contract Amount
Location of Work Names, Telephone No., and Email of Owner/Person to contact for Project Information
Description of Project
Location of Work
Location of work
10. List below all of your firm's contractual commitments running concurrently with the work contemplated by this solicitation:
Contract # Dollar Amount Name, Tel, Email of Business/Govt Agency Involved
Location of work When will contract be completed?
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 Government with any information needed to verify my capability to perform this project.
13a. CERTIFYING OFFICIAL'S NAME AND TITLE
13b. SIGNATURE 14. DATE
| 1 Contractor Name Address Telephone Number and Email Address: |
| 3 COMPANY INFORMATION DUNS or UEI Small Business YesNo Primary NAICS Code: |
| DUNS or UEI: |
| Primary NAICS Code: |
| 3 How many years of experience do you or your company have in performing janitorial services: |
| Company and Name of PersonRow1: |
| Email AddressRow1: |
| Phone NumberRow1: |
| Company and Name of PersonRow2: |
| Email AddressRow2: |
| Phone NumberRow2: |
| Company and Name of PersonRow3: |
| Email AddressRow3: |
| Phone NumberRow3: |
| Name: |
| Name_2: |
| Name_3: |
| Individuals NameRow1: |
| Present PositionRow1: |
| Years of ExperienceRow1: |
| Type of WorkRow1: |
| Individuals NameRow2: |
| Present PositionRow2: |
| Years of ExperienceRow2: |
| Type of WorkRow2: |
| Individuals NameRow3: |
| Present PositionRow3: |
| Years of ExperienceRow3: |
| Type of WorkRow3: |
| Contract NumberRow1: |
| Contract AmountRow1: |
| Location of WorkRow1: |
| Names Telephone No and Email of OwnerPerson to contact for Project InformationRow1: |
| Description of Project: |
| Contract NumberRow1_2: |
| Contract AmountRow1_2: |
| Location of WorkRow1_2: |
| Names Telephone No and Email of OwnerPerson to contact for Project InformationRow1_2: |
| Contract NumberRow1_3: |
| Contract AmountRow1_3: |
| Location of workRow1: |
| Names Telephone No and Email of OwnerPerson to contact for Project InformationRow1_3: |
| Description of Project_2: |
| Description of ProjectRow1: |
| Contract Row1: |
| Dollar AmountRow1: |
| Name Tel Email of BusinessGovt Agency InvolvedRow1: |
| Location of workRow1_2: |
| When will contract be completedRow1: |
| Contract Row2: |
| Dollar AmountRow2: |
| Name Tel Email of BusinessGovt Agency InvolvedRow2: |
| Location of workRow2: |
| When will contract be completedRow2: |
| Contract Row3: |
| Dollar AmountRow3: |
| Name Tel Email of BusinessGovt Agency InvolvedRow3: |
| Location of workRow3: |
| When will contract be completedRow3: |
| Contract Row4: |
| Dollar AmountRow4: |
| Name Tel Email of BusinessGovt Agency InvolvedRow4: |
| Location of workRow4: |
| When will contract be completedRow4: |
| 13a CERTIFYING OFFICIALS NAME AND TITLE: |
| 13b SIGNATURE: |
| 14 DATE: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Text7: |
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