Experience Questionaire.pdf
PDF 240 KB Posted
- Attached to
- LNF NORTH FORK ORCHARD WATER DELIVERY SERVICE
- Solicitation number
- 1284LM25Q0022
- Issued by
-
Department of Agriculture Forest Service
About this file
The Experience Questionnaire is a detailed form from the USDA Forest Service used to assess a contractor's qualifications and capabilities for a specific project. The document requires contractors to provide comprehensive information about their business, including years of experience, previous project history, current contractual commitments, employee resources, and key personnel qualifications. Contractors must disclose details such as the number of years in the relevant line of work, past performance as prime or sub-contractors, completed projects within the last three years, current contractual obligations, and the experience of principal individuals who will be directly involved in the contract.
The questionnaire seeks to evaluate the contractor's ability to successfully complete the project by gathering information on minimum and maximum employee numbers, equipment availability, estimated progress rates, and past performance. Contractors must certify the accuracy of their submitted information and authorize the Forest Service to verify their capabilities through references. The form includes sections for listing completed projects, current commitments, employee and equipment resources, and individual team member experience, providing a comprehensive overview of the contractor's professional background and readiness to undertake the proposed work.
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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)
3. Business [ ] Company [ ] Co-partnership [ ] Corporation [ ] Individual [ ] Non-profit Organization
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:
Number
Dollar Amt.
of Award
Name, Address, and Telephone No. of Business/Government Agency Involved
Awarded (Units)
Percent Completed
Date
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 principal individuals of your business. (Who will directly be involved in 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 ink) 13. DATE
| 12034321Q0001 |
| Hungry Horse Janitorial contract 2020 a1 |
| REQUEST FOR QUOTES |
| Solicitation 12034321Q0001 |
| Janitorial Services – Base and Three Option Years |
| Hungry Horse Ranger District |
| Hungry Horse, Montana |
| FAR 52.204-7 System for Award Management (OCT2016) |
| FAR 52.223-1 Biobased Product Certification (MAY2012) |
| Contract Requirements_Quality Hungry Horse Janitorial 2020 |
| Schedule of Items_Experience Questionnaire_Biobased Product Certificatio.. |
| Wage Determination |
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