Experience Questionaire.PDF

PDF 37 KB Posted

Attached to
Fort Pierre, SD Janitorial Services Federal contract opportunity
Solicitation number
1240LP24Q0029
Issued by
Department of Agriculture Forest Service

About this file

This document is an Experience Questionnaire from the USDA Forest Service. It requests information about the contractor's business, experience, personnel, and equipment available for a specific project. Key details include:

The contractor must provide information on their years of experience, past projects completed, current contractual commitments, and any previous failures to complete awarded work. The contractor must also detail the number of employees and equipment they will have available for the project, as well as the expected progress rates. Resumes of the principal individuals who will be directly involved must also be provided.

This Experience Questionnaire is related to a solicitation for janitorial services at the Fort Pierre Ranger District office in South Pierre, South Dakota. The contract is for one year with four additional option years, and services are required 1 day per week with biannual deep cleanings. The facility is approximately 2,900 square feet. There is no scheduled site visit, but interested bidders may contact the Fort Pierre office to tour the site.

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FPRD_JanitorialCont_QASP.docx DOCX document
WD 2015-5377_23.txt TXT text file
Nebraska_Janitorial_Solicitation.pdf PDF
SF1449.pdf PDF

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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

File details come from the government source that posted it. Updated .