Experience Questionnaire.docx

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Attached to
Peck Rd Hazard Tree IRSC Stewardship Federal contract opportunity
Solicitation number
129JGP20R4013
Issued by
Department of Agriculture Forest Service R5-Pacific Southwest Region

About this file

This solicitation package and related federal contract opportunity are for a stewardship project on the Bass Lake Ranger District of the Sierra National Forest. The project requires felling, skidding and removal of approximately 1,402 CCF of sawtimber and 3,721 CCF of biomass/cull logs from roadside hazards along 8S09 to reduce fire risk. It will also include road maintenance work. Interested contractors are encouraged to visit the Peck Rd project site located near Whiskey Falls before the June 29th pre-bid meeting or July 25th response deadline. The award is expected within 60 days thereafter. The selected contractor will trade the value of removed materials for road maintenance and hazard reduction services. The Forest Service agency is the Department of Agriculture located in Region 5.

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Other files for this federal contract opportunity

Other files attached to Peck Rd Hazard Tree IRSC Stewardship, newest first.
File Type Posted
Fire Plan - Peck Rd Haz IRSC.pdf PDF
Appendix B - Peck Rd Haz IRSC.pdf PDF
Appendix C - Peck Rd Haz IRSC.pdf PDF
Contract Area Map - Peck Rd Haz IRSC.pdf PDF
129JGP20R4013 - Peck Rd Haz IRSC.pdf PDF
Appendix A - Peck Rd Haz IRSC.pdf PDF
Wage Determination SCA-1977-0727.pdf PDF

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Experience Questionnaire Instructions: See Box 10, Remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.

1. Contractors Name, Address, & Telephone No.

Email: @ .

2. Type of Business: (Include letter of authorization on who can bind or sign for company) see FAR 4.102

|_| Sole Proprietor (no letter needed)
|_| Partnership (Copy of Agreement w/auth.)
|_| Corporation (Agent, authority
|_| LLC
|_| Non-profit Organization
|_| Joint Venture (All Parties sign)

3. How many years experience do you have in this line of work? Years

4. How many years experience as a prime contractor? As a subcontractor?

5. Relevant Projects: Provide information requested in Factor 2.1 - Experience on relevant projects your business has completed in the last 3 years:

6. List below all of your firm’s contractual commitments running concurrently this solicitation

Contract Number
Award Amount
Percent Completion
Awarded Units
Date Contract Completed
Contact Name, Address, & Telephone Number.

7a. Have you ever failed to complete any work awarded to you? |_| Yes |_| No 7b. Has work ever been completed by performance bond? |_| Yes |_| No 7c. If ‘Yes’ was checked to either item 7a or 7b, specify location(s) and reason(s) why:

7d. Did you look at the project site(s) on-the-ground? |_| Yes |_|No

8. Organization that will be available for this project:

a. |_| All work performed by prime, OR |_| Subcontracting % to be performed by sub. (Include information on Subcontractors)

b. Minimum number of employees: and Maximum number of employees:

c. Are employees regularly on your payroll? |_| Yes |_| No

d. Specify equipment available for this contract:

e. Estimate rate of progress (Such as acres/day, miles/day, or other rate):

Minimum progress rate: Maximum progress rate:

9. List the experience of the principal individuals of your business that will be assigned to this project:

Individuals Name
Present Position
Years of Experience
Type of Work

10. Factor 3.1 Biopreferred Product Use:

a. Products to be used on this contract: (Provide justification if using non-designated products.)

a. Provide experience of using sustainable products on past contracts:

b. Cost of Biobased Products to be used on this contract:

11. Remarks:

12. 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 capabilities to perform this project.

(Printed Name)
(Signature)
(Title)
(Date)

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