Experience Questionnaire.docx
DOCX document 48 KB Posted
- Solicitation number
- 1284LM24Q0050
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire that appears to be related to a federal contract opportunity for Vault Toilet Pumping Services for the Flathead National Forest. The key details are:
The solicitation seeks to provide Vault Toilet Pumping Services to various ranger stations within the Flathead National Forest on an as-needed basis. The awarded contractor will have access to use the Waste Water Treatment Facility in Glacier National Park for dumping the sewage pumped from the identified Forest Service vaults. Questions are due by April 12, 2024 at 1700 MST, and quotes are due by April 30, 2024 at 1700 MST. All quotes will be valid for 90 days. The evaluation method will be based on price. The Experience Questionnaire focuses on the contractor's experience, employees, equipment, and progress rates that will be available for this project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Amendment 0001.pdf | ||
| HHGV CENTRAL MAP.png | PNG image | |
| TLRD HOLBROOK TH MAP.png | PNG image | |
| 1284LM24Q0050.pdf | ||
| HHGV NORTH MAP.jpg | JPG image | |
| FNF Inventory.xlsx | XLSX spreadsheet | |
| SLRD SWAN VALLEY SOUTH MAP.png | PNG image | |
| TLRD MAP.jpg | JPG image | |
| HHGV SOUTH MAP.jpg | JPG image | |
| SBRD MAP.png | PNG image | |
| SLRD SWAN VALLEY NORTH MAP.png | PNG image | |
| 2024 Statement of Work.pdf | ||
| SLRD ISLAND UNIT MAP.png | PNG image |
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
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 |
image1.emf
Microsoft_Word_Document.docx
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:
Contract Number
Dollar Amt. of Award
Name, Address, and Telephone No. of Business/Government Agency Involved
Awarded (Units)
Percent Completed
Date Contract 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 .