EXPERIENCE QUESTIONNAIRE.docx
DOCX document 19 KB Posted
- Attached to
- FIA Grid Intensification Plot Remeasurement Federal contract opportunity
- Solicitation number
- 1240LN24Q0070
- Issued by
- Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire for a federal contract opportunity. It requests the contractor to provide information about their business, experience, and qualifications to perform the work.
Key details include:
- The contractor must provide their name, address, and business type (company, corporation, etc.).
- The contractor must indicate how many years of experience they have as a prime contractor and/or subcontractor in the type of work contemplated by this solicitation.
- The contractor must list projects they have completed within the last three years, including the contract amount, type of project, completion date, and client contact information.
- The contractor must list any current contractual commitments running concurrently with the work in this solicitation, including the contract number, dollar amount, client, and percent completed.
- The contractor must indicate if they have ever failed to complete work or had work completed by a performance bond, and provide an explanation if so.
- The contractor must provide information about the employees and equipment that will be available for this project, including minimum and maximum number of employees, equipment available, and estimated minimum and maximum progress rates.
- The contractor must list the experience of the key personnel who will be directly involved in this contract.
Overall, this document is gathering detailed information about the contractor's capabilities and past performance to evaluate their ability to successfully complete the work required in the related federal contract opportunity.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Price Quote Request FIA Grid Intensification Plot Remeasurement.pdf |
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Text version
EXPERIENCE QUESTIONNAIRE
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, Telephone Number & Email
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 .