Experience Questionnaire.pdf
PDF 90 KB Posted
- Attached to
- USFS, Helena-Lewis and Clark National Forest, Musselshell Ranger District Janitorial Services
- Solicitation number
- 1240LN24Q0002
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire for contractors interested in providing janitorial services to the USDA Forest Service's Helena-Lewis and Clark National Forest Musselshell Ranger District under solicitation number 1240LN24Q0002. The questionnaire collects information on the contractor's experience, past performance, available resources, and principal staff to evaluate their capability and qualifications. Bidders must demonstrate at least five years of experience in contracting, either as a prime contractor or subcontractor, and provide references for similar projects completed within the last three years. Required equipment and staffing levels for this project are also requested.
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Other files
| File | Type | Posted |
|---|---|---|
| SampleQCP.pdf | ||
| Combined Synopsis_Solicitation_1240LN24Q0002.pdf | ||
| WD 2015-5397.pdf |
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Text version
USDA Forest Service (1/00)
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 10, 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 & 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 in contracting 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 (or currently working) where we can confirm that your company has experience in similar work.
Contract Amount
Type of Project Ongoing or
Date Completed
Name, Address, and Telephone No.
of Owner/Person to Contract for
Project Information
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” to either item 7a or 7b specify location(s) and reason(s) why:
8. Organization and work that will be available for this project:
a. (1) Minimum number of employees:__________ and a (2) Maximum number of employees:__________
b. Are employees regularly on your payroll? _____ Yes _____ No
c. Specify equipment available for this contract
9. List below the experience of the principal individuals of your business:
Individual’s Name
And City of Residence Present Position Years of
Exp.
Magnitude and Type of Work
10. Remarks—Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above questions):
11. 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
12b. Signature (Sign in Ink) 13. Date
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