Experience Questionnaire.pdf
PDF 351 KB Posted
- Solicitation number
- 1240LU24Q0024
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire that is required to be submitted as part of the solicitation for the Nez Perce Clearwater National Forest Sheep Mountain Quarrying contract opportunity (Solicitation Number: 1240LU24Q0024).
The key details are:
- The solicitation is seeking gravel quarrying and road construction services in an area about 1.5 hours north of Pierce, ID.
- The estimated value of the contract is between $100,000 and $250,000, with work to be completed by October 31, 2024.
- Interested contractors must fill out and return the Request for Quote 1240LU24Q0024 Sheep Mtn Quarrying, which includes Form 1442 (blocks 14-20c, section B, and section K) and the Experience Questionnaire.
- The Experience Questionnaire requests information on the contractor's company, including years in business, prime/subcontractor experience, past projects, and available resources for this contract.
- Contractors must certify the accuracy of the information provided in the Experience Questionnaire.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| PXL_20230623_204828846.pdf | ||
| PXL_20230623_204948827.pdf | ||
| SheepMountain_Quarry.pdf | ||
| Sheep Mtn Topo Layout.pdf | ||
| PXL_20230623_204858529.pdf | ||
| 1240LU24Q0024 Amendment 1.pdf | ||
| PXL_20230623_205140157.pdf | ||
| 1240LU24Q0024 Sheep Mtn Quarrying.pdf | ||
| SheepMountain Quarrying Plan-set.pdf | ||
| FSSS_SheepMountain_Quarry.docx | DOCX document | |
| Wage Determinations.pdf |
Show all 11
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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 Contact 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:
Forest Service PPS 1019 N 5th St Custer, SD 57730
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
File details come from the government source that posted it. Updated .