Experience Questionnaire.pdf
PDF 351 KB Posted
- Attached to
- Superior RD roof replacements Federal contract opportunity
- Solicitation number
- 1240LU24Q0038
About this file
This document is an Experience Questionnaire from the USDA Forest Service that solicits information about a contractor's capabilities and past performance. The questionnaire asks the contractor to provide details on the number of years they have been in business, their experience as a prime contractor and/or subcontractor, a list of similar projects completed in the last three years, and any issues with completing past work. The contractor is also asked to provide information on their organization, available personnel and equipment, and the experience of key individuals. This information is likely being collected in support of the related federal contract opportunity, which is a solicitation for a roof replacement project at a residence and garage in Superior, MT, with an estimated value under $25,000. The contract is being issued by the USDA Forest Service, R1-Northern Region.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1240LU24Q0038 Amendment 1.pdf | ||
| 1240LU24Q0038 Superior RD roof replacement.pdf | ||
| 2024-03-20 Superior Roof Replacement Plans.pdf | ||
| Wage Determination mt4.pdf | ||
| 2024-03-20 Superior Roof Replacement Specs.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 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 .