Experience Questionnaire.pdf
PDF 410 KB Posted
- Attached to
- HLCNF Meriwether Picnic Area water system Federal contract opportunity
- Solicitation number
- 1240LU25Q0079
- Issued by
- Department of Agriculture Forest Service
About this file
This is a USDA Forest Service Experience Questionnaire form used to evaluate contractor qualifications for federal contracting opportunities. The form is to be submitted to Forest Service PPS at 1019 N 5th St, Custer, SD 57730.
The questionnaire requires contractors to provide comprehensive information about their business structure (company, partnership, corporation, individual, or non-profit), years of experience in the relevant work field, and contracting history as both prime and subcontractors. Key sections include a detailed project history table for work completed within the last three years, requiring contract amounts, project types, completion dates, and reference contact information. The form also asks about any failed contracts or performance bond completions, organizational capacity including minimum and maximum employee availability, equipment specifications, and experience profiles of principal personnel including names, positions, years of experience, and work magnitude. The document concludes with a certification section requiring an authorized official's signature, name, title, and date, attesting to the accuracy and completeness of all provided information.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1240LU25Q0079 Meriwether picnic area water.pdf | ||
| HLCNF_MeriwetherPicnicArea_FSSS.pdf | ||
| HLCNF_MeriwetherPicnicArea_SOW.pdf | ||
| HLCNF_Meriwether Picnic Area_Planset.pdf | ||
| Wage Determinations mt75.pdf |
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Text version
USDA Forest Service
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, email Address, and phone number
2. Submitted to (Office Name & Address) 3. Business type 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
Person to Contact for Project Information include email or phone #
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 .