Experience Questionnaire.pdf
PDF 34 KB Posted
- Attached to
- Dillon Ranger District Office Janitorial Service Federal contract opportunity
- Solicitation number
- 1240LP25Q0089
- Issued by
- Department of Agriculture Forest Service
About this file
This document is a USDA Forest Service Experience Questionnaire, a standard form designed to assess a contractor's qualifications and past performance. The two-page form requires detailed information about the contractor's business, including years of experience, previous project completions, current contractual commitments, employee resources, and key personnel qualifications. Contractors must provide specifics about their business type (company, corporation, etc.), years of work in the solicitation's field, past contracts, available employees and equipment, and principal individuals' experience. The form includes sections for listing completed projects, ongoing commitments, and requires certification that all provided information is complete and correct. The questionnaire aims to help the Forest Service evaluate a contractor's capability to successfully complete a specific project by comprehensively documenting their professional background and resources.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| WD 20-5435_26_12-23-2024.pdf | ||
| 1240LP25Q0089 Dilllon RD Janitorial Service.pdf | ||
| PWS -revised11 Aug 2025.docx | DOCX document |
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Text version
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, and Telephone Number
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:
Number
Dollar Amt.
of Award
Name, Address, and Telephone No. of Business/Government Agency Involved
Awarded (Units)
Percent Completed
Date
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 .