Experience Questionnire.pdf
PDF 162 KB Posted
- Attached to
- IPNF Helitorch Fuel BPA Federal contract opportunity
- Solicitation number
- 1284LL24Q0052
- Issued by
- Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire from the USDA Forest Service, which is requesting information about a contractor's experience, personnel, and equipment to evaluate their ability to successfully complete a federal contract opportunity.
The key details include: the contractor's background information, years of experience as a prime contractor and/or subcontractor, a listing of previous completed projects and current contractual commitments, availability of employees and equipment, and the experience of the principal individuals who will be directly involved in the contract. The contractor is required to certify the accuracy of the information provided. This Experience Questionnaire is related to a Request for Quotations (RFQ) issued by the USDA Forest Service to establish Blanket Purchase Agreements (BPAs) to provide fuel at various locations within the Idaho Panhandle National Forest to support Helitorch operations. The BPA ordering period is five years from May 2024 to May 2029, and the contractor will be responsible for providing fuel, equipment, personnel, and transportation to meet the requirements.
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| File | Type | Posted |
|---|---|---|
| Combined Solicitation synopsis 1284LL24Q0052.pdf |
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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:
Contract Number
Dollar Amt.
of Award
Name, Address, and Telephone No. of Business/Government Agency Involved
Awarded (Units)
Percent Completed
Date Contract 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 .