RFQ_Attch_2_Questionnaire_Template.docx

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EBS SLC 8
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F4D3D39164AG01
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Attch 2 Questionnaire Template

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RFQ_Attch_1_SOW_EBS_SLC_June_2019.pdf PDF
RFQ_Attch_3_AFI_32-7066_dtd_26_Jan_2015.pdf PDF

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Attachment 2 Qualification Template – EBS SLC 8

Company Name:_____________________________
Company POC:Name: ________________________
Phone: ________________________
Email: ________________________
Company Address:Street/PO: _____________________
City: __________________________
State: _________________________
Cage Code:______________________________
DUNS NO:______________________________
System for Award Management Expiration Date:________________________

40 CFR § 312.1

Environmental Professional means:

(1) a person who possesses sufficient specific education, training, and experience necessary to exercise professional judgment to develop opinions and conclusions regarding conditions indicative of releases or threatened releases (see 312.1(c)) on, at, in, or to a property, sufficient to meet the objectives and performance factors in 312.20(e) and (f).

(2) Such a person must: (i) Hold a current Professional Engineer's or Professional Geologist's license or registration from a state, tribe, or U.S. territory (or the Commonwealth of Puerto Rico) and have the equivalent of three (3) years of full-time relevant experience; or (ii) Be licensed or certified by the federal government, a state, tribe, or U.S. territory (or the Commonwealth of Puerto Rico) to perform environmental inquiries as defined in 312.21 and have the equivalent of three (3) years of full-time relevant experience; or (iii) Have a Baccalaureate or higher degree from an accredited institution of higher education in a discipline of engineering or science and the equivalent of five (5) years of full-time relevant experience; or (iv) Have the equivalent of ten (10) years of full-time relevant experience.

1. Does your company, at a minimum poses the requirements specified in para 2 above? If so, please provide proof of licenses, resumes and/or curricula vitae of key project personnel.

2. Provide three (3) years’ experience performing Environmental Assessments that are the same or substantially similar to the requirements in the Statement of Work (SOW), dated June 2019.

Reference 1:

Company Name:

Address:

Phone Number:

Email:

Period of Performance:

Total Award Value: $ Brief Description of Award:

Reference 2:

Company Name:

Address:

Phone Number:

Email:

Period of Performance:

Total Award Value: $ Brief Description of Award:

Reference 3:

Company Name:

Address:

Phone Number:

Email:

Period of Performance:

Total Award Value: $ Brief Description of Award:

2. Does your company poses the experience to perform the stated requirements of the Statement of Work (SOW), dated June 2019 within the four (4) month period of performance?

Yes__________ No__________ Attachment 2 Qualification Questionnaire

EBS SL8

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