Experience_Questionnaire_-_1.pdf
PDF 40 KB Posted
- Attached to
- Repair Okuma Lift Station Piping System
- Solicitation number
- FA5270-16-R-0014
About this file
Past Experience Questionnaire
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Text version
ATTACHMENT 8 ‐ EXPERIENCE QUESTIONNAIRE SOL NO: FA5270‐16‐R‐0014
1. CONTRACTOR NAME, ADDRESS AND PHONE#
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 the solicitation?
5. HOW MANY YEARS EXPERIENCE IN CONTRACTING HAVE YOU OR YOUR FIRM HAD AS A:
PRIME CONTRACTOR ______________ AND/OR SUB-CONTRACTOR_______________
6. LIST BELOW THE PROJECTS YOUR BUSINESS HAS COMPLETED WITHIN THE LAST THREE YEARS:
CONTRACT
AMOUNT
TYPE OF PROJECT PERIOD OF
PERFORMANCE
NAME, ADDRESS, & PHONE
OF OWNER/PERSON TO
CONTACT FOR PROJECT
INFORMATION
SHORT DESCRIPTION
OF WORK PERFORMED
8a. HAVE YOU EVER FAILED TO COMPLETE ANY WORK AWARDED TO YOU? ______YES _____NO 8b. HAS WORK EVER BEEN COMPLEED BY PERFORMANCE BOND? ______YES _____NO 8c. IF “YES” TO EITHER ITEMS SPECIFY LOCATION(S) AND REASON(S) WHY:______________________________________________
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