Atch_4,_Technical_Capability_Questionnaire.doc

TECHNICAL CAPABILITY QUESTIONNAIRE

This Acquisition is for the Monthly Inspections for the Fire Doors and Preventive Maintenance with Safety Inspections and Repairs of Overhead and Automatic Opening Doors in the Kaiserslautern Military Community (KMC).

A.

GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name:

Address:

Telephone Number:

Email Address:

Point of Contact:

Project Title or Brief Description of Work*:

Contract Number*:

Contract Amount:

Contract Period or Dates of Performance*:

Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel.

To be completed by the respondent and returned directly to the contracting office.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

B.

SPECIFIC EXPERIENCE INFORMATION:

How often was Preventive Maintenance with Safety Inspections and Repair of Overhead Doors (OHD) and Automatic Opening Doors (AOD) accomplished?

Description of Services Performed: ________________________________________________________________

The type of OHD and AOD have to be similar in nature to the PWS. Please provide a brief technical description of the types of Overhead Doors and Automatic Opening Doors serviced under the referenced contract.

For Official Use Only