h. Technical Proposal Form.pdf

TECHNICAL PROPOSAL FORM

TECHNICAL PROPOSAL FORM

Instructions: Mark “x” in appropriate boxes. Attach sheets if extra space is needed to fully answer any questions.

1. Contractor and Solicitation Information Contractor Name:

Address:

Phone #: Email:

UEI:

Solicitation #:

2. Submitted to (Office Name & Address) Idaho Panhandle National Forest Supervisors Office 3232 W Nursery Road Coeur d’Alene, ID 83815 CO Email: sarah.ackerman@usda.gov

3. Business ☐ Company ☐ Corporation ☐ Partnership ☐ Individual

4. How many years’ experience does your business have in the line of work contemplated by this solicitation?

5. Years of Experience:

a. How many years’ experience in contracting has your business had as a

(a) Prime Contractor (b) Sub-contractor?

b. Have you ever Failed to Complete any work awarded to you? ☐ YES ☐ NO

c. If “yes” specify location(s), reason(s) why, and CO contact info: (May attach separate sheet of paper)

6. Relevant Experience/Past Performance: List below any relevant or similar experience to this project your business has completed within the last three years and the complete contact information of individuals who can comment on your performance of the work. List a minimum of three relevant projects (if any).

Contract Amount Name of Project and Name of Business/Government Agency Date Completed

Name, Phone #, and Email Address of Owner/Person to contact for Performance

Information

7. Concurrent Contractual Commitments: List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation. (Contract Line Items Period of Performance 10/01/2025-09/30/2030) Contract Amount Name of Project and Name of

Business/Government Agency Date Awarded Percent

Completed Date Contract

Completed mailto:sarah.ackerman@usda.gov

TECHNICAL PROPOSAL FORM (continued)…

8. Technical and Key Personnel available for this project:

a. (1) Minimum number of employees: (2) Maximum number of employees:

b. Are employees regularly on your payroll? ☐ YES ☐ NO

c. Will you have employees who can perform the work at the start date of the period of performance?

☐ YES ☐ NO

d. Specify key personnel available for this contract:

9. Employee’s Experience: List below the experience of the principal individuals of your business and employees to perform the work contemplated by this solicitation.

Individual’s Name Present Position Years of

Experience Idaho Certified

Electrician? Experience with Type of Work

☐ YES

☐ NO

☐ YES

☐ NO

☐ YES

☐ NO

☐ YES

☐ NO

☐ YES

☐ NO

Daikin Equipment & Control System: ☐ YES; ☐ NO Variable Refrigerant Volume HVAC Systems:

----☐ YES; ☐ NO

10. Did the Offeror/Quoter examine the area(s) for which this Quote has been submitted (site visit)?

☐ YES ☐ NO

The offeror may submit their responses on a separate attachment but must answer all questions on the experience questionnaire to be considered for award.

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 Government with any information needed to verify my business and employee’s capability to perform this project.

11a. Certifying Official’s Name and Title (Print):

11b. Contractor Signature: 11c. Date:

Daikin Equipment & Control System: ☐ YES; ☐ NO Variable Refrigerant Volume HVAC Systems:

----☐ YES; ☐ NO

Daikin Equipment & Control System: ☐ YES; ☐ NO Variable Refrigerant Volume HVAC Systems:

----☐ YES; ☐ NO

Daikin Equipment & Control System: ☐ YES; ☐ NO Variable Refrigerant Volume HVAC Systems:

----☐ YES; ☐ NO

Daikin Equipment & Control System: ☐ YES; ☐ NO Variable Refrigerant Volume HVAC Systems:

----☐ YES; ☐ NO