J-7 Experience Questionaire.doc

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Attached to
Region 1 Aerial Fire Depot - Air Operations Building New Roofing System
Solicitation number
1240LU23Q0054
Issued by

About this file

This document contains a questionnaire for federal contractors to provide experience and capability information related to Solicitation Number 1240LU23Q0054. The solicitation is from the Department of Agriculture Forest Service for a new roofing system at the Region 1 Aerial Fire Depot Air Operations Building. The questionnaire requests details on the contractor's minimum and maximum employee numbers, payroll practices, available equipment for the project, estimated progress rates, principal staff experience, and remarks. The certifying official must sign to confirm the accuracy of the responses.

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9. Organization and work that will be available for this project:

a. (1) Minimum number of employees:__________ and a (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 500 ft2/man/day):

(1) Minimum progress rate: __________ and (2) Maximum progress rate: __________

10. List below the experience of the principal individuals of your business:

Individual’s Name
Present Position
Years of Exp.
Magnitude and Type of Work

11. Remarks—Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above questions):

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

12b. Signature (Sign in Ink or Digitally)
13. Date

File details come from the government source that posted it. Updated .