J.4 - Contractor Experience Questionaire.docx
DOCX document 18 KB Posted
- Attached to
- Carolyn Creek Trail Bridge Project (GAOA)
- Solicitation number
- 1240LT25Q0003
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire that is part of a solicitation for the Carolyn Creek Trail Bridge Project (GAOA) issued by the U.S. Forest Service.
The solicitation is a small business set-aside construction project with an estimated value between $100,000 and $250,000. The project requires the contractor to furnish all materials, labor, equipment, and other necessary items to successfully complete the Carolyn Creek Trail Bridge construction. Key details include the project location, period of performance with a start date of 07/14/2025 and completion date of 09/12/2025, and instructions for submitting contractor questions by 12/04/2024 and proposals by 12/18/2024. The Experience Questionnaire requests information on the contractor's business type, years of experience, past projects, current contractual commitments, available employees and equipment, and personnel qualifications. Contractors must complete and submit this questionnaire along with their proposal to be considered for this contract opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| RFQ 1240LT25Q0003 - Updated.pdf | ||
| SF30 1240LT25Q003 0001.pdf | ||
| J.3 - Drawings - Updated.pdf | ||
| Carolyn Creek Project - Contractor Questions and Answers.pdf | ||
| J.3 - Drawings - Updated Final.pdf | ||
| J.2 - WD NV20240015.pdf | ||
| J.5 - Contractor Questions and Answers Template.doc | DOC document | |
| J.3 - Drawings.pdf | ||
| J.1 - Specifications.docx | DOCX document | |
| RFQ 1240LT25Q0003.pdf |
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Text version
USDA Forest Service
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 11, Remarks, if extra space is needed to answer any item below. Mark “X” in appropriate boxes.
1. Contractor Name, Address, and Telephone Number
2. Submitted to (Office Name and Address) U.S Forest Service (USDA) 324 25th Street Ogden, Utah 84401-2310
3. Business [ ] Company [ ] Corporation [ ] Non-profit Organization [ ] Co-partnership [ ] Individual
4. How many years do you or your firm have in the line of work contemplated by this solicitation?
5. How many years experience have you or your business had as a (a) prime contractor ______ and/or (b) sub-contractor ______?
6. List below the projects your business has completed within the last three years:
Contract Amount
| Type of Project |
| Date Completed |
| Name, Address, and Telephone No. of |
Owner/Person to Contact for Project Information
7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:
| Contract Number |
| Dollar Amount |
Of Award
| Name, Address, and Telephone No. of Business/Government Agency Involved |
| Awarded |
(Units) Percent Completed Date Contract Complete
8a. Have you ever failed to complete any work awarded to you? [ ] Yes [ ] No 8b. Has work ever been completed by performance bond? [ ] Yes [ ] No 8c. did you look at the project site(s) on-the-ground? [ ] Yes [ ] No 8d. If “Yes” to either item 8a. or 8b., specify location(s) and reason(s) why:
EXPERIENCE QUESTIONNAIRE, CONTINUED
9. Employees and equipment that will be available for this project:
a. (1) Minimum number of employees: _______ and (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 2.0 acres/man/day):
(1) Minimum progress rate: _________________ and (2) Maximum progress rate: ___________________
10. List below the experience of the Personnel to work on this contract.
| Individual’s Name |
| Present Position |
| Years of Experience |
| Magnitude and Type of Work |
11. Remarks – Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question):
NOTE: PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT WILL HELP EVALUATE YOUR ABILITY TO SUCCESSFULLY COMPLETE THIS PROJECT.
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
| b. SIGNATURE (Sign in blue ink) |
| 13. DATE |
File details come from the government source that posted it. Updated .