J.4 Experience_Questionaire.doc

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Flathead National Forest- Meadow Creek Well Drilling
Solicitation number
1240LU21Q0008
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J.2 Drawings.pdf PDF
J.1 Specifications.pdf PDF
J.3 DBwages.pdf PDF
Solicitation1240LU21Q0008.pdf PDF

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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 2.0 acres/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)
13. Date

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