J.5 EXPERIENCE QUESTIONNAIRE (3 PAGES).pdf

PAST PERFORMANCE

1. List below the projects your business has completed that are similar within the last three years:

Contract Amount

Type of Project Date Completed

Name, Address, and Telephone Number of Person to Contact for Project Information

2. List below your firm’s contractual commitments running concurrently with the work in this solicitation:

Contract Number

Dollar Amt.

of Award

Name, Address, and Telephone No. of Business/Government Agency Involved

Awarded (Units)

Percent Completed

Date Complete

2a. Have you ever failed to complete any work awarded to you? [ ] Yes [ ] No

2b. Has work ever been completed by performance bond? [ ] Yes [ ] No

2c. If “Yes” to either item 2a. or 2b., specify location(s) and reason(s) why:

3. Additional information / Remarks: (Attach additional sheets if extra space is needed)

EXPERIENCE

1. Type of Business: [ ] Company [ ] Corporation [ ] Non-profit Organization [ ] Co-partnership [ ] Individual

2. How many years do you or your firm have in the line of work contemplated by this solicitation? ____________

3. How many years experience have you or your business had as a:

(a) prime contractor ________ and/or (b) sub-contractor ________?

4. List below the experience of the principal individuals of your business: (Who will directly be involved in this contract?)

5. List below proposed sub-contractors and their experience in this type of work:

6. Additional information / Remarks: (Attach additional sheets if extra space is needed)

Individual’s Name Present Position Years of Experience

Magnitude and Type of Work

Company Name Individual’s Name Position Years of Experience

Magnitude and Type of Work

TECHNICAL APPROACH

1. Employees and equipment that will be available for this project:

a. Minimum number of employees: _____ and Maximum number of employees: _____

b. Are employees regularly on your payroll: [ ] Yes [ ] No

c. Specify equipment that will be utilized for this contract: _______________________________________

2. Did you look at the project site(s) on-the-ground? [ ] Yes [ ] No

3. Describe your approach to completing the work, include any challenges and your proposed solutions:

4. Describe the measures you will take to ensure the quality of the work:

5. Specify the time needed to complete the project and a rough schedule for completing each of the work items listed in the schedule of items:

6. Additional information / Remarks: (Attach additional sheets if extra space is needed)