J.9 Experience Questionnaire (3 Pages).pdf

PDF 235 KB Posted

Attached to
CCRD RADON MITIGATION Federal contract opportunity
Solicitation number
1240LT24Q0094
Issued by
Department of Agriculture Forest Service

About this file

Written by GovTribe AI ·

This document is an Experience Questionnaire that is part of a federal contract solicitation for the CCRD Radon Mitigation project. The questionnaire requests information about the contractor's business, including years of experience, completed projects, available employees and equipment, and key personnel involved. It also requires the contractor to identify any biobased products that will be used and provide details on their prior experience with biobased products. The federal contract opportunity is for the installation of radon mitigation systems in two buildings on the Clear Creek Ranger District of the Arapaho and Roosevelt National Forests and Pawnee National Grassland in Colorado. The solicitation number is 1240LT24Q0094, the estimated magnitude of construction is under $25,000, and proposals should be submitted electronically to the specified USDA Forest Service email address.

View the file

Other files for this federal contract opportunity

Other files attached to CCRD RADON MITIGATION, newest first.
File Type Posted
Amendment 0001 - 1240LT24Q0094 - CCRD Radon Mitigation (29 Pages).pdf PDF
J.2 Statement of Work (10 Pages).pdf PDF
J.8 Office Test (4 Pages).pdf PDF
J.4 CCRD Site Plan (1 Page).pdf PDF
J.6 CCRD Floor Plan (1 Page).pdf PDF
J.1 Wage Determinations (Building) (Clear Creek County, Colorado) (CO20240019) (08.02.2024) (8 Pages).pdf PDF
J.3 Maps (3 Pages).pdf PDF
1240LT24Q0094 - CCRD Radon Mitigation (29 Pages).pdf PDF
J.7 CCRD Bunkhouses (1 Page).pdf PDF
J.5 CCRD Second Floor Plan (1 Page).pdf PDF

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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) 3. Business [ ] Company [ ] Co-partnership [ ] Corporation [ ] Individual [ ] Non-profit Organization

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 Amt.

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:

Solicitation No:

Project Name:

Forest/District:

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 principal individuals of your business: (Who will directly be involved in 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 13. DATE

EXPERIENCE QUESTIONNAIRE CONTINUED

The following is added:

Biobased Products

Offeror shall identify the biobased products to be purchased and used under this contract. For each biobased product, specify the name of the manufacturer, cost of each product, and the intended use of each of the materials that are to be used in carrying out the requirements of the contract. For each biobased product, the Offeror shall specify the percentage of biobased content, and for the USDA-designated biobased content products, the Offeror shall demonstrate that the products to be used under this contract will contain the percentage specified in the USDA recommendations or the highest level of biobased material practicable, consistent with USDA's recommended percentages of biobased content.

The Offeror shall document prior experience in specifying, purchasing, using, and installing biobased products. The Offeror shall provide a list of all relevant contracts over the past 3 years involving the specification, purchase, and/or use of biobased products. The Offeror shall include a list of the biobased products specified, purchased, used, and installed.

The above information shall be provided for all proposed subcontractors in the same format and level of detail as prescribed for the Offeror.

Attach additional sheets, as necessary.

2: CCRD RADON MITIGATION
3: Arapaho and Roosevelt NFs and Pawnee NG
4:
5:
6:
7:
8:
9:
10:
11_af_date:
12:
13:
1: 1240LT24Q0094
14:
15_af_date:
16:
17:
18:
19_af_date:
20:
21:
22:
23_af_date:
24:
25:
26:
27_af_date:
28:
29:
30:
31_af_date:
32:
Group26: Off
Group27: Off
Group28: Off
Group29: Off
Group30: Off
33:
34:
35:
36:
37:
38_af_date:
39:
40:
41:
42:
43:
44_af_date:
45:
46:
47:
48:
49:
50_af_date:
51:
52:
53:
54:
55:
56_af_date:
57:
58:
59:
60:
61:
62_af_date:
63:
64:
65:
66:
67:
68_af_date:
69:
70:
71:
72:
73:
74_af_date:
75:
76:
77:
78:
79:
80:
81:
82:
83:
84:
85:
86:
87:
88:
89:
90:
91:
92:
93:
94:
95:
96:
97:
98:
99:
100:
101:
102:
103:
104:
105:
106:
107:
108:
109:
110:
111:
112:
113:
114:
115:
116:
117:
118:
120_af_date:
121:
122:
123:

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