NCPC_Penn Ave RFP 1_Experience Questionnaire.pdf
PDF 571 KB Posted
- Attached to
- Pennsylvania Avenue RFP 1: Implementation Program Solicitation (NCPC) Federal contract opportunity
- Solicitation number
- NCPC-PAI0001
- Issued by
- Not on record
About this file
This document is an experience questionnaire required as part of a solicitation response for a federal contract opportunity with the National Capital Planning Commission. The solicitation seeks responses for implementation services related to a new Pennsylvania Avenue plan. Respondents must provide details on their business structure and ownership, years of experience in relevant work, and descriptions of at least five past projects completed within the last five years including contract details and references. Additionally, respondents must disclose current contract commitments, performance history, and qualifications of principal staff. The solicitation number is NCPC-PAI0001 and responses are due by the date specified in the full solicitation document.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| NCPC_Penn Ave RFP 1_QA_23_10_19.pdf | ||
| NCPC_Penn Ave RFP 1_Q and A_23_09_29.pdf | ||
| NCPC_Penn Ave RFP 1_Implementation Program_Revised_2023_09_25.pdf | ||
| NCPC_Penn Ave RFP 1_Q-A_2023_09_22.pdf | ||
| NCPC_Penn Ave RFP 1_Implementation Program.pdf | ||
| NCPC_Penn Ave RFP 1_Fee Worksheet.xlsx | XLSX spreadsheet |
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Text version
For Official NCPC Acquisitions Use Only
P1
Experience Questionnaire (Required)
A New Pennsylvania Avenue Plan: Implementation Program Solicitation NCPC-PAI0001
Experience Questionnaire (to be completed by contractor)
Instructions: This document supplements "Submission Requirement" #4 on page 53. Do not alter the form, other than including additional documents to clarify the individual responses if applicable. The total length of supplemental documentation to the Experience Questionnaire shall not exceed two (2) 8.5” x 11”pages. Use Box 9 Remarks if extra space is needed to answer any item below or to indicate that supplements are attached. Answer all items.
1. Contractor’s Name, Address & Telephone #. 2. Type of Business
_ Company Co-Partner _ Corporation Individual
Non-profit Organization
3. How many years’ experience do you have in this line of work? ______ years
4. How many years’ experience as a prime contractor? ______ years
And as a subcontractor? ______ years
5. List the projects/contracts your business has completed in the last five (5) years.
CONTRACT
AMOUNT
TYPE OF CONTRACT DATE
COMPLETED
Contact Name, Address and Tele. #
Project Name:
ACTION:
RFP 1
Solicitation
P2
6. List all of your firms’ current contract commitments
CONTRACT
NUMBER
AWARD
AMOUNT
Contact Name, Address & Tele. #
Percent Completed
Date Contract Completed
___no 7a. Have you ever failed to complete any work awarded to you? __ yes 7b. If yes please provide reason below. ___yes ___no
8. List the experience of the principal individuals of your business
NAME PRESENT POSITION YRS
EXP.
TYPE OF WORK
P3
9. REMARKS
Tax ID#______________
CERTIFICATION: I certify that all of the statements made by me are complete and correct to be best of my knowledge and that any persons named as references are authorized to furnish the National Capital Planning Commission with any information needed to verify my capability to perform this project.
Signature Print or Typed Name Title Date
Unique Entity ID SAM #
| 1 Contractors Name Address Telephone: |
| 3 How many years experience do you have in this line of work years: |
| undefined: |
| years: |
| years_2: |
| CONTRACT AMOUNTRow1: |
| TYPE OF CONTRACTRow1: |
| DATE COMPLETEDRow1: |
| Contact Name Address and Tele Row1: |
| CONTRACT AMOUNTRow2: |
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| Contact Name Address and Tele Row2: |
| CONTRACT AMOUNTRow3: |
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| Contact Name Address and Tele Row3: |
| CONTRACT AMOUNTRow4: |
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| DATE COMPLETEDRow4: |
| Contact Name Address and Tele Row4: |
| CONTRACT AMOUNTRow5: |
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| Contact Name Address and Tele Row5: |
| CONTRACT AMOUNTRow6: |
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| Contact Name Address and Tele Row6: |
| CONTRACT NUMBERRow1: |
| AWARD AMOUNTRow1: |
| Contact Name Address Tele Row1: |
| Percent CompletedRow1: |
| Date Contract CompletedRow1: |
| CONTRACT NUMBERRow2: |
| AWARD AMOUNTRow2: |
| Contact Name Address Tele Row2: |
| Percent CompletedRow2: |
| Date Contract CompletedRow2: |
| 7c If yes to either item 7a or 7b above specify reasons and locations why 1: |
| NAMERow1: |
| PRESENT POSITIONRow1: |
| YRS EXPRow1: |
| TYPE OF WORKRow1: |
| NAMERow2: |
| PRESENT POSITIONRow2: |
| YRS EXPRow2: |
| TYPE OF WORKRow2: |
| NAMERow3: |
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| YRS EXPRow3: |
| TYPE OF WORKRow3: |
| NAMERow4: |
| PRESENT POSITIONRow4: |
| YRS EXPRow4: |
| TYPE OF WORKRow4: |
| NAMERow5: |
| PRESENT POSITIONRow5: |
| YRS EXPRow5: |
| TYPE OF WORKRow5: |
| CERTIFICATION I certify that all of the statements made by me are complete and correct to be best of: |
| Tax ID: |
| Print or Typed Name: |
| Title: |
| Date: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
| Text10: |
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