Past Performance questionnaire.pdf
PDF 242 KB Posted
- Attached to
- South Fork Foundation Stabilization
- Solicitation number
- 1240LT25Q0045
- Issued by
-
Department of Agriculture Forest Service
About this file
The document is a USDA Forest Service Past Performance Questionnaire, designed to capture a contractor's historical performance and capability for the South Fork Foundation Stabilization project. The questionnaire requires detailed information about the contractor's business type, years of experience, previous project history, current contractual commitments, employee resources, equipment availability, and key personnel qualifications. Sections include requesting information on completed projects within the last 3 years, concurrent contractual commitments, failure to complete previous work, minimum and maximum employee counts, available equipment, and experience of principal individuals who will be directly involved in the contract.
The form serves as a comprehensive evaluation tool for the Forest Service to assess a contractor's competency and readiness to execute the foundation stabilization work for the South Fork quarters in American Fork Canyon. Key sections require contractors to provide references, project details, progress rates, and a certification of the accuracy of the submitted information. The questionnaire allows contractors to demonstrate their technical capabilities, past performance, and organizational resources relevant to the specific stabilization project involving helical pier installation and basement wall crack repairs.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| South Fork Foundation Drawings.pdf | ||
| Specifications South Fork Foundation Stabilization.pdf | ||
| SOW South Fork Foundation Stabilization.pdf | ||
| Wage Determination Utah County Utah.pdf | ||
| 1240LT25Q0045.docx | DOCX document |
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Text version
USDA Forest Service
Past Performance 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) subcontractor ____?
6. List below the projects your business has completed within the last 3 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:
Past Performance 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 (Sign in ink) 13. DATE
Past Performance QUESTIONNAIRE CONTINUED
The following is added:
Attach additional sheets, as necessary.
| Experience questionnaire |
| Past Performance Questionare |
File details come from the government source that posted it. Updated .