Relative Experience (Past Performance) Questionnaire_LomaxTask7.pdf
PDF 258 KB Posted
- Solicitation number
- 12363N27Q4003
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a Relative Experience (Past Performance) Questionnaire used to evaluate contractor qualifications for federal archaeological survey work. The form requires contractors to provide comprehensive information about their capability to perform Phase II archaeological survey services, particularly in the Piedmont region of North Carolina with focus on dense lithic sites.
Key required information includes: contractor business details and UEI number; years of experience in archaeological survey and as a prime versus subcontractor; business size classification as shown on SAM.gov and any small business certifications (SBA 8(a), HUBZone, SDVOSB, WOSB); specific experience with Piedmont North Carolina archaeology and Forest Service or other government agency projects; availability and qualifications of full-time technicians and crew with archaeology experience; availability of specialized staff including historians, GIS specialists, lab technicians, and curation specialists; description of past projects using similar Phase II survey approaches; quality control procedures and examples of successful project execution; and methods for ensuring timely service delivery. Contractors must list up to seven relevant projects completed within the last three years with contract numbers, award amounts, client contact information, and detailed descriptions of work performed. The form also requires disclosure of any incomplete work, performance bond usage, and experience of principal company individuals. Contractors must certify under penalty that all statements are complete and correct, and agree to allow the Forest Service to verify information with named references.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SurveyUnitsLomaxTask7_Shapefiles.zip | ZIP file | |
| WD_2015-5899 Rev. 6 8.22.2026.pdf | ||
| 3_Statement of Work_Lomax_Task7_106_Oct2026.pdf | ||
| WD_2015-4381 Rev. 33 8.22.2026.pdf | ||
| Maps.zip | ZIP file | |
| 12363N27Q4003.pdf | ||
| WD_2015-4399 Rev. 32 8.27.2026.pdf |
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Text version
RELATIVE EXPERIENCE (PAST PERFORMANCE) QUESTIONNAIRE
Instructions: See Box 17, remarks, if extra space is needed to answer any item below. Additional sheets may be attached.
1. Contractors Name, Address, Telephone No., & Email: 2. Type of Business
__Company __Co-Partner __Non-profit
__Corporation __Individual
UEI Number: _______________________
3. How many years experience does the Contractor have archaeological survey and supporting services ____Yrs
4. How many years experience as a prime Contractor _____ Subcontractor ____
5. Has your firm completed similar survey as outlined in the SOW that can be demonstrated through relative experience?
___Yes ___No If yes, list the large scale experience below.
6. Please provide your business size as shown at SAM.gov
a. If your firm are classified as a Small Business (SB), what is your SB classification (i.e. U.S. Small Business Administration
(SBA) certified 8(a), SBA Certified HUB Zone, Service-Disabled Veteran-Owned Small Businesses (SDVOSB), Women
Owned Small Business (WOSB), and Small Businesses (SB), etc.) as shown at SAM.gov
7. Does your firm have experience/past performance in Piedmont North Carolina archaeology with dense lithic sites?
___Yes ___No If yes, list your Piedmont North Carolina archaeology experience below.
10. Describe past projects with similar approaches to Phase II survey.
9. Describe the full-time technicians/crews available that will perform work related to this project. Include the number of full time crew level employees and their average years of experience in archeology and with the company.
13. State how your company ensures Timeliness of Service. Provide an example below.
12. Describe a project that was executed well in accordance with your Quality Control Plan. What worked well and what could be/has been done to improve the plan.
11. Do your staff have any of the following experience: Historian, GIS Specialist, Lab technicians, Curation Specialists, or other specialized employees that would be able to perform support services? Describe which positions.
8. Does your firm have experience/past performance of Forest Service projects and/or other Government agencies
___Yes ___No If yes, list your Forest Service/Government experience below.
14. LIST OF RELATIVE PROJECTS YOUR BUSINESS HAS COMPLETED WITHIN THE
LAST THREE (3) YEARS
NOTE: The description of work performed should be in sufficient detail for the Government to determine what the work included. (i.e., what tasks were performed, (grounds maintenance, erosion control, mulching, forestry work performed, type of equipment used, special safety or requirements) Use of only a project title does not usually provide enough detail for the Government to make an evaluation.
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ___________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: _____________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ___________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: _____________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
Contract Number:______________________________________ Award Amount: _________________________________
Client/Company’s Name/Address: ________________________________________________________________________
Contact Name and Telephone number: ____________________________________________________________________
Description of Work Performed: _________________________________________________________________________
Date completed or scheduled for completion: ______________________________________________________________
14a. Have you ever failed to complete any work awarded to you? __yes __ no
14b. Has work ever been completed by performance bond? __yes __ no
15. If "yes" to either item 14a or 14b specify location(s) and reason(s) why
16. List the experience of the principal individuals of your business
INDIVIDUALS NAME PRESENT POSITION YRS EXP TYPE OF WORK
17. REMARKS (Additional sheets may be attached to this experience questionnaire, if needed.)
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:
Name: Title: Date:
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