Relevant Experience (Past Performance) Questionnaire.pdf
PDF 116 KB Posted
- Solicitation number
- 12444124R0009
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Relevant Experience (Past Performance) Questionnaire related to a federal contract opportunity for Archeology Landscape Services for the Croatan Ranger District in North Carolina.
The key details are:
- The contract opportunity is for archaeological research and development services on National Forest lands throughout North Carolina, with the work to be performed on the Croatan Ranger District.
- The government is conducting market research to determine the interest and capabilities of potential qualified businesses, especially small businesses, to perform the work which is estimated to be 10,000-18,000 acres per year.
- The questionnaire requests information on the contractor's relevant experience, including contract history, project details, staffing capabilities, and capacity to handle the projected workload.
- Interested contractors are invited to submit the completed questionnaire by June 13, 2024. This is not a request for proposals, but the government may set aside any future solicitation for small businesses as a result of this market research.
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Other files
| File | Type | Posted |
|---|---|---|
| SOO_Attachments.zip | ZIP file | |
| Sources Sought 2024.pdf | ||
| SOO Draft.pdf |
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Text version
12444124R0009
RELEVANT EXPERIENCE (PAST PERFORMANCE) QUESTIONNAIRE
Instructions: See Box 189, 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 do you have in this line of work ____Yrs
4. How many years experience as a prime Contractor _____ Subcontractor ____
5. Is your firm capable of completing 10,000-18,000 acres per year as outlined in the SOW and demonstrated through this relevant experience questionnaire? ___Yes ___No
6. If your firm are capable of completing 10,000-18,000 acres per year, 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. Do your firm have experience/past performance in coastal plain archaeology of Forest Service projects and/or other Government agencies ___Yes ___No If yes, list your Government experience below.
8. Please attach Resumes for principal investigators that will peform work related to this project.
9. List the number of full-time technicians/crew sizes available that will peform work related to this project.
10. What capability in acres per year using current employees?
11. What capability or potential capacity to accomplish 10,000-18,000 acres of survey per year?
12. Do your firm have the potential organization for the large-scale landscape level project?
13. Do your staff have any of the following experience: Historian, GIS Specialist, Lab technicians, Curation Specialists, Ethnographers, or other specialized employees that would be able to perform support services. If so, please describe the experience and include resumes for these positions.
14. LIST OF RELEVANT 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. Information required to complete a responsibility determination of the apparent successful offeror. (Additional information may be requested once a contractor is selected for award.. Moreover, the contractor might need to provide additional authorization from a creditor to grant access.)
a. Credit References
Company Name/Address Point of Contact Telephone number Materials/Services Provided
b. Banking Information. (NOTE: Only POC information is required. Please do NOT provide your account information.)
Company Name/Address
Point of Contact
Telephone number
18. 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:
File details come from the government source that posted it. Updated .