Sol_ExperienceQuestionnaire.pdf
PDF 351 KB Posted
- Attached to
- Oto Ranch roof replacement Federal contract opportunity
- Solicitation number
- 1240LU24Q0039
- Issued by
- Department of Agriculture Forest Service
About this file
This document is an Experience Questionnaire from the USDA Forest Service. It is intended to gather information about a contractor's experience and qualifications to perform a roof replacement project on the Oto Ranch near Gardiner, MT.
The questionnaire requests details on the contractor's years of experience in similar work, prior projects completed, and available resources such as employees and equipment. It also asks about any instances of failure to complete awarded work or need for performance bonds. The contractor must provide a certification that the information provided is complete and accurate. The related federal contract opportunity is Solicitation Number 1240LU24Q0039 for the Oto Ranch roof replacement, issued by the USDA Forest Service.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1240LU24Q0039 Amendment 2.pdf | ||
| 1240LU24Q0039 Amendment 1.pdf | ||
| OTO-House-Roof drawings and photos.pdf | ||
| Wage determinations mt17.pdf | ||
| 1240LU24Q0039 Oto Ranch roof replacement.pdf | ||
| OTO-House-Roof Supplemental Specifications.pdf |
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Text version
USDA Forest Service (1/00)
EXPERIENCE QUESTIONNAIRE
Instructions: See Box 10, 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 & 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 in contracting 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 (or currently working) where we can confirm that your company has experience in similar work.
Contract Amount
Type of Project Ongoing or
Date Completed
Name, Address, and Telephone No.
of Owner/Person to Contact for Project Information
7a. Have you ever failed to complete any work awarded to you? _____ Yes _____ No 7b. Has work ever been completed by performance bond? _____ Yes _____ No 7c. If “Yes” to either item 7a or 7b specify location(s) and reason(s) why:
Forest Service PPS 1019 N 5th St Custer, SD 57730
8. Organization and work that will be available for this project:
a. (1) Minimum number of employees:__________ and a (2) Maximum number of employees:__________
b. Are employees regularly on your payroll? _____ Yes _____ No
c. Specify equipment available for this contract
9. List below the experience of the principal individuals of your business:
Individual’s Name
And City of Residence Present Position Years of
Exp.
Magnitude and Type of Work
10. Remarks—Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above questions):
11. 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
12b. Signature (Sign in Ink) 13. Date
File details come from the government source that posted it. Updated .