A.01.30_Attachment_-_Contractor_Data_Info.pdf

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Attached to
GATE ATTENDANT A SERVICES FOR LEPAGE PARK
Solicitation number
W9127N-17-Q-0026
Issued by

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Contractor Data Information Form - For Contractors to fill out

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CONTRACTOR DATA INFORMATION FORM

Reference Clause 52.212-2, Evaluation--Commercial Items in the solicitation that contains the Factors this form covers. The information provided on the Contractor Data Information form shall be used to evaluate offers.

GATE ATTENDANT INFORMATION

(Please Print or Type)

This position requires two (2) individuals working as a team. Offeror shall provide the names and contact information of the two individuals who will be working on the campgrounds.

NOTE: Interviews/information clarification may be conducted at the discretion of the Government and are commonly done by telephone. Ensure your phone number where you can be reached is correct. Include area codes.

Gate Attendant #1 - Name

Phone # Email address

(Street Address) (City) (State) (Zip)

Gate Attendant #2 - Name

Phone # Email address

(Street Address) (City) (State) (Zip)

GATE ATTENDANT #1 - RECENT RELEVANT EXPERIENCE

The following bullets must be covered as you provide your brief explanation of Recent Relevant Experience:

• Computer Programs and Data Entry; Public Campground Experience with NRRS and the Activeworks

Software

• Experience Handling Money and/or Accounting

• Customer Service Experience

EMPLOYER 1

Employer Organization Name:

Address:

Name of Primary Point of Contact or Park Manager:

Phone #: Email address:

Position Held: Prime or Subcontractor on Project:

Location of Employment:

Dates of Employment: From: To:

Brief explanation of duties relevant to the work described in the Performance Work Statement (PWS):

Other Relevant Experience or Training:

GATE ATTENDANT #1 - RECENT RELEVANT EXPERIENCE

EMPLOYER 2

Employer Organization:

Address:

Name of Primary Point of Contact or Park Manager:

Phone #: Email address:

Position Held: Prime or Subcontractor on Project:

Location of Employment:

Brief Explanation of Duties:

NOTE: Gate Attendants should both be in good health due to frequent outdoor activities and walking around the campground to perform surveillance multiple times a day.

If you have any questions concerning work requirements, please call Steve VanMeter at (541) 506-4808 or at email address Steve.D.Vanmeter@usace.army.mil mailto:Steve.D.Vanmeter@usace.army.mil

GATE ATTENDANT #2 - RECENT RELEVANT EXPERIENCE

The following bullets must be covered as you provide your brief explanation of Recent Relevant Experience:

• Computer Programs and Data Entry; Public Campground Experience with NRRS and the Activeworks

Software

• Experience Handling Money and/or Accounting

• Customer Service Experience

EMPLOYER 1

Employer Organization Name:

Address:

Name of Primary Point of Contact or Park Manager:

Phone #: Email address:

Position Held: Prime or Subcontractor on Project:

Location of Employment:

Brief explanation of duties relevant to the work described in the Performance Work Statement (PWS):

GATE ATTENDANT #2 - RECENT RELEVANT EXPERIENCE

EMPLOYER 2

Employer Organization:

Address:

Name of Primary Point of Contact or Park Manager:

Phone #: Email address:

Position Held: Prime or Subcontractor on Project:

Location of Employment:

Brief Explanation of Duties:

NOTE: Gate Attendants should both be in good health due to frequent outdoor activities and walking around the campground to perform surveillance multiple times a day.

If you have any questions concerning work requirements, please call Steve VanMeter at (541) 506-4808 or at email address Steve.D.Vanmeter@usace.army.mil mailto:Steve.D.Vanmeter@usace.army.mil

CONTRACTOR DATA INFORMATION FORM

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