Attachment_A_-__Commercial_Experience_Questionnaire___.pdf

Attachment A: Contractor’s Experience

CONTRACTOR QUESTIONNAIRE

SOLICITATION NUMBER: ___________________________________

PROJECT TITLE: __________________________________________________

PLEASE COMPLETE ALL REQUESTED INFORMATION

Name: _______________________________________________________

Company name: ________________________________________________

Street Address: _____________________________________________________

City: ____________________________ State: ________ Zip: _________

Phone number: ___________________________________________

DUNS: _________________________________ CAGE Code: ______________

Will you be performing 100% of this Work?

_____ Yes (supply experience)

_____ No (If not, please supply % of work ________ and experience of employee or Subcontractor [see clause 52.219-14] )

Employee / Subcontractor’s Name: ___________________________________________

Number of Employees who will be working on this contract:

Full Time: _____________ Part Time: ___________ Seasonal: ___________

Will you be using Commercial Lawn Service Equipment (own or lease)? _____Yes ____NO Please list the Equipment that will be used in performing this contract (make, model and year for each piece of equipment):

Do you have Commercial Mowing/Grounds Maintenance Service Experience?

________ Yes Years: ____________ Months: __________

_________ No

EXPERIENCE #1

Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

Reference Telephone Number: ___________________________________

Additional Information:

EXPERIENCE #2

Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

Reference Telephone Number: ___________________________________

Additional Information:

EXPERIENCE #3

Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

Reference Telephone Number: ___________________________________

Additional Information:

Please return this questionnaire sheet along with your Quote.