Attachment_A_-__Contractor_Cleaning_Experience_Questionnaire___.docx

Attachment A: Contractor’s Experience

CONTRACTOR QUESTIONNAIRE

SOLICITATION NUMBER: W912ES18T0021

PROJECT TITLE: Pokegama Dam Custodial Maintenance

PLEASE COMPLETE ALL REQUESTED INFORMATION

Name: _______________________________________________________ Company name: ________________________________________________ Street Address: _____________________________________________________ City: ____________________________ State: ________ Zip: _________ Phone number: ___________________________________________ DUNS: _________________________________ CAGE Code: ______________

Will you be performing this Work?

Employee / Subcontractor’s Name: ___________________________________________

Number of Employees who will be working on this contract:

Full Time: _____________ Part Time: ___________ Seasonal: ___________

Do you and your Subcontractor have Commercial Cleaning Experience?

________ Yes Years: ____________ Months: __________

_________ No

EXPERIENCE #1

Self or Subcontractor? ___________________________________________ Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

Reference Telephone Number: ___________________________________ Additional Information:

EXPERIENCE #2

Self or Subcontractor? ___________________________________________ Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

EXPERIENCE #3

Self or Subcontractor? __________________________________________ Job Title: _____________________________________________________

Date work performed: __________________________________________

Reference name: _______________________________________________

Please return this questionnaire sheet along with your Quote.