Attachment_A_-__Contractor_Mowing_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: ______________

This procurement is subject to the terms of 52.219-14, Limitations on Subcontracting. In accordance with 52.219-14, at least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern.

Is your firm able to meet the requirements of clause 52.219-14 for this procurement? ____Yes _____ No

Will your firm be using a subcontractor to perform any portion of the work under this contract?

_____Yes ______ No If Yes, what percentage of work will be done by the sub? ______

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 you will be using to perform 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

EXPERIENCE #3

Please return this questionnaire sheet along with your Quote.