B01-Attachment 17 Experience Questionnaire.pdf

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MAINTENANCE AND REPAIR SERVICE POTABLE AND FIRE WATER GRID AT DARBY MILITARY COMMUNITY (DMC)
Solicitation number
W912PF25QA087
Issued by

About this file

This document is a Request for Quote (RFQ) #W912PF25QA087, specifically an Experience Questionnaire form designed to capture detailed information about a contractor's previous experience in water grid maintenance and repair. The form requires respondents to provide comprehensive details about past contracts, including performance role (prime or subcontractor), contract number, performance location, contract dates, total contract price, and commissioning firm information.

The questionnaire includes a 500-word narrative section for describing experience specifically related to maintenance and repair of potable and fire water grids, and requires contact information for the technical point of contact at the commissioning firm. Additionally, the form mandates disclosure of any potential negative performance or integrity issues, with a request for explanation of corrective actions taken to resolve past problems. This appears to be part of a government procurement process for evaluating contractor qualifications, utilizing Federal Acquisition Regulation (FAR) 9.104 responsibility determination criteria.

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REQUEST FOR QUOTE #W912PF25QA087

EXPERIENCE QUESTIONNAIRE

Performed as Prime or Subcontractor

Contract Number

Location of performance

Contract start and end date

Contract price

Commissioning firm

(1) Name

(2) Address

Narrative about experience concerning maintenance and repair of potable and fire water grid (Limit 500 Words)

Technical Point of Contact of Commissioning Firm

Name

Title

Telephone

Cellular

E-mail

In determining responsibility IAW FAR 9.104, will the Government discover any negative performance and/or integrity issues?

If so, indicate the corrective actions taken to resolve the problems encountered during the execution of the work.

File details come from the government source that posted it. Updated .