Atch 3 Technical Capability Questionnaire

FA5613-25-Q-0028
Attachment 3, Technical Capability Questionnaire
Source Selection Information – See FAR 2.101 and 3.104

TECHNICAL CAPABILITY QUESTIONNAIRE

This acquisition is for maintenance, repair, and inspection services for hoists in accordance with the Performance Work Statement. Please provide past experience information as requested in the Addendum to FAR provision 52.212-1, Instructions to Offerors — Commercial Products and Commercial Services, and FAR provision 52.212-2, Evaluation — Commercial Products and Commercial Services, below.

A. GENERAL INFORMATION:

Contractor’s Name:
Address:
Point of Contact:
Phone Number:
Email Address:
Project Title or Brief Description of Work:

Number of Hoists Maintenance and Repair Services were provided for: Contract Reference Number:
Total Contract Amount:
Associated Subcontract Amount*:
Contract Period or Dates of Performance:

Contractor performed as:

 Prime Contractor

 Subcontractor

 Teaming Partner

 Joint Venture Partner

*If contract was not performed as prime contractor.

B. SPECIFIC EXPERIENCE INFORMATION:

Description of Services Performed:

FOR OFFICIAL USE ONLY

 Key Personnel

FA5613-25-Q-0028
Attachment 3, Technical Capability Questionnaire
Source Selection Information – See FAR 2.101 and 3.104

The technical support provided must be similar in nature to the requirements listed in the PWS. Please provide a brief technical description of the type of support completed under the referenced contract.

FOR OFFICIAL USE ONLY