Attachment 6: QUALIFICATION STATEMENT

CONTRACTOR'S QUALIFICATIONS STATEMENT

Complete in full and submit with your offer. Failure to submit this information will not be cause for rejection of your offer. However, if your firm is in line for a contract award, this information will be requested and is required to enable this office to make a determination of responsibility to consummate the award process. Use additional sheets if needed.
1.

Name and Permanent Place of Business:
Name:
Address:
City:

State:

Phone No:
2.

Zip:

Duns No:

Equipment

(a) All equipment shall be in satisfactory operating condition, capable of safely and efficiently performing the work required, and of a size commensurate with the work to be performed. Qualified operating personnel shall be provided by the Contractor for the operation of this equipment. All equipment shall be listed on the Contractor’s Qualification Statement (attachment 9). (b) The Contractor shall furnish and install all fuel, grease, cables, repair parts, tools, methane monitors, welders, and all other miscellaneous supplies and parts necessary for efficient and safe operation. Repairs and replacements shall be made by the Contractor at the Contractor's own expense, within 48 hours from the time of breakdown.
(c) The Contracting Officer or the COR may at any time inspect the Contractor's equipment on the job site. If said equipment is deemed inadequate or any part thereof improper, the Contractor shall replace or make repairs in a manner consistent with paragraph (b) above. List all equipment to be utilized in performing work covered by the solicitation. Contractor must show evidence of firm commitment in writing for equipment not owned by contractor. Type of
Equipment

Model/
Manufacturer

Size/
Capacity

Age/
Condition

Lien
Holder

3.

Contractor's Experience
List and describe experience with previous and current work similar to this project. Project Name:

Owner's Name:

Project Location:

Owner's Address:

Owner's Engineer in Charge:
Phone No:

Date of Work:

Cost:

Description of Work:

Project Name:

Owner's Name:

Project Location:

Owner's Address:

Owner's Engineer in Charge:
Phone No:

Date of Work:

Cost:

Description of Work:

Project Name:

Owner's Name:

Project Location:

Owner's Address:

Owner's Engineer in Charge:
Phone No:

Date of Work:

Cost:

Description of Work:

Project Name:

Owner's Name:

Project Location:

Owner's Address:

Owner's Engineer in Charge:
Phone No:
Description of Work: