Experience Questionnaire

USDA Forest Service

EXPERIENCE QUESTIONNAIRE

Instructions: See Box 11, Remarks, if extra space is needed to answer any item below, Mark “X: in appropriate boxes. Contractor Name, Address, and Email, SAM UEI.

2. Submitted to (Office Name and Address)
Terri Tucker via email [email protected]

3. Business

☐ Company☐ Co-partnership ☐ Corporation ☐ Individual
☐ Non-profit Organization
4. How many years do you or your firm have in the line of work contemplated by this solicitation? 5. How many years’ experience have you or your business had as a (a) prime contractor and/or (b) sub-contractor ? 1.
2.
3.
4.

Box #
Contract Amount
Type of Project
Date Completed
Name, Address, and Telephone No. of Owner/Person to Contact for Project Information

6. A

6. B

6. C

6. D

6. E

List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation. Explain how you have kept in contact with the entity over the contract. What were the communication methods? How did you ensure that the product is what was wanted. How was the project inspected. How have you handled disputes if any?

Contract Number
Dollar Amt. of Award
Name, Address, and Telephone No. of Business/Government Agency Involved Awarded (Units)
Percent Completed
Date Contract Complete

8a. Have you ever failed to complete any work awarded to you? ☐ Yes ☐ No 8b. Has work ever been completed by performance bond? ☐ Yes ☐ No 8c. Did you look at the project site(s) on-the-ground? ☐ Yes ☐ No 8d. If “Yes” to either item 8a. or 8b., specify location(s) and reason(s) why:

EXPERIENCE QUESTIONNAIRE CONTINUED

Employees and equipment that will be available for this project: (1) Minimum number of employees: and (2) Maximum number of employees: Are employees regularly on your payroll: ☐ Yes ☐ No
Specify equipment available for this contract:

Estimate rate of progress below (such as 2.0 acres/man/day): (1) Minimum progress rate:and (2) Maximum progress rate:

EXPERIENCE QUESTIONNAIRE CONTINUED

Employees and equipment that will be available for this project: (1) Minimum number of employees: and (2) Maximum number of employees: Are employees regularly on your payroll: ☐ Yes ☐ No
Specify equipment available for this contract:

Estimate rate of progress below (such as 2.0 acres/man/day): (1) Minimum progress rate:and (2) Maximum progress rate:

10. List below the experience of the principal individuals of your business: (Who will directly be involved in this contract?)