(04) Exhibit-B.pdf
PDF 133 KB Posted
- Solicitation number
- 12444226Q0002
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a Performance Relevancy Questionnaire form used by the Forest Service to evaluate contractor qualifications and past performance capability.
The questionnaire requires offerors to provide detailed information about their experience in the relevant line of work, including years as prime contractors and subcontractors. Contractors must list up to five projects completed within the last three years that are similar in scope to the solicitation, including contract amounts, project types, completion dates, and points of contact. The form also requires contractors to disclose all concurrent contractual commitments running parallel to the contemplated work, with contract numbers, dollar amounts, awarding agencies, percentage completion, and projected completion dates. Additionally, contractors must indicate whether they have ever failed to complete awarded work or required performance bonds to complete projects, with explanations if applicable. For each project listed, contractors must provide supplemental documentation addressing the specific work elements performed by their firm, work performed by major subcontractors and whether those subcontractors will be used on Forest Service projects, technical areas uniquely relevant to the solicitation, and current contact information for the government contracting officer or inspector. The form concludes with a certification statement that the applicant must sign, attesting that all provided information is complete and correct and authorizing the Forest Service to verify capability through named references.
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Other files
| File | Type | Posted |
|---|---|---|
| 12444226Q0002 Additional Questions and Answers.pdf | ||
| 12444226Q0002 Questions and Answers.pdf | ||
| (02)SOW.pdf | ||
| 12444226Q0002.pdf | ||
| (03) Exhibit-A.pdf | ||
| (01)WD Franklin County MS.pdf | ||
| SF1449.pdf |
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Text version
Exhibit B: PERFORMANCE RELEVANCY QUESTIONNAIRE
Provide the following information requested in this format for each of the projects/contracts being described. Projects may be ongoing and cannot have been completed any later than 3 years prior to the to this issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use as much space as required. OFFEROR SHOULD PLACE
THEIR NAME ON TOP OF EACH QUESTIONNAIRE PAGE.
INSTRUCTIONS: If extra space is needed use the reverse. Mark "X" in appropriate boxes.
CONTRACTOR NAME, ADDRESS & TELEPHONE
How many years do you or your firm have in the line of work contemplated by this solicitation ? How many years’ experience in contracting have you or your business had as a (a) prime contractor and/or (b) sub-contractor ?
PART 1 - PAST / CURRENT PROJECTS
List below up to 5 projects your business has completed within the last 3 years similar in scope to the solicitation:
Contract Amount Type of Project Date Completed Name Address & Telephone No. of Person to Contact for Project Information.
List below all of your firm's contractual commitments running concurrently with the work contemplated by this solicitation:
Contract No. Dollar Amount of Project
Name, Address & Phone No. of Business Govt./Agency
Awarded (Units)
Completed
Date Contract Completed
Have you ever failed to complete any work awarded to you? Yes ( ) No ( ) Has work ever been completed by performance bond? Yes ( ) No ( ) If "Yes" to either item above specify location(s) and reason(s) why:
PART 2 – SPECIALIZED EXPERIENCE – For each of the projects listed above, address the following comments on a separate sheet:
a) Describe the specific elements of the work performed by your firm.
b) Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on Forest Service projects.
c) Address any technical areas about this project you consider uniquely relevant to this solicitation.
d) Point of Contact for Owner/Government agency Contracting Officer and or inspector; include a current phone number and facsimile number. Email address is also desired.
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.
Certifying Official's Printed Name and Title Signature (In Ink) Date
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