(05) Exhibit A_Performance Relevancy Questionnaire.pdf
PDF 107 KB Posted
- Solicitation number
- 12444026Q0037
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a Performance Relevancy Questionnaire template used by the U.S. Forest Service to evaluate contractor qualifications and past performance capabilities for solicitation opportunities.
The questionnaire requires offerors to provide comprehensive documentation of their experience and performance history. Contractors must identify their firm name, address, and telephone contact, and specify years of experience in the relevant line of work and contracting experience as both prime and sub-contractors. Part 1 requests listing of up to five projects completed within the last three years with similar scope, including contract amounts, project types, completion dates, and contact information for project references. Offerors must also disclose all concurrent contractual commitments running parallel to the anticipated work, along with contract numbers, dollar amounts, awarding agencies, percentage completion, and completion dates. The questionnaire includes yes/no questions regarding any failures to complete awarded work or completion by performance bond, with requirement to explain affirmative responses. Part 2 requires separate detailed submissions for each listed project addressing specific work elements performed by the firm, identification of major subcontractors and confirmation of their availability for Forest Service projects, technical areas uniquely relevant to the solicitation, and points of contact from the owning agency or government contracting officer with current phone, facsimile, and email information. The questionnaire concludes with a certification statement signed by the certifying official in ink, confirming accuracy of submitted information and authorizing reference verification.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation Questions and Answers.docx | DOCX document | |
| (04) WD 2015-5197 Rev 30 Dated 12032025.pdf | ||
| 12444026Q0037.pdf | ||
| (02) QASP.pdf | ||
| (03) Schedule of Items.xlsx | XLSX spreadsheet | |
| (01) PWS.pdf |
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Text version
Exhibit A: 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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