(07) Exhibit-B.pdf
PDF 133 KB Posted
- Solicitation number
- 12444225Q0029
- Issued by
-
Department of Agriculture Forest Service
About this file
The document is a Performance Relevancy Questionnaire from the Forest Service, designed to evaluate a contractor's past performance and qualifications for a potential solicitation. The form requires contractors to provide detailed information about their previous projects, including up to 5 contracts completed within the last 3 years that are similar in scope to the current solicitation. Contractors must document contract amounts, project types, completion dates, and points of contact for each project.
The questionnaire is divided into two main parts: Part 1 covers past and current projects, requiring contractors to list their contractual commitments and answer whether they have ever failed to complete work or had work completed by performance bond. Part 2 focuses on specialized experience, asking contractors to provide detailed descriptions of work performed, subcontractor involvement, technical relevance to the solicitation, and contact information for project references. The form concludes with a certification section where the contractor's authorized representative must verify the accuracy of the provided information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| (03) Schedule of Items.xlsx | XLSX spreadsheet | |
| SF1449.pdf | ||
| (02) SOW.pdf | ||
| 12444225Q0029.pdf | ||
| (06) Exhibit-A.pdf | ||
| (04) Mena Office Layout.pdf | ||
| (03) Schedule of Items.xlsx | XLSX spreadsheet | |
| (01) WD Polk County AR.pdf | ||
| (05) Mena Workcenter Layout.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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