Attach_5_Past_Performance_Questionnaire.pdf

Past Performance Questionnaire

Name of Contractor____________________________________________________________________

Name of Contract______________________________________________________________________

Total Contract Value ____________________

Completion Date or stage of completion if still in progress _____________________________________

Contracting Officer’s name, address, telephone ______________________________________________

Name of any company if you subcontracted out this work, or if you acted as a subcontractor. _____________________________________________

Specific type of work, project location and size_______________________________________________

Whether the project was completed timely___________________________________________________

What the quality was, and if there was any work that received less than full pay or any penalties and the extent of rework conducted. ______________________________________________________________

Name of Contract______________________________________________________________________

Total Contract Value ____________________

Completion Date or stage of completion if still in progress _____________________________________

Contracting Officer’s name, address, telephone ______________________________________________

Name of any company if you subcontracted out this work, or if you acted as a subcontractor. _____________________________________________

Specific type of work, project location and size_______________________________________________

Whether the project was completed timely___________________________________________________

What the quality was, and if there was any work that received less than full pay or any penalties and the extent of rework conducted. ______________________________________________________________