J_7-Experience_and_Past_Performance_Questionnaire.pdf

PDF 10 KB Posted

Attached to
Forest Road 29 MP 15. 5, Culvert Replacement Federal contract opportunity
Solicitation number
1205G218R0002
Issued by
Department of Agriculture Forest Service R6-Pacific Northwest Region

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J.7 Experience & Past Performance Questionnaire

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J-7 Experience and Past Performance Information Questionnaire

Experience (What have you done?):

Identify your experience performing jobs similar in nature, scope, and difficulty to this project.

Experience will be evaluated on the basis of the number of jobs that the offeror has had that were similar in nature, scope, and difficulty to the work that the contractor will have to perform under the contract awarded based on this solicitation.

There is no time limit on experience. Experience can be identified since your company was created. Provide enough information so evaluators can determine what you did, who you did it for, and where you did it. Provide contact information for each job.

Information may submitted in any format.

Past Performance (How well did you do it?):

Provide the following contact information on jobs identified above performed within the last three years for Federal agencies and commercial customers. Use the format below, or a similar format providing the same information.

A. Offeror name (Company/Division): _______________________________________

B. Product/Service: ______________________________________________________

C. Contract Specifics:

1. Contract Number: ________________________________________________

2. Contract Type: __________________________________________________

3. Original Contract $ Value: _________________________________________

4. Current Contract $ Value: _________________________________________

5. If Amounts for 3 and 4 above are different, provide a brief description of the reason:

D. Completion Date:

1. Original Completion Date: _________________________________________

2. Actual Completion Date: __________________________________________

3. How many times completion date changed: ___________________________

4. Primary Causes of Completion Date change: __________________________

E. Customer Points of Contact: (Please provide current information on both individuals)

Technical Contracting Officer

Name: _____________________________ ________________________

Office: _____________________________ ________________________

Address _____________________________ ________________________

Telephone _____________________________ ________________________

F. Brief Description of Effort as ___ Prime or ___Subcontractor:

G. Highlight portions considered most relevant to current acquisition, including similar problems/risks that were encountered. Provide comments regarding compliance with contract terms and conditions, and any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions.

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