C04c_Attach 3 PRQ_12444026Q0200.pdf

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Attached to
USDA-Forest Service- Fencing Materials_Cibola National Forest, Kiowa & Rita Blanca National Grasslands
Solicitation number
12444026Q0200
Issued by

About this file

This is a Performance Relevancy Questionnaire template used by the Forest Service to evaluate contractor qualifications and past performance on proposed solicitations.

The questionnaire requires offerors to provide comprehensive information about their experience and capability to perform the contemplated work. Part 1 requests contractor identification and background, including years of experience in the relevant line of work and contracting history as both prime and subcontractors. Offerors must list up to five projects completed within the last three years with similar scope, including contract amounts, project types, completion dates, and points of contact for project information. The questionnaire also requires disclosure of all contractual commitments running concurrently with the proposed work, including contract numbers, dollar amounts, awarding agencies, percentage completion status, and contract completion dates. Additionally, contractors must disclose any instances of incomplete work or performance bond completions with specific explanations. Part 2 requires detailed narrative responses on separate sheets for each listed project, addressing the specific work elements performed by the firm, identification of major subcontractors and their anticipated involvement in Forest Service projects, technical areas uniquely relevant to the solicitation, and current contact information (phone, facsimile, and email) for the owner or government agency contracting officer or inspector. The questionnaire concludes with a certification statement requiring the certifying official's printed name, title, signature in ink, and date, attesting to the accuracy and completeness of all submitted information and authorizing the Forest Service to verify capability through named references.

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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

File details come from the government source that posted it. Updated .