C04_04 Past Performance Questionnaire_1244027Q0005.pdf

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Attached to
Janitorial Services on the Homochitto Ranger District, MS
Solicitation number
12444027Q0005
Issued by

About this file

This document is an Experience Questionnaire form used in federal contract solicitations to evaluate contractor qualifications and performance history.

The form requires contractors to provide their business name, address, telephone number, and email address, along with their business structure classification (company, corporation, co-partner, non-profit, or individual). Respondents must document their years of experience in their line of work and specify their experience as either a prime contractor or subcontractor. The questionnaire requests a list of no more than three of the contractor's most relevant projects completed within three years of the solicitation issuance date, including contract numbers, award amounts, completion dates, reference contact information, and descriptions of work performed. Additionally, contractors must list all current contract commitments with associated contract numbers, award amounts, contact information, and the percentage of effort allocated to each commitment. The form includes yes/no questions regarding whether the contractor has ever failed to complete awarded work or had work completed via performance bond. If either of these conditions applies, contractors must specify the location(s) and reasons why in item 7c. The form references Box 11 for remarks section for contractors requiring additional space to provide complete responses to any items.

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7c. If "yes" to either item 7a or 7b specify location(s) and reason(s) why

EXPERIENCE QUESTIONNAIRE

Instructions: See Box 11, remarks, if extra space is needed to answer any item below. Mark X in the appropriate boxes.

1. Contractors Name, Address & Telephone No. Email 2. Type of Business

Company Co-Partner Non-profit Corporation Individual

3. How many years of experience do you have in this line of work Yrs

4. How many years of experience as a prime contractor subcontractor

5. List no more than 3 most relevant projects your business has performed within 3 years of this solicitation issuance date:

CONTRACT

NUMBER

AWARD

AMOUNT

NAME, ADDRESS, E-MAIL, &

PHONE NO. TO CONTACT

FOR INFORMATION.

DATE

CONTRACT

COMPLETED

DESCRIPTION OF

WORK PERFORMED

6. List all of your firms current contract commitments

CONTRACT

NUMBER

AWARD

AMOUNT

NAME, ADDRESS, E-MAIL, & PHONE NO. TO

CONTACT FOR INFORMATION.

PERCENT

7a. Have you ever failed to complete any work awarded to you? yes no 7b. Has work ever been completed by performance bond? yes no

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