Attachment 4 Past Performance Questionnaire.pdf
PDF 94 KB Posted
- Attached to
- Fleet Emergency Vehicle Up Build Federal contract opportunity
- Solicitation number
- 127EAT24Q0046
- Issued by
- Department of Agriculture Forest Service
About this file
This document is a Past Performance Questionnaire from the USDA Forest Service. It requests information about the contractor's experience, including the number of years in the line of work, number of years as a prime or subcontractor, and a list of projects completed within the last three years. The questionnaire also asks if the contractor has ever failed to complete any awarded work and provides space for remarks. The related federal contract opportunity is for the Angeles National Forest Fleet Fire Dozer and Utility Truck Upgrades in Arcadia, CA, with 1 dozer and 9 utility vehicles. The solicitation number is 127EAT24Q0046 and the opportunity type is a Solicitation from the Department of Agriculture Forest Service.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Schedule of Items 1125644.pdf | ||
| Vehicle Vin Numbers.pdf | ||
| 127EAT24Q0046.pdf | ||
| Attachment 3 Utility Truck Uplift SOW.pdf | ||
| Attachment 2 Fire Dozer Uplift SOW.pdf | ||
| Attachment 1 Wage Determination.pdf |
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Text version
USDA – Forest Service
PAST PERFORMANCE QUESTIONNAIRE
(Ref. FSH 6309.31 and 41 USC 1)
INSTRUCTIONS: See Box 11, Remarks, if extra space is needed to answer any questions below. Mark “X” in appropriate boxes.
1. CONTRACTOR NAME, ADDRESS, AND TELEPHONE NO.
2. SUBMITTED TO (office Name and Address)
3. BUSINESS
Company Co-partnership Corporation Individual Non-profit Organization
4. How many years do you or your firm have in the line of work contemplated by this solicitation?
5. How many years of experience in contracting have you or your business had as a (a) prime contractor ____ and/or (b) sub-contractor ____?
6. List below the projects your business has completed within the last three years:
CONTRACT
AMOUNT
TYPE OF PROJECT
DATE
COMPLETED
NAME, ADDRESS, AND TELEPHONE NO. OF
OWNER/PERSON TO CONTACT FOR PROJECT
INFORMATION
7a. Have you ever failed to complete any work awarded to you? Yes No 7b. If “Yes” to Item 8a type of project and reason(s) why:
8. Remarks. Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question):
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any person named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.
9a. CERTIFYING OFFICIAL’S NAME AND TITLE
b. SIGNATURE (Sign in ink) 10. DATE
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