ATTACHMENT 5 PAST PERFORMANCE QUESTIONNAIRE.docx
DOCX document 23 KB Posted
- Attached to
- Region 2 Medical Surveillance Program
- Solicitation number
- 1282B125Q0030
- Issued by
-
Department of Agriculture Forest Service
About this file
The file is an Attachment 5 Past Performance Questionnaire for the Region 2 Medical Surveillance Program solicitation issued by the Department of Agriculture Forest Service under solicitation number 1282B125Q0030. The past performance questionnaire appears to be a standard form used to collect detailed information about a contractor's previous performance, likely to be used in evaluating potential bidders for the medical surveillance program contract. While the specific contents of the questionnaire are not visible in the provided document, such forms typically request comprehensive details about prior contract work, including project scope, performance metrics, client satisfaction, adherence to timelines, and overall contract execution quality.
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Text version
Past Performance Questionnaire
Provide information on projects completed within similar scope of the solicitation whereby the Government may utilize the information from the entity listed below for the purposes of a past performance evaluation. Please return your completed questionnaire with your solicitation response.
This documentation must arrive no later than the close of the solicitation.
ITEMS 1-10 TO BE COMPLETED BY THE OFFEROR:
1. Contractor Name (Offeror):
2. Client or Customer Name and POC with email address and phone number:
3. Project Name:
4. Contract Number (if applicable):
5. Contract Value:
6. Description of work performed:
7. Was work performed as a prime or subcontractor?
8. Approximate duration of the project (weeks or days):
9. Project location:
Source Selection Information - See FAR 2.101 and 3.104 For Official Use Only
10. Date project completed (if not yet complete list percent completed):
Please add any additional remarks as needed here (add up to one additional page):
File details come from the government source that posted it. Updated .