Exhibit_E-2_Past_Performance_Questionaire_0002.pdf
PDF 145 KB Posted
- Attached to
- Fixed Wing On Call Flight Services
- Solicitation number
- 140D0425R0090
About this file
This document is a Past Performance Questionnaire for a Department of Interior (DOI) Fixed Wing On-Call Solicitation in Alaska, with the solicitation number 140D0425R0090. The form is designed for offerors to provide details about their recent work experience within the last three years that is comparable in scope, magnitude, and complexity to the solicitation requirements. The questionnaire allows contractors to document multiple past performance efforts, including the primary type of work, location, aircraft make/model used, contract details, use type (exclusive or call when needed), work years (2022-2024), estimated annual value, flight hours, and client contact information. Offerors are warned that failure to include complete information or provide contactable references may result in their work not being considered during the evaluation process.
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Text version
SECTION E – OFFEROR’S REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS
DOI Fixed Wing On-Call Solicitation # 140D0425R0090
Alaska
Exhibit E-2
PAST PERFORMANCE QUESTIONAIRE
You may recreate this form but it must include all the information listed. If you fail to include all requested information or we are unable to contact your references based on the information you provide, you may not receive consideration for the work done.
Please provide details of recent efforts completed within the last three years that are comparable in scope, magnitude, and complexity to the work outlined in this solicitation.
OFFEROR NAME: DATE
Primary Type of Work Done:
Location of Work Done: A/C Make/Model Used:
Contract #:
☐ None
☐ Exclusive Use
☐ Call When Needed
Use Dates: TO
CHECK ALL THAT APPLY
☐ 2022 ☐2023 ☐2024
Est. Annual
Value of Work:
Estimated Annual
Flight Hours:
Client Name/
Point of Contact:
Client Telephone #: Client Facsimile #:
☐ None
☐ 2022 ☐2023 ☐2024
Est. Annual
Value of Work:
Estimated Annual
Flight Hours:
Client Name/
Point of Contact:
☐ None
☐ 2022 ☐2023 ☐2024
Est. Annual
Value of Work:
Estimated Annual
Flight Hours:
Client Name/
Point of Contact:
☐ None
☐ 2022 ☐2023 ☐2024
Est. Annual
Value of Work:
Estimated Annual
Flight Hours:
Client Name/
Point of Contact:
| OFFEROR NAME: |
| DATE: |
| Primary Type of Work DoneRow1: |
| Location of Work Done: |
| AC MakeModel Used: |
| Contract None: |
| undefined: Off |
| Exclusive Use: Off |
| Call When Needed: Off |
| Use Dates TO: |
| CHECK ALL THAT APPLY: Off |
| Est Annual Value of Work: |
| Estimated Annual Flight Hours: |
| Client Name Point of Contact: |
| Client Telephone: |
| Client Facsimile: |
| Primary Type of Work DoneRow1_2: |
| Location of Work Done_2: |
| AC MakeModel Used_2: |
| Contract None_2: |
| undefined_2: Off |
| Exclusive Use_2: Off |
| Call When Needed_2: Off |
| Use Dates TO_2: |
| CHECK ALL THAT APPLY_2: Off |
| Est Annual Value of Work_2: |
| Estimated Annual Flight Hours_2: |
| Client Name Point of Contact_2: |
| Client Telephone_2: |
| Client Facsimile_2: |
| Primary Type of Work DoneRow1_3: |
| Location of Work Done_3: |
| AC MakeModel Used_3: |
| Contract None_3: |
| undefined_3: Off |
| Exclusive Use_3: Off |
| Call When Needed_3: Off |
| Use Dates TO_3: |
| CHECK ALL THAT APPLY_3: Off |
| Est Annual Value of Work_3: |
| Estimated Annual Flight Hours_3: |
| Client Name Point of Contact_3: |
| Client Telephone_3: |
| Client Facsimile_3: |
| Primary Type of Work DoneRow1_4: |
| Location of Work Done_4: |
| AC MakeModel Used_4: |
| Contract None_4: |
| undefined_4: Off |
| Exclusive Use_4: Off |
| Call When Needed_4: Off |
| Use Dates TO_4: |
| CHECK ALL THAT APPLY_4: Off |
| Est Annual Value of Work_4: |
| Estimated Annual Flight Hours_4: |
| Client Name Point of Contact_4: |
| Client Telephone_4: |
| Client Facsimile_4: |
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