Past_Performance_Survey.docx
DOCX document 24 KB Posted
- Solicitation number
- 140FS326Q0135
About this file
This is a Past Performance Survey template designed to collect historical contract experience from vendors responding to federal solicitations. The survey requests general business information including company name, address, date of organization, key personnel, and SAM.gov Unique Entity Identifier (UEI), along with the company's business structure classification.
The form requires detailed documentation of up to three completed or in-progress contracts or subcontracts, with preference given to government contracts but allowing submission of commercial work if government experience is unavailable. For each contract entry, vendors must provide the contracting agency or company name, point of contact information, contract number, total contract/subcontract amount, project title and location, general scope, the vendor's specific role (prime contractor, joint venture partner, or subcontractor), description of any subcontracted work with associated amounts, period of performance with scheduled and actual completion dates, percentage of work completed, termination status, and details regarding quality control and safety plans implemented. The survey also requires documentation of any quality control or safety issues encountered and their resolutions. The template includes signature blocks for the survey preparer with date, phone number, email, and title, and concludes with a certification statement affirming the accuracy of past performance information provided.
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| File | Type | Posted |
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| Statement_of_Work_Detector_Dog_Training_2026_-_v2.pdf | ||
| Sol_140FS326Q0135.pdf |
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Text version
PAST OR PRESENT PERFORMANCE SURVEY
Your Company Name:
Street Address:
City, State and ZIP Code:
1. GENERAL BUSINESS INFORMATION
Date Firm Organized/Established:
| Company President: | Vice President: | |
| SAM.gov Unique Entity Identifier (UEI): | __ |
Is company a ; Partnership [ ] Separate entity [ ] Division [ ] N/A [ ]
2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS
Complete and submit the information requested on page 2-4 below on prime contracts or subcontracts completed or in progress. Government contracts are preferred; but, if you have not performed Government contracts, indicate any other contracts completed or in progress.
a. First Contract:
Contracting Agency or Company:
| Point of Contact: | Telephone Number: | ||
| Contract Number: | Contract/Subcontract Amount: $ | _____ |
Project Title and Location:
General Scope of Project: ____________
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $ Period of Performance: days Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated?
Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________
Quality Control or Safety Problems encountered (if any):
How were the problems resolved? _____
b. Second Contract:
Contracting Agency or Company:
| Point of Contact: | Telephone Number: | ||
| Contract Number: | Contract/Subcontract Amount: $ | _____ |
Project Title and Location:
General Scope of Project: ____________
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated?
Quality Control or Safety Problems encountered (if any):
How were the problems resolved? _____
c. Third Contract:
Contracting Agency or Company:
| Point of Contact: | Telephone Number: | ||
| Contract Number: | Contract/Subcontract Amount: $ | _____ |
Project Title and Location:
General Scope of Project: ____________
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated?
Quality Control or Safety Problems encountered (if any):
How were the problems resolved? _____
Type or Print Information Name of Survey Preparer
Phone:_________________ E-Mail;___________________________ Title Signature Date )4. Certification of Past Performance Information:
File details come from the government source that posted it. Updated .