36C78618Q0060-004.docx
DOCX document 14 KB Posted
- Attached to
- New Contract (FY18) Office Furniture Services for SDVOSB Companies Mountain Home National Cemetery
- Solicitation number
- 36C78618Q0060
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36C78618Q0060 Attachment IV - PAST PERFORMANCE QUESTIONNAIRE.docx
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Other files
| File | Type | Posted |
|---|---|---|
| 36C78618Q0060-003.pdf | ||
| 36C78618Q0060-000.docx | DOCX document | |
| 36C78618Q0060-001.pdf | ||
| 36C78618Q0060-002.xlsx | XLSX spreadsheet |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS: Offerors must identify previous federal, state, and local government and private contracts that they have completed and that are similar to the contract being evaluated. List One contract for evaluation limited to the last three (3) years.
NOTE: If you have performed any National Cemetery Administration contracts list them.
Contractor (you) Information:
Name: _____________________________________________________________________ Address: ___________________________________________________________________ Telephone Number: ___________________________________________________________ E-mail: ______________________________________________________________________
Contract Information:
Name of company/agency you provided service for: ___________________________________ Contract Number: _____________________________________________________________ Type of Contract: _______________________________________________________________ Contract Dollar Value: ___________________________________________________________ Date of Award: _________________________________________________________________ Status: Completed, Yes____ No____ If not completed, projected completion date____________ If not completed, why?___________________________________________________________
Point of Contact Information for the company/agency you serviced:
Name of the Contract Person & their position: ________________________________________ Address: ______________________________________________________________________ Telephone Number: _____________________________________________________________ E-mail: ________________________________________________________________________
Description of Supply/Service(s) provided, location & relevancy of work:
Complexity of Product/Service, if any:
Percentage of Work completed by your company/by subcontractor:
Provide information on problems encountered during performance of this contract and your corrective actions, (if applicable):
(End of Section)
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