36C78618Q9674-003.pdf
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- Solicitation number
- 36C78618Q9674
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36C78618Q9674 Attachment III - Past Performance Questionnaire.pdf
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| File | Type | Posted |
|---|---|---|
| 36C78618Q9674-000.docx | DOCX document | |
| 36C78618Q9674-001.pdf | ||
| 36C78618Q9674-002.pdf |
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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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