S02_Attachment-5_Business_Management-Past_Performance_Questionnaire.pdf

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NATIONAL SHRINE PROJECT - NORTH ATLANTIC DISTRICT. Long Island National Cemetery
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36C78619R0021
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36C78619R0021 S02_Attachment-5 Business Management-Past Performance Questionnaire.pdf

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BUSINESS MANAGEMENT / 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 at least three (3), but no more than five (5) contracts for evaluation limited to the last five (5) years.

(One contract reference per form, Form may be duplicated)

NOTE: If you have performed any National Cemetery Administration contracts list them first.

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?___________________________________________________________

Were you the Prime contractor?______________ were you the Sub contractor? ___________

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