36S79718R0007-004.docx

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Construction IDIQ MULTIPLE AWARD TASK ORDER CONTRACT (MATOC)
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36S79718R0007
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36S79718R0007 36S79718R0007 ATTACHMENT A.docx

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ATTACHMENT A

RFP 36S79718R0007

Performance Relevancy Questionnaire

Provide the following information requested in this format for each of the projects/contracts you intend to have considered for evaluation. Projects may be on-going and cannot have been completed more than 3 years prior to the proposal due date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you elect to reference.

A. Offeror (Your) Name (Company/Division):

B. Project/Contract Title:

C. Contract Specifics:

1. Description of Effort as ___Primeor___Subcontractor
2. Contract Number __________________
3. Original Contract Value $____________Current/Final Contract Value $________________
4. If amounts in 3 above are different, provide a brief description of the reason:
_____________________________________________________________________________
5. Completion Date(s):
a. Original Date: ______________________

b. Current Schedule____________________

c. Estimate/Final Completion Date:_____________________
d. Primary cause for Contract Modifications______________

D. Provide detailed description of the work performed under the contract and describe why you believe the work is VERY REVELANT, RELEVANT, SEMI-RELEVANT or NOT-RELEVANT to this MATOC Solicitation. Descriptions must address the following:

1. Describe the specific elements of the work performed by your firm.

2. Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on projects awarded under this MATOC. Should you intend to use these same subcontractors, please list their company names and described their principal areas of work that they will perform.

3. Address any technical areas about this project you consider uniquely relevant to this solicitation.

E. Point of Contact for Owner/Government agency Contracting Officer and or inspector (COR); include a current phone number, email address and fax number for each.

Company Name: _________________________________________________

Point of Contact: ___________________Title:______
E-mail:_________Office Phone:_______________Fax:_
Address of Record:___

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