4. Past Performance Questionnaire.pdf

PDF 495 KB Posted

Attached to
Exterior Building Repairs Federal contract opportunity
Solicitation number
12505B22R0015
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Midwest Area

About this file

This document includes a past performance evaluation sheet template for contractors to submit with proposals, along with details of a federal solicitation for exterior building repairs.

The solicitation from the US Department of Agriculture seeks proposals for exterior building repairs located in Peoria, Illinois with an estimated budget between $500,000 and $1,000,000. The work must be completed within 120 days of receiving a notice to proceed and involves a 100% total women-owned small business set aside. Site visits are scheduled for June 14th and 15th with registration required by June 13th. Questions are due by June 21st and must be submitted in writing. Proposals are due through the System for Award Management website. The selected contractor must use biobased products when reasonably available.

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Text version

Past Performance Evaluation Sheet Instructions: Complete One Sheet for Each Previous Contract Completed

(Minimum of three needs to be submitted with contractor’s proposal)

Contactor’s Name___________________________________________

Criteria Contractors Statement

Government Agency/Company who awarded the contract

Contract Number

Description of Services

Contract Value (base and all options)

Period of Performance (including all options)

Place of Performance

Contract Type

Current contract POC with current email address and phone number*

If contractor received a Cure Notice or Show Cause, submit explanation and actions to correct problem

*The Government is under no obligation to search for additional information in order to identify contracts/performance references.

Current COR or Contract Point of Contact should be sent this document in order to provide comments on above mentioned contract: (Contractor’s Responsibility)

Name: ______________________________________________

Company: ____________________________________________

Phone: ______________________________________________

File details come from the government source that posted it. Updated .